Re: 14 weeks gestation,twins and cord procidence

From: zygote@ICSI.Net
Sat Mar 21 12:12:00 1998


> Date: Fri, 20 Mar 1998 05:51:15 -0600
> Reply-to: ob-gyn-l@obgyn.net
> From: Carlos Wolff <carwolff@satlink.com>
> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Subject: 14 weeks gestation,twins and cord procidence

> She is G1P0 36 years old and these pregnancy was succesfully after assisted
> Fertilization.This night arrived with the cord into vagina.without
> heartbeat,the second twin is with regular heartbeat. Ultrasound showed
> biamniotic ,the lower is
> with oligohidramnios. I need help

Hunter Hammill and I had a patient at 18 weeks with delivery of first twin. Cord was cur; antibiotics instituted and 24 hrs later cerclage was placed. with antibiotic coverage for 7 additional days. This approach is certainly "heroic" and the potential for infection, adverse outcome must be understood. Other reports in printed literature also describe similar situations. Robert J. Carpenter, Jr. MD St. Luke's Medical Tower,#2720 6624 Fannin,Houston,Tx 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422





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