Delayed delivery of the second twin: Case report and literature review of diamniotic dichorionic twin pregnancy with very early preterm premature rupture of membranes

Snakebites in pregnancy can result in significant maternal and fetal harm; however, the literature to guide management of this rare obstetric complication remains limited. We describe our approach to envenomation in pregnancy based on the currently available evidence. A 27-year-old G2P1 female presented at 27 weeks’ gestation after suffering a copperhead snakebite. She received antivenom and antenatal steroids without adverse maternal or fetal event. Antenatal testing was reassuring throughout admission, and she was discharged home with plans for close outpatient surveillance. She later developed preterm premature rupture of membranes and preterm labor, with delivery of a live infant at 33 weeks’ gestation. The risk of adverse maternal and fetal outcomes following snake envenomation in pregnancy may warrant closer antenatal surveillance than has been previously described.

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845: Maternal serum inflammatory markers for the prediction of spontaneous preterm birth in twin pregnancy complicated with preterm premature rupture of membranes

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2015.10.895 ◽

2016 ◽

Vol 214 (1) ◽

pp. S440-S441

Author(s):

Jee Yoon Park ◽

JoonHo Lee ◽

Chan-Wook Park ◽

Joong Shin Park ◽

Jong Kwan Jun

Keyword(s):

Preterm Birth ◽

Inflammatory Markers ◽

Twin Pregnancy ◽

Maternal Serum ◽

Premature Rupture Of Membranes ◽

Spontaneous Preterm Birth ◽

Premature Rupture ◽

Preterm Premature Rupture ◽

Serum Inflammatory Markers

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Prolonged SARS-CoV-2 Viral Shedding in Pregnancy and Risk of Extended inPatient Isolation: A Case Report

Case Reports in Obstetrics Gynecology and Reproductive ◽

10.31487/j.crogr.2020.03.01 ◽

2020 ◽

pp. 1-5

Author(s):

Emad A Elsamadicy ◽

Mary E Burgoyne ◽

Naomi Hauser ◽

Andrea Desai

Keyword(s):

Case Report ◽

Severe Acute Respiratory Syndrome ◽

Healthcare Systems ◽

Clinical Aspects ◽

Negative Consequences ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Viral Shedding ◽

Preterm Premature Rupture ◽

In Pregnancy

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for coronavirus disease 2019 (COVID-19), continues to challenge healthcare systems worldwide, and further investigation is required to determine its effects on the pregnant population. Prolonged viral shedding (>15-33 days), especially without appropriate testing guidelines, can subject admitted patients to unnecessarily long isolation, which influences emotional, physical, and clinical aspects of their antepartum course. We report a young, primigravida Haitian female admitted to the antepartum service at 22 weeks of gestation with preterm premature rupture of membranes (PPROM), who remained admitted in isolation for over 6 weeks due to persistent positive SARS-CoV-2 testing. This case highlights the importance of establishing testing guidelines to prevent unnecessary isolation, which has negative consequences for patient care. There is an urgent need for updated guidelines for the duration of isolation based on the presence of the viable virus.

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P19.15: Ultrasound-guided selective termination in a dichorionic pregnancy following previable preterm premature rupture of membranes: a case report

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.14384 ◽

2014 ◽

Vol 44 (S1) ◽

pp. 301-301

Author(s):

M. Roy-Lacroix ◽

L. Oppenheimer ◽

B. Bonin ◽

K. Fung Kee Fung

Keyword(s):

Case Report ◽

Premature Rupture Of Membranes ◽

Ultrasound Guided ◽

Premature Rupture ◽

Preterm Premature Rupture

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CIRCUMVALLATE PLACENTA COMPLICATING TO PRETERM PREMATURE RUPTURE OF MEMBRANES: A CASE REPORT

International Journal of Engineering Applied Sciences and Technology ◽

10.33564/ijeast.2021.v06i05.024 ◽

2021 ◽

Vol 6 (5) ◽

Author(s):

Dr. Badal Das ◽

Dr. Krishna Pada Das ◽

Rajiv Ranjan Das ◽

Dr. Debobroto Roy ◽

Dr. Arpita Sarkar ◽

...

Keyword(s):

Case Report ◽

Caesarean Section ◽

Emergency Caesarean Section ◽

Morphological Abnormality ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Preterm Baby ◽

Preterm Premature Rupture ◽

Umbilical Cord Insertion ◽

Gross Examination

Circumvallate placenta, a morphological abnormality of placenta can be defined as a thickened placenta with a raised margin in an annular shape and it is thought to be the result of a membranous fold of chorion and amnion. A 23-year-old primigravida mother was presented with grossly reduced liquor due to preterm premature rupture of membranes at 32 weeks of gestation. The preterm baby was delivered by emergency caesarean section (category-2 caesarean section). A thorough gross examination of the placenta was done and a thickened circumvallate placenta was noted with a firm white annular margin and normal umbilical cord insertion. Histopathological findings were consistent with the diagnosis of circumvallate placenta. Routine gross examination of placenta is of immense important for better understanding of pregnancy complications due to placental abnormalities like circumvallate placenta.

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