{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T08:25:38Z","timestamp":1783412738735,"version":"3.54.6"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T00:00:00Z","timestamp":1708905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T00:00:00Z","timestamp":1708905600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003453","name":"Guangdong Provincial Natural Science Foundation","doi-asserted-by":"crossref","award":["23201910240001223"],"award-info":[{"award-number":["23201910240001223"]}],"id":[{"id":"10.13039\/501100003453","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To date, there are no clinical guidelines for dichorionic diamniotic (DCDA) twins complicated with previable premature rupture of membrane (PV-ROM) before 24 weeks of gestation. The typical management options including expectant management and\/or pregnant termination, induce the risks of fetal mortality and morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the feasibility selective feticide in DCDA twins complicated with PV-ROM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>A Retrospective cohort study, enrolling 28 DCDA twins suffering from PV-ROM in a tertiary medical center from Jan 01 2012 to Jan 01 2022. The obstetric outcome was compared between selective feticide group and expectant management group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 12 cases managed expectantly and 16 underwent selective feticide. More cases suffered from oligohydramnios in expectant management group compared to selective feticide group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.008). Among 13 cases with ROM of upper sac, the mean gestational age at delivery was (33.9\u2009\u00b1\u20094.9) weeks in the selective feticide group, which was significantly higher than that in the expectant management (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.038). Five fetuses (83.3%) with selective feticide delivered after 32 weeks, whereas only one (14.3%) case in expectant management group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.029). However, in the subgroup with ROM of lower sac, no significant difference of the mean gestation age at delivery between groups and none of cases delivered after 32 weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was a trend towards an increase in latency interval in DCDA twins with PV-ROM following selective feticide, compared to that with expectant management. Furthermore, selective feticide in cases with PV-ROM of upper sac has a favorable outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12884-024-06361-x","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T04:02:34Z","timestamp":1708920154000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Selective feticide in dichorionic diamniotic (DCDA) twins complicated with previable premature rupture of membrane before 24 weeks may be a safe therapeutic alternative to ongoing pregnancy"],"prefix":"10.1186","volume":"24","author":[{"given":"Caixia","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linhuan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,26]]},"reference":[{"issue":"3","key":"6361_CR1","doi-asserted-by":"publisher","first-page":"e80","DOI":"10.1097\/AOG.0000000000003700","volume":"135","author":"Prelabor Rupture of Membranes","year":"2020","unstructured":"Prelabor Rupture of Membranes. ACOG Practice Bulletin, Number 217 [J]. Obstet Gynecol. 2020;135(3):e80\u2013e97.","journal-title":"Obstet Gynecol"},{"issue":"6","key":"6361_CR2","doi-asserted-by":"publisher","first-page":"658","DOI":"10.3109\/14767058.2011.584924","volume":"25","author":"RM EHSANIPOOR","year":"2012","unstructured":"EHSANIPOOR RM, ARORA N, LAGREW D C, et al. Twin versus singleton pregnancies complicated by preterm premature rupture of membranes [J]. J Matern Fetal Neonatal Med. 2012;25(6):658\u201361.","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"3","key":"6361_CR3","doi-asserted-by":"publisher","first-page":"e277","DOI":"10.1055\/s-0036-1587324","volume":"6","author":"M MYRICK O, DOTTERS-KATZ S, GRACE","year":"2016","unstructured":"MYRICK O, DOTTERS-KATZ S, GRACE M, et al. Prophylactic antibiotics in twin pregnancies complicated by Previable Preterm premature rupture of membranes [J]. AJP Rep. 2016;6(3):e277\u201382.","journal-title":"AJP Rep"},{"issue":"7","key":"6361_CR4","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1016\/j.jogc.2017.09.015","volume":"40","author":"B LIM","year":"2018","unstructured":"LIM B, BUTLER B. Outcomes of selective reduction of DCDA Twins complicated by PV-PROM compared with Expectant Management: a Case Series and Review of the literature [J]. J Obstet Gynaecol Can. 2018;40(7):919\u201325.","journal-title":"J Obstet Gynaecol Can"},{"issue":"2","key":"6361_CR5","doi-asserted-by":"publisher","first-page":"215e1","DOI":"10.1016\/j.ajog.2014.09.005","volume":"212","author":"RM WONG L F, HOLMGREN C M, SILVER","year":"2015","unstructured":"WONG L F, HOLMGREN C M, SILVER RM, et al. Outcomes of expectantly managed pregnancies with multiple gestations and preterm premature rupture of membranes prior to 26 weeks [J]. Am J Obstet Gynecol. 2015;212(2):215e1\u20139.","journal-title":"Am J Obstet Gynecol"},{"issue":"3","key":"6361_CR6","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1055\/s-2008-1061498","volume":"25","author":"L KESELMAN","year":"2008","unstructured":"KESELMAN L, PERLITZ Y, YOUNIS J, et al. Nonconventional approach to twin pregnancies complicated by extremely preterm premature rupture of membranes of one twin [J]. Am J Perinatol. 2008;25(3):161\u20132.","journal-title":"Am J Perinatol"},{"issue":"3","key":"6361_CR7","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1055\/s-2007-993916","volume":"15","author":"M DE CATTE L, LAUBACH","year":"1998","unstructured":"DE CATTE L, LAUBACH M, BOUGATEF A, et al. Selective feticide in twin pregnancies with very early preterm premature rupture of membranes [J]. Am J Perinatol. 1998;15(3):149\u201353.","journal-title":"Am J Perinatol"},{"issue":"3","key":"6361_CR8","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1159\/000264231","volume":"10","author":"DORFMAN S A","year":"1995","unstructured":"DORFMAN S A, ROBINS R M, JEWELL W H, et al. Second trimester selective termination of a twin with ruptured membranes: elimination of fluid leakage and preservation of pregnancy [J]. Fetal Diagn Ther. 1995;10(3):186\u20138.","journal-title":"Fetal Diagn Ther"},{"issue":"2","key":"6361_CR9","first-page":"167","volume":"47","author":"A JAZAYERI","year":"2002","unstructured":"JAZAYERI A, MAMLOK V, DORSETT M M, et al. Prolonged-interval delivery between the first and second twin. A case report [J]. 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Ultraschall Med. 2020;41(4):e17\u2013e22.","journal-title":"Ultraschall Med"},{"issue":"14","key":"6361_CR12","doi-asserted-by":"publisher","first-page":"1750","DOI":"10.1080\/14767058.2016.1224834","volume":"30","author":"P WAGNER","year":"2017","unstructured":"WAGNER P, SONEK J. Outcome of dichorionic diamniotic twin pregnancies with spontaneous PPROM before 24 weeks\u2019 gestation [J]. J Matern Fetal Neonatal Med. 2017;30(14):1750\u20134.","journal-title":"J Matern Fetal Neonatal Med"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-024-06361-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12884-024-06361-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-024-06361-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T04:04:19Z","timestamp":1708920259000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-024-06361-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,26]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["6361"],"URL":"https:\/\/doi.org\/10.1186\/s12884-024-06361-x","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3225074\/v1","asserted-by":"object"}]},"ISSN":["1471-2393"],"issn-type":[{"value":"1471-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,26]]},"assertion":[{"value":"1 August 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the Ethics Committee of the First Affiliated Hospital, Sun Yat-sen University. All methods were carried out in accordance with relevant guidelines and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for participates of their clinical details was obtained.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"The statement on informed consent to participate"}},{"value":"N\/A.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"166"}}