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| Clinical analysis of delayed delivery of 11 women with multiple pregnancy |
| The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, 450052 |
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Abstract To explore the perinatal management and maternal and infant outcomes of the delayed delivery of women with multiple pregnancy. Methods: The clinical data of delayed delivery of 11 women with multiple pregnancies were analyzed retrospectively. The clinical treatment situation, the gestational weeks of delivery, and the interval time of delayed delivery, and the prognosis of newborn and pregnant women were analyzed. These women were divided into two groups, which included the women with normal C-reactive protein (CRP) level in group A and the women with abnormal CRP level in group B according to the CRP level of the women in 1 week after delivery of the first fetus. The white blood cell count, the neutrophil percentage, the neonatal weight, and the interval time of delayed delivery of the women on the day of symptom onset, on the day of the first fetus delivery, and in 1 week after the first fetus delivery were analyzed and compared between the two groups. Results: There were 7 twin pregnancies and 4 triplet pregnancies. The average gestational weeks of the first fetus was 18.8 weeks, the average birth weight of the first fetus was 190g, and the perinatal survival rate was 0%. The interval time of delayed delivery of the second fetus was 1-140 d, with an average of 65.9 d. The average gestational weeks of the second fetus when delivery was 28.0 weeks, and the average birth weight of the retaining fetus was 1188 g. There were 6 fetuses survived, and the survival rate is 6/14. The perinatal fetal survival rate was 23.1% (6/26). The birth weight of the surviving newborns was 2260 (1550-2950g). There were significant differences in the fetal birth weight and the delay interval time between group A and abnormal B (P＜0.05). Conclusion: Delayed delivery of the women with multiple pregnancies after the first fetus born can significantly prolong the gestational weeks and improve perinatal survival rate of the other fetuses. CRP value level of the pregnant women in the first week after delivery of the first fetus can be used as a prognostic indicator.
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