{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:04:07Z","timestamp":1791911047263,"version":"4.3.4"},"reference-count":21,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"01","license":[{"start":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T00:00:00Z","timestamp":1582761600000},"content-version":"vor","delay-in-days":57,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Premature delivery often complicates multifetal pregnancies, placing neonates at risk of serious morbidity and mortality. In select cases, preterm birth of one sibling may not require delivery of the remaining fetus(es), which may remain in utero for a delayed-interval delivery, consequently improving neonatal morbidity and mortality. Currently, there is no consensus on the best protocol for the optimal management of these cases. We report one case of delayed-interval delivery of a dichorionic pregnancy assisted in our center. In this case, prophylactic cerclage, tocolytic therapy and administration of broad-spectrum prophylactic antibiotics enabled delivery at 37 weeks, corresponding to 154 days of latency, which is, to our knowledge, the longest interval described in the literature. The attempt to defer the delivery of the second fetus in peri-viability is an option that should be offered to parents after counseling, providing that the clinical criteria of eligibility are fulfilled. The correct selection of candidates, combined with the correct performance of procedures, as well as fetal and maternal monitoring and early identification of complications increase the probability of success of this type of delivery.<\/jats:p>","DOI":"10.1055\/s-0040-1701468","type":"journal-article","created":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T23:33:16Z","timestamp":1582846396000},"page":"061-064","source":"Crossref","is-referenced-by-count":9,"title":["Delayed-Interval Delivery in Dichorionic Twin Pregnancies: A Case Report of 154 Latency Days"],"prefix":"10.61622","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2172-2929","authenticated-orcid":false,"given":"Catarina Alexandra Soares","family":"de Frias","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital do Divino Esp\u00edrito Santo, Ponta Delgada, S\u00e3o Miguel, A\u00e7ores, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3172-7400","authenticated-orcid":false,"given":"Alexandra Sofia Puga Alvarez de Faria","family":"Queir\u00f3s","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternidade Dr. Alfredo da Costa, Centro Hospitalar Universit\u00e1rio Lisboa Central, Lisboa, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5702-997X","authenticated-orcid":false,"given":"Helena Teresinha Fernandes","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternidade Dr. Alfredo da Costa, Centro Hospitalar Universit\u00e1rio Lisboa Central, Lisboa, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2020,2,27]]},"reference":[{"issue":"04","key":"ref1","first-page":"241","article-title":"Delayed interval delivery of a second twin resulting in septic shock in the mother","volume":"25","author":"A Galv\u00e3o","year":"2016","journal-title":"Nascer Crescer"},{"key":"ref2","first-page":"573824","article-title":"Delayed interval delivery of a second twin after the preterm labor of the first one in twin pregnancies: delayed delivery in twin pregnancies","volume":"2012","author":"Y Aydin","year":"2012","journal-title":"Case Rep Obstet Gynecol"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"154.e1","DOI":"10.1016\/j.ajog.2008.08.046","article-title":"Delayed-interval delivery in twin and triplet pregnancies: 17 years of experience in 1 perinatal center","volume":"200","author":"B Arabin","year":"2009","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref4","first-page":"1089","article-title":"Delayed interval delivery in twin pregnancy - case reports","volume":"57","author":"C C V\u0103duva","year":"2016","journal-title":"Rom J Morphol Embryol"},{"key":"ref5","volume-title":"Multiple pregnancy - interval birth delivery: clinical guideline","year":"2019"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1055\/s-0030-1262513","article-title":"Maternal and neonatal outcomes after delayed-interval delivery of multifetal pregnancies","volume":"28","author":"A S Roman","year":"2011","journal-title":"Am J Perinatol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.crwh.2017.09.002","article-title":"Obstetric management of delayed-interval delivery","volume":"16","author":"M I Raposo","year":"2017","journal-title":"Case Rep Womens Health"},{"issue":"03","key":"ref8","first-page":"1117","article-title":"Stillbirth in dichorionic twins discordant for major and minor anomaly, followed by asynchronous delivery - a rare occurrence. Case presentation","volume":"57","author":"G L Zoril\u0103","year":"2016","journal-title":"Rom J Morphol Embryol"},{"key":"ref9","first-page":"802097","article-title":"A case of delayed interval delivery with a successful hospital move","volume":"2015","author":"T Yodoshi","year":"2015","journal-title":"Case Rep Pediatr"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1080\/14767058.2017.1378336","article-title":"Delayed-interval delivery in twin pregnancies: report of three cases and literature review","volume":"32","author":"M Benito Vielba","year":"2019","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"02","key":"ref11","first-page":"148","article-title":"[The clinical challenge of delayed interval delivery in multiple pregnancies]","volume":"9","author":"F Rodrigues","year":"2015","journal-title":"Acta Obstet Ginecol Port"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/S0301-2115(01)00376-1","article-title":"Delayed interval delivery in multiple pregnancies","volume":"99","author":"F MA Van der Straeten","year":"2001","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref13","first-page":"213852","article-title":"Delayed interval delivery following early loss of the leading twin, case report","volume":"2015","author":"P C Udealor","year":"2015","journal-title":"Case Rep Obstet Gynecol"},{"issue":"03","key":"ref14","first-page":"128","article-title":"[Delayed delivery \u2013 perinatal and maternal outcomes]","volume":"3","author":"M Centeno","year":"2009","journal-title":"Acta Obstet Ginecol Port"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/S0301-2115(02)00479-7","article-title":"Cervical cerclage in delayed interval delivery in a multifetal pregnancy: a review of seven case series","volume":"108","author":"J Zhang","year":"2003","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"11","key":"ref16","first-page":"CD012871","article-title":"Cervical cerclage in combination with other treatments for preventing preterm birth in singleton pregnancies","author":"G U Eleje","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"03","key":"ref17","first-page":"248","article-title":"Delayed-interval delivery in dichorionic twin pregnancies: a single-center experience","volume":"15","author":"M Cozzolino","year":"2015","journal-title":"Ochsner J"},{"issue":"07","key":"ref18","doi-asserted-by":"crossref","first-page":"1853","DOI":"10.1111\/jog.12435","article-title":"Obstetric and neonatal outcomes of delayed interval delivery in cerclage and non-cerclage cases: an analysis of 20 multiple pregnancies","volume":"40","author":"E Doger","year":"2014","journal-title":"J Obstet Gynaecol Res"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.ejogrb.2004.11.036","article-title":"Long-term and short-term outcome after delayed-interval delivery in multi-fetal pregnancies","volume":"122","author":"M Rosbergen","year":"2005","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref20","volume-title":"Medicina materno-fetal. 5. ed","author":"L M Gra\u00e7a","year":"2017"},{"key":"ref21","first-page":"333","article-title":"Delayed-interval delivery in multifetal pregnancy: a review and guidelines for management","volume":"5","author":"P L Tran","year":"2015","journal-title":"Gynecol Obstet (Sunnyvale)"}],"container-title":["Revista Brasileira de Ginecologia e Obstetr\u00edcia \/ RBGO Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journalrbgo.org\/article\/delayed-interval-delivery-in-dichorionic-twin-pregnancies-a-case-report-of-154-latency-days\/","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1701468.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T20:57:09Z","timestamp":1721336229000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalrbgo.org\/article\/delayed-interval-delivery-in-dichorionic-twin-pregnancies-a-case-report-of-154-latency-days\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":21,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2020,2,27]]},"published-print":{"date-parts":[[2020,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1701468","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0100-7203","1806-9339"],"issn-type":[{"value":"0100-7203","type":"print"},{"value":"1806-9339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}