Journal List > Perinatology > v.30(4) > 1144135

Perinatology. 2019 Dec;30(4):244-248. Korean.
Published online Dec 31, 2019.  https://doi.org/10.14734/PN.2019.30.4.244
Copyright © 2019 The Korean Society of Perinatology
Delivery and Survival of Triplet Infants at 26 Weeks of Gestational Age after Emergency Cerclage in Woman with Dilated Cervix and Bulging Fetal Membranes
Songyi Song, MD,1 Yung Zu Park, MD,1 Eun-Ae Kim, MD,1 Heejin Ham, MD,2 Gahyun Son, MD,2 Keun-Young Lee, MD, PhD,2 and Tae-Jung Sung, MD, PhD1
1Department of Pediatrics, Hallym University Medical Center, Kangnam Sacred Heart Hospital, Seoul, Korea.
2Department of Obstetrics and Gynecology, Hallym University Medical Center, Kangnam Sacred Heart Hospital, Seoul, Korea.

Correspondence to Tae-Jung Sung, MD, PhD. Department of Pediatrics, Hallym University Medical Center, Kangnam Sacred Heart Hospital, 1 Singil-ro, Yeongdeungpo-gu, Seoul 07441, Korea. Tel: +82-2-829-5142, Fax: +82-2-829-4469, Email: neosung@hallym.or.kr
Received Apr 13, 2019; Revised Jun 11, 2019; Accepted Aug 27, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

In triplet pregnancy, preterm delivery is a major cause of neonatal morbidity and mortality. If mother was suffering from cervical insufficiency, the effectiveness and safety of cervical cerclage remains controversial. The authors experienced the case of a 29-year-old patient with triplet pregnancy who had dilated cervix and bulging fetal membranes at 20+4 weeks of gestation. The patient underwent emergency cervical cerclage and carried pregnancy until 26th weeks of gestation. The babies were delivered by cesarean section in the 26th week of gestation and they were discharged home at the 40 weeks of corrected age. In triplet gestation as well as single or twin gestation, cervical cerclage in the patients with cervical dilatation and bulging fetal membrane could be successful if obstetricians and neonatologists collaborate.

Keywords: Uterine cervical incompetence; Cervical cerclage; Pregnancy, triplet

Tables


Table 1
The Neonatal Morbidities of Babies during Admission at Neonatal Intensive Care Unit
Click for larger imageClick for full tableDownload as Excel file

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