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A Case of Delayed Interval Delivery with a Successful Hospital Move
Journal article   Open access   Peer reviewed

A Case of Delayed Interval Delivery with a Successful Hospital Move

Toshifumi Yodoshi, Elizabeth Tipton and Christopher A. Rouse
Case reports in pediatrics, Vol.2015(2015), pp.1-4
01/01/2015
DOI: 10.1155/2015/802097
PMID: 26413366
url
https://doi.org/10.1155/2015/802097View
Published (Version of record) Open Access

Abstract

This report is the first case of delayed interval twin delivery in which the first infant and mother survived without major morbidity following transport to another facility. In addition, this case is only the second report of asynchronous delivery in which both twins survived and neither suffered any major morbidity. A 30-year-old G(5)P(1031) African American female with a diamniotic/dichorionic twin pregnancy presented to U. S. Naval Hospital Okinawa, Japan, at 22 + 5 weeks due to vaginal bleeding. At 23 + 2 weeks, Twin A was born secondary to advanced cervical dilation. Twin A's birth weight was 650 g with APGAR scores of 6 (1 min) and 7 (5 min). Following delivery of Twin A, Placenta A was left in utero with high ligation of the umbilical cord. Due to a scheduled hospital move, the mother and Twin A were transported to the new facility at Camp Foster. Three weeks later, Twin B was delivered at 26 + 4 weeks. Twin B's birth weight was 930 g with APGAR scores of 3 (1 min) and 7 (5 min). Both twins were discharged without IVH, PVL, ROP, or CLD. This case demonstrates the possibility of transporting both the mother and surviving infant A to a higher level of care prior to delivery of subsequent fetuses.
 Pediatrics Life Sciences & Biomedicine Science & Technology

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