2児死亡後も妊娠を継続することができた2絨毛膜3羊膜性三胎の1症例

概要

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Intrauterine death in multiple pregnancies has been reported to be associated with mortality and morbidity in the survivor and thrombotic complications in the mother. This case report describes the change in maternal coagulation factors associated with double fetal death in a dichorionic-triamniotic triplet pregnancy. A 27-year-old woman with a triplet pregnancy after TESE-ICSI-ET had intrauterine death of two monochorionic-diamniotic fetuses at 23 weeks' gestation. Immediately the maternal fibrinogen level increased, and gradually the maternal platelet count, AT III and fibrin degradation product levels increased. Cesarean section was performed for intractable premature contractions at 27 weeks' gestation. After 7 months of follow up no neurologic deficits or developmental delay were detected.
社団法人日本産科婦人科学会の論文
2001-05-01