Cartas al editor
Comments on: Delayed interval delivery or asynchronous birth of the
second twin: a case report with a good outcome neonatal; Letter to
Editor
1Department of Obstetrics and Gynecology, Ain
Shams University, Cairo, Egypt.
2Department of Obstetrics and Gynecology, Ahmadi
hospital, Kuwait Oil Company, Ahmadi, Kuwait.
3Department of Obstetrics and Gynecology No. 1,
West Kazakhstan Marat Ospanov Medical University, Aktobe,
Kazakhstan.
4Department of Normal and Topographical Anatomy,
West Kazakhstan Marat Ospanov Medical University, Aktobe,
Kazakhstan.
5Department of Obstetrics and Gynecology, Ghamra
Military Hospital, Cairo, Egypt.
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 Munaifi2,
Farghali et al3
and Abdelazim and Shikanova4, 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
1. 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]
[ Links ]
2. 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]
[ Links ]
3. 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]
[ Links ]
4. 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]
[ Links ]
5. 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]
[ Links ]
6. 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]
[ Links ]
Carta al editor
Reply letter to : «Delayed interval delivery or asynchronous birth of
the second twin: a case report with a good outcome neonatal»
J Hernández-Pérez1
*
E Mir-Ramos2
FJ García-Alarcón3
RM Peinado-Berzosa4
JJ Aguilón-Leiva5
E Azón-López6
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.
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.