Survival of both twins in a pregnancy complicated by pre-viable cord prolapse at 21 weeks of gestation

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Abdullah Alnoman ◽  
Ghazi Alsarraj ◽  
Richard Brown
Keyword(s):  
Conservative Management ◽  
Perinatal Outcome ◽  
Positive Outcomes ◽  
Premature Rupture ◽  
Case Presentation ◽  
Vitro Fertilization ◽  
Obstetric Emergency ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

AbstractBackgroundUmbilical cord prolapse is rare but a very serious obstetric emergency. Its incidence has declined over time and significant advances in its management have improved perinatal outcome.Case presentationA 38-year-old woman (gravida 3, para 0) conceived a dichorionic twin pregnancy through in vitro fertilization presented at 21 weeks of gestation with premature rupture of membrane of the presenting twin. At 21+4 weeks’ gestation, cord prolapse of the presenting twin into the vagina was identified by ultrasound. Parents chose conservative management, and planned cesarean section was done at 27+4 weeks.ConclusionOur case demonstrates that conservative management with measures to reduce the risks of infection and a planned delivery can result in positive outcomes even in cases where the cord prolapse occurs prior to viability.

scholarly journals Preterm and premature rupture of membranes in pregnancies after in vitro fertilization

2005 ◽  
Vol 58 (7-8) ◽  
pp. 375-379 ◽  
Author(s):  
Dunja Tabs ◽  
Tihomir Vejnovic ◽  
Nebojsa Radunovic
Keyword(s):  
In Vitro Fertilization ◽  
Intrauterine Insemination ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Fertilization Program ◽  
Vitro Fertilization ◽  
Preterm Premature Rupture ◽  
Natural Conception ◽  
Singleton Pregnancies

Women conceiving by assisted reproduction are at higher risk for preterm and premature rupture of membranes. The aim of our study was to estimate and compare incidence of preterm premature rupture of membranes in singleton pregnancies of women who conceived by intrauterine insemination and in vitro fertilization, from 1999 to 2003. We investigated 87 women from the intrauterine insemination, and 102 from the in vitro fertilization program. There were no statistically significant differences in regard to preterm and premature rupture of membranes: p>0.75 in two groups. The incidence of premature rupture of membranes was 2.30% (after intrauterine insemination) and 2.94% (after in vitro fertilization). There was no statistically significant differences in regard to preterm and premature rupture of membranes in women who conceived by insemination and in vitro fertilization. Estimated incidence of preterm and premature rupture of membranes was similar to the literature data and also similar to incidence after natural conception.

Perinatal death associated with umbilical cord prolapse

2017 ◽  
Vol 45 (5) ◽  
Author(s):  
Mark P. Hehir ◽  
Lucia Hartigan ◽  
Rhona Mahony
Keyword(s):  
Cohort Study ◽  
Umbilical Cord ◽  
Retrospective Cohort ◽  
Perinatal Death ◽  
Significant Risk ◽  
Neonatal Encephalopathy ◽  
Maternal Characteristics ◽  
Obstetric Emergency ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

AbstractObjective:Umbilical cord prolapse occurs when the cord prolapses ahead of or alongside the presenting part. It is an acute obstetric emergency with potential catastrophic effects. We set out to assess incidence of cord prolapse, as well as rates and characteristics of perinatal death associated with the condition.Study design:This was a retrospective cohort study. All recorded cases of cord prolapse were included, and rates of perinatal death and encephalopathy, as well as intrapartum and maternal characteristics were examined.Results:There were 156,130 deliveries at the hospital over the 20-year study period. Three hundred and seven cases of cord prolapse were identified (1.9/1000 deliveries). There was a decrease in the incidence of cord prolapse over the course of the study. The rate peaked in 1999 at 3.9/1000 and was just 0.8/1000 of all deliveries in 2007. The majority of cases (216/307, 70%) occurred in multiparas; however, nulliparous parturients were more likely to have a perinatal death [12% (11/91) vs. 4.6% (10/216)]. The rate of perinatal death in cases of cord prolapse was 6.8% (21/307). Over half of perinatal deaths (11/21) occurred in infants of mothers who presented with ruptured membranes, seven of these infants were already dead on reaching hospital. There was just one case of neonatal encephalopathy associated with cord prolapse, giving an incidence of 0.32%.Conclusion:Cord prolapse carries a significant risk of perinatal death, approximately 7%. The corresponding rate of encephalopathy is low. A significant number of deaths were diagnosed on presentation to hospital and were not deemed preventable.

Perinatal outcome and congenital malformations in in-vitro fertilization babies from the Bourn-Hallam group

1991 ◽  
Vol 6 (9) ◽  
pp. 1259-1264 ◽  
Author(s):  
Botros Rizk ◽  
Pat Doyle ◽  
S. L. Tan ◽  
Paul Rainsbury ◽  
June Betts ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Congenital Malformations ◽  
Perinatal Outcome ◽  
Vitro Fertilization

scholarly journals The influence of health-seeking behavior on the incidence and perinatal outcome of umbilical cord prolapse in Nigeria

2010 ◽  
pp. 177 ◽  
Author(s):  
Christopher Enakpene ◽  
Odukogbe Akin-Tunde ◽  
Imran Morhason-Bello ◽  
Omigbodun Akinyinka ◽  
Arowojolu Ayo ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Perinatal Outcome ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

Perinatal outcome of twin pregnancies obtained after in vitro fertilization: comparison with twin pregnancies obtained spontaneously or after ovarian stimulation

1996 ◽  
Vol 66 (1) ◽  
pp. 105-109 ◽  
Author(s):  
François Olivennes ◽  
Philippe Kadhel ◽  
Pierre Rufat ◽  
Renato Fanchin ◽  
Hervé Fernandez ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Ovarian Stimulation ◽  
Perinatal Outcome ◽  
Vitro Fertilization ◽  
Twin Pregnancies

scholarly journals Outcomes of an In Vitro Fertilization Pregnancy With COVID-19 and the Perinatal Outcome in Riyadh, Saudi Arabia

Cureus ◽  
2020 ◽  
Author(s):  
Abdullah H Alhamoud ◽  
Faeza Matary ◽  
Shaheera Bukhari ◽  
Mashael Kelantan ◽  
Mohammed Bajahzer
Keyword(s):  
Saudi Arabia ◽  
In Vitro Fertilization ◽  
Perinatal Outcome ◽  
Vitro Fertilization

scholarly journals Abdominal ectopic pregnancy following a frozen embryo transfer cycle: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yan Li ◽  
Jiaxuan Geng ◽  
Qiaohua He ◽  
Jin Lu ◽  
Jin Xu ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Embryo Transfer ◽  
Close Monitoring ◽  
Case Presentation ◽  
Vitro Fertilization ◽  
Β Hcg ◽  
Frozen Thawed Embryo Transfer ◽  
Artificial Cycle

Abstract Background Abdominal ectopic pregnancy (AEP) is a rare form of ectopic pregnancy. As the number of in-vitro fertilization (IVF) procedures continues to increase, the incidence of AEP will also rise. However, the rarity and atypical presentation of AEP make early diagnosis challenging. Case presentation Herein, we report an AEP following frozen-thawed embryo transfer (FET) in an artificial cycle. The patient was misdiagnosed with implantation failure when the serum human chorionic gonadotropin (hCG) level was detected as 2.59mIU/ml at fourteenth day after embryo transfer. Therefore, she was suggested to stop luteal phase support. However, a ruptured AEP was developed 33 days following embryo transfer, which was diagnosed by laparoscopic surgery. Conclusions The case highlighted the delayed serum β-hCG and massive intraperitoneal hemorrhage may be clues to make early diagnosis of AEP. Clinicians must attach great importance to close monitoring and bear in mind the possibility of abdominal pregnancy.

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