Unlike twins born on the same day of the same year, a pair of twin sisters in Zhejiang was born one month after a month: my sister was forced to give birth naturally at 24 weeks of pregnancy, but unfortunately did not survive due to dysplasia; my sister stayed alone in her mother’s uterus alone, and she was born until 28 weeks.After staying in the thermal insulation box for a month, he was discharged from the hospital.
"Reserved the second child to continue pregnancy after the first miscarriage or premature birth, called the pregnancy delayed delivery. During the process, the risk of balanced survival rate and maternal complications needed to be balanced. Fortunately, we successfully saved our sisters."Yu Ying, chief physician of obstetrics and gynecology at the obstetrics and gynecology hospital affiliated to Zhejiang University School of Medicine.
On October 17, the surging news (www.thepaper.cn) learned from the Women’s House of the Zhejiang University that the mother of the twin mother was 35 years old, and she had a habitual miscarriage several times after marriage.
Ms. Jin and her family cherished their hard -earned babies, but from 17 weeks of pregnancy, she began to have repeated vaginal bleeding, and she became less amnitary.Ultrasonic shows that the twins are upper and lower tire positions. The maximum depth of the A amniotic fluid located below is only 1.3cm, and the amount of amniotic fluid is seriously insufficient.After a series of examinations, the A fetal membrane was broken early.
"Early breakthroughs in the fetal membrane in 17 weeks of pregnancy. Our conventional operation is induction of labor and terminate pregnancy. But after we told Ms. Jin in this plan, she completely collapsed.In the face of the mother’s persistence, after the discussion of many disciplines of the organization, doctors decided to protect her.After fully understanding the risks, Ms. Jin expressed her willingness to bear all consequences.
However, at the 24 weeks of pregnancy, Ms. Jin induced contractions due to kidney stones and naturally gave birth to A tire -sister in twins.Unfortunately, due to insufficient amniotic fluid, the baby’s lungs are dysplasia, the limbs are malformed, the weight is only 650g, and the newborn score is only 1 point (the rating is 1-10 points), and it will not survive.At this time, the B tire, the sister was still in the mother’s belly, and the little heart beating stubbornly.
Yu Ying said that when the fetus and mother did not have other delivery indicators, the second fetus delayed childbirth at the first fetus or postprained post -birth, which can increase the survival rate of the second fetus and improve the prognosis of newborn.Combined with the situation of B tires and Ms. Jin, they decided to implement delayed delivery.
The doctor immediately suppressed the contraction with drugs, ligated the A fetal cord at a high level, and continued to fight infection.In the next month, they do ultrasonic for the women once a week to evaluate the growth status and cervical length of the B fetus.
In this month, Yu Ying used the current most advanced sequencing technology (NGS) pathogenic microorganisms to clarify the bacteria that caused the premature breakthrough of A fetal membrane, and timely adjust the types and measurement of antibioticsEssence
At 28 weeks of pregnancy, Ms. Jin had a regular contraction with vaginal bleeding. The ultrasound reminded that A placenta covered the inner mouth of the cervix.Yu Ying’s team was born with 1270g baby girls. The newborn score for 1 minute and 5 minutes of 9 points and 10 points, and then transferred to the neonatal intensive care unit for treatment.During the more than a month when living in the thermal box, the sister did not have serious complications of premature babies, and her weight has grown steadily.
