Comments on: Delayed interval delivery or asynchronous birth of the second twin: a case report with a good outcome neonatal; Letter to Editor
Abstract
We read the article; Delayed interval delivery or asynchronous birth of the second twin: a case report with a good outcome neonatal, published in the Ginecol Obstet Mex. 2019;87(7):475-482. Doi: https://doi.org/10.24245/gom. v87i7.3122, with great interest.
Although, the Hernández-Pérez et al, mentioned that during their successful delayed interval delivery (DID) management and after delivery of the first twin they performed a cervical fence or cerclage to prolong the gestation of the second twin.
Many previous studies mentioned that the use of the cervical cerclage during DID associated with increased risk of infection and did not improve the survival of the second twin.
Hernández-Pérez et al, mentioned that the protocols associated with this type of births are varied and we agree with Hernández-Pérez et al that there is no validated or standard medical protocol for management of such cases. We recently suggested protocol which may be helpful for management of DID and such cases and for the readers (Doi: 10.4103/jfmpc.jfmpc_5_19).
Keywords: DID, Second, Twin, Report, Letter.
Dear eespectable Editor:
We read the article; Delayed interval delivery or asynchronous birth of the second twin: a case report with a good outcome neonatal, published in the Ginecol Obstet Mex. 2019;87(7):475-482. Doi: https://doi.org/10.24245/gom. v87i7.3122, with great interest.
Although, the Hernández-Pérez et al, mentioned that during their successful delayed interval delivery (DID) management and after delivery of the first twin they performed a cervical fence or cerclage to prolong the gestation of the second twin.1
Abdelazim and Munaifi 2, Farghali et al 3 and Abdelazim and Shikanova 4, mentioned that the use of the cervical cerclage during DID associated with increased risk of infection and did not improve the survival of the second twin.
In addition; Arabin and van Eyck suggested that the use of cervical cerclage during DID associated with risks of infection5 and Reinhard et al, concluded that the use of cerclage during DID didn’t improve the survival of the second twin.6
Hernández-Pérez et al, mentioned that the protocols associated with this type of births are varied 1 and we agree with Hernández-Pérez et al, 1 that there is no validated or standard medical protocol for management of such cases. We recently suggested protocol which may be helpful for management of DID and such cases and for the readers (Doi: 10.4103/jfmpc.jfmpc_5_19).4
REFERENCES
- Hernández-Pérez J, Mir-Ramos E, García-Alarcón FJ, Peinado-Berzosa RM, Aguilón-Leiva JJ, Azón-López E. Parto diferido o asincrónico del segundo gemelo: un caso clínico con buen des-enlace neonatal. Ginecol Obstet Mex. 2019;87(7):475-482. https://doi.org/10.24245/gom.v87i7.3122. [Google Scholar]
- Abdelazim İA. and Munaifi SA. Delayed Delivery of the Two Remaining Fetuses of Triplet Pregnancy: Case Report. Gynecol Obstet Reprod Med. 2018;24 (Article in press). Doi: http://dx.doi.org/10.21613/GORM.2017.756. [Google Scholar]
- Farghali M, Abdelazim I, Abdelrazek K. Delayed second twin delivery: benefits and risks. J Matern Fetal Neonatal Med 2019;32(10):1626-1632. Doi: 10.1080/14767058.2017.1413547. [PubMed]
- Abdelazim IA, Shikanova S. Abdelazim and Shikanova suggested protocol of Ain Shams and West Kazakhstan Universities for management of delayed-interval delivery of the second twin: Case report. J Family Med Prim Care. 2019;8(3):1276-1278. Doi: 10.4103/jfmpc.jfmpc_5_19. [PubMed]
- Arabin B, van Eyck J. Delayed-interval delivery in twin and triplet pregnancies: 17 years of experience in 1 perinatal center. Am J Obstet Gynecol. 2009 Feb;200(2): 154.e1–154.e8. Doi: 10.1016/j.ajog.2008.08.046. [PubMed]
- Reinhard J, Reichenbach L, Ernst T, Reitter A, Antwerpen I, Herrmann E, et al. Delayed interval delivery in twin and triplet pregnancies: 6 years of experience in one perinatal center. J Perinat Med 2012; 40 (5):551-5. Doi: 10.1515/jpm-2011-0267. [PubMed]
Reply letter to : «Delayed interval delivery or asynchronous birth of the second twin: a case report with a good outcome neonatal».
Hernández-Pérez J1*, Mir-Ramos E2, García-Alarcón FJ3, Peinado-Berzosa RM4, Aguilón-Leiva JJ5, Azón-López E6.
1Department of Obstetrics and Gynecology, Miguel Servet University Hospital. Zaragoza. Spain.
2Department of Emergency from Alcañiz. Teruel. Spain.
3Department of Urology, St Jorge Hospital. Huesca. Spain.
4Department of Obstetrics and Gynecology, Lozano Blesa University Hospital. Zaragoza. Spain.
5 Department of Emergency, Alcañiz Hospital. Teruel. Spain.
6Health Center, Villarroya de la Sierra. Zaragoza. Spain.
* Corresponding author:
Hernández-Pérez Javier.
Midwife at Miguel Servet University Hospital. Zaragoza. Spain.
Address: Avda, Isabel la Católica 1-3, 50009. Zaragoza (España). Tfno: 011-34-976765500.
E-mail: jhernandez @salud.aragon.es
Comment on:
We agree that the management of delayed interval delivery (DID) is controversial due to the absence of consensual protocols, being cervical cerclage the main cause of disagreement. We appreciate the recent studies provided in your letter (1-3), which will help us to update our handling of new DID cases.
- Abdelazim İA, Munaifi SA. Delayed Delivery of the Two Remaining Fetuses of Triplet Pregnancy: Case Report. Gynecol Obstet Reprod Med. 2018;24 (Article in press). Doi: http://dx.doi.org/10.21613/GORM.2017.756.
- Farghali M, Abdelazim I, Abdelrazek K. Delayed second twin delivery: benefits and risks. J Matern Fetal Neonatal Med 2019; 32(10):1626-1632. Doi: 10.1080/14767058.2017.1413547.
- Abdelazim IA, Shikanova S. Abdelazim and Shikanova suggested protocol of Ain Shams and West Kazakhstan Universities for management of delayed-interval delivery of the second twin: Case report. J Family Med Prim Care. 2019;8(3):1276-1278. Doi: 10.4103/jfmpc.jfmpc_5_19.
