Application of cesarean section with preserved fetal membrane sac in premature delivery of twin-pregnant women

LUO Heng; MEI Yuejing; LIU Xilong; ZHANG Liying; LU Dan

doi:10.7619/jcmp.20222253

Journal of Clinical Medicine in Practice > 2022 > 26(23): 60-64. > DOI: 10.7619/jcmp.20222253

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

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Received Date: July 21, 2022
Available Online: December 22, 2022

Graphical Abstract

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.
- cesarean section,
- cesarean section with preserved fetal membrane sac,
- twin pregnancy,
- preterm birth,
- creatine kinase,
- asphyxia of newborn

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References (13)

References

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Application of cesarean section with preserved fetal membrane sac in premature delivery of twin-pregnant women

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