Early amniotic rupture at 21 weeks of pregnancy, amniotic fluid hyperplasia succeeded in giving birth to twins for pregnant women

Apr 03, 2025

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A woman who was pregnant with twins through an in vitro procedure at Bundang Cha Women's Hospital visited the obstetrics and gynecology clinic at 21 weeks of pregnancy due to cervical incapacity. After confirming that there was no early pain or chorionic inflammation, the amniotic membrane of the first fetus burst and almost all amniotic fluid escaped while preparing for emergency cervical encapsulation. There was no particular problem with the second fetus. For now, the scheduled cervical suture was performed, and the pregnant woman watched the progress while receiving antibiotic treatment and fetal lung maturation treatment through inpatient treatment for 8 weeks. The twins were delivered by caesarean section around 30 weeks of pregnancy, and both were treated in the neonatal intensive care unit and returned to the mother's arms healthily.

If amniotic fluid hyperplasia persists 23 weeks before pregnancy, the fetus's lungs may not grow normally and respiratory failure may occur after birth. Furthermore, prolonged periods from the burst of amnion to childbirth increase the risk of chorionic inflammation, fetuses, and maternal infections. If the cervix opens due to early labor and the umbilical cord is first caught in the entrance of the uterus before the birth of the fetus, it can lead to fetal damage or death. For this reason, if an early amniotic rupture occurs 23 weeks before pregnancy, the fetus is often abandoned.

You don't have to give up every fetus. If the pregnant woman is healthy and infection or early labor can be well controlled, she can maintain her pregnancy. According to Professor Lee Ji-yeon's paper published in the international journal of obstetrics and gynology'Obstetrics & Gynecology' Analysis of Postpartum Results by the presence or absence of persistent amniotic fluid due to premature amniotic rupture', an analysis of domestic pregnant women with little amniotic fluid between 14 and 24 weeks of pregnancy showed that about 76% of fetuses survived, and about 90% of them had no major complications. It has been proven that good pregnancy results can be expected if they receive appropriate treatment from specialized medical staff at high-risk pregnancy hospitals.

Professor Lee Ji-yeon "I was able to strengthen my will to maintain my pregnancy with the mother because I was pregnant difficultly, and the second fetus was healthy at the time of the premature amniotic rupture. The operation of Schrodka, a cervical suture, was also successfully completed, and above all, the mother followed the treatment well with a positive mind during the long hospital stay, allowing the 8-week gestation period to be extended. In addition, both twins born in early weeks were able to be discharged healthy thanks to the professional management of neonatal intensive care unit medical staff. Thank you very much to everyone."