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LUO Heng, MEI Yuejing, LIU Xilong, ZHANG Liying, LU Dan. Application of cesarean section with preserved fetal membrane sac in premature delivery of twin-pregnant women[J]. Journal of Clinical Medicine in Practice, 2022, 26(23): 60-64. DOI: 10.7619/jcmp.20222253
Citation: LUO Heng, MEI Yuejing, LIU Xilong, ZHANG Liying, LU Dan. Application of cesarean section with preserved fetal membrane sac in premature delivery of twin-pregnant women[J]. Journal of Clinical Medicine in Practice, 2022, 26(23): 60-64. DOI: 10.7619/jcmp.20222253
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Application of cesarean section with preserved fetal membrane sac in premature delivery of twin-pregnant women

  • 1.

    Medical College of Yangzhou University, Yangzhou, Jiangsu, 225001

  • 2.

    Department of Obstetrics, Clinical Medical School of Yangzhou University, Yangzhou, Jiangsu, 225001

More Information
  • Received Date: July 21, 2022
  • Available Online: December 22, 2022
    Graphical Abstract
    • Abstract
  • Objective 

    To explore application value of cesarean section with preserved fetal membrane sac in premature delivery of twin-pregnant women.

    Methods 

    The clinical data of 20 twin-pregnant women who performed cesarean section with preserved fetal membrane sac due to premature delivery in North Jiangsu People's Hospital from 2019 to 2021 were retrospectively analyzed. Another 30 twin-pregnant women who performed conventional lower uterine section for delivery in twin-pregnant women in the same period were selected as control group. The differences of operation time, amniotic fluid volume, intraoperative blood loss, neonatal Apgar score, neonatal birth weight, neonatal asphyxia and other aspects were analyzed. The differences of surgical indicators and pregnancy outcomes between cesarean section with preserved fetal membrane sac and conventional new lower uterine were compared.

    Results 

    The average operation time of the observation group was (37.63±10.85) min, which was significantly shorter than (50.00±10.50) min in the control group(P < 0.05). The intraoperative blood loss in the observation group was (384.21±229.16) mL, which was more than (373.33±163.86) mL in the control group, but no significant difference was observed (P>0.05). The mean creatine kinase level in neonates with completely preserved fetal sac was (247.50±85.19) U/dL, which was lower than (311.35±138.03) U/dL in the control group and the difference was statistically significant (P < 0.05). There were no significant differences in intraoperative blood loss and neonatal asphyxia between cesarean section with preserved fetal membrane sac and conventional new lower uterine section (P>0.05).

    Conclusion 

    Cesarean section with preserved fetal membrane sac can shorten operation time, improve the outcome of premature twin pregnancy, and may have a positive effect in reducing myocardial injury in premature infants.

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    • References (13)
  • [1]
    马霞. 综合护理干预对早产儿生长发育的影响[J]. 实用临床医药杂志, 2014, 18(24): 219-220. doi: 10.7619/jcmp.201424104
    [2]
    ALEXANDER J M, LEVENO K J, HAUTH J, et al. Fetal injury associated with cesarean delivery[J]. Obstet Gynecol, 2006, 108(4): 885-890. doi: 10.1097/01.AOG.0000237116.72011.f3
    [3]
    李光忠, 刘细萍, 罗卫娟, 等. 分娩过程中脐带挤压对早产儿脑损伤的影响[J]. 实用临床医药杂志, 2020, 24(15): 115-118. doi: 10.7619/jcmp.202015033
    [4]
    HEGGARTY H, SHENOUDA D, GRISDALE M. Born in a caul. remarkable survival[J]. Am J Dis Child, 1975, 129(8): 955. doi: 10.1001/archpedi.1975.02120450061013
    [5]
    PEARSON J F. En Caule cesarean section for delivery of the very low birth weight baby. A Color Atlas of Childbirth and Obstetric Techniques[M]. London: Wolfe Publishing Ltd., 1990: 137-141.
    [6]
    TAKAGI K, MURAOKA M. Cesarean delivery "en caul"in Japan: results of a national survey of maternal and perinatal centers in Japan[J]. Hypertens Res Pregnancy, 2019, 7 (2): 56-61. doi: 10.14390/jsshp.HRP2019-006
    [7]
    MALIK R, SARFRAZ A, FAROQUI R, et al. Extremely preterm (23 weeks) vaginal cephalic delivery en caul and subsequent postpartum intraventricular hemorrhage and respiratory distress: a teaching case[J]. Case Rep Obstet Gynecol, 2018, 2018: 5690125.
    [8]
    MCGURGAN P, MAOURIS P, HART R, et al. En caul delivery of the fetus to facilitate cell salvage[J]. Aust N Z J Obstet Gynaecol, 2004, 44(6): 585. doi: 10.1111/j.1479-828X.2004.00316.x
    [9]
    臧月珍, 杨阳阳, 吕媛, 等. 不同胎龄新生儿呼吸窘迫综合征早产儿血细胞分析指标及临床特点[J]. 实用临床医药杂志, 2021, 25(1): 69-73. doi: 10.7619/jcmp.20200938
    [10]
    金镇, 尚涛, 王德智, 张淑兰. 早产时应用保留胎膜囊剖宫产术式的临床研究[J]. 中国优生与遗传杂志, 2005, 13(1): 79-80, 95. doi: 10.3969/j.issn.1006-9534.2005.01.039
    [11]
    SHIBATA T, NAKAGO S, NISHIKAWA S, et al. A disadvantage of cesarean section en caul: Umbilical velamentous insertion, a risk factor and proposed mechanism of neonatal Anemia[J]. J Obstet Gynaecol Res, 2020, 46(1): 173-175. doi: 10.1111/jog.14147
    [12]
    ABOUZEID H, THORNTON J G. Pre-term delivery by Caesarean section 'en caul': a case series[J]. Eur J Obstet Gynecol Reprod Biol, 1999, 84(1): 51-53. doi: 10.1016/S0301-2115(98)00245-0
    [13]
    张继红, 罗序清, 刘海梅, 等. 双胎妊娠一胎保留胎膜囊的剖宫产术对产后出血的影响[J]. 实用临床医学, 2020, 21(8): 37-39. https://www.cnki.com.cn/Article/CJFDTOTAL-LCSY202008014.htm
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