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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Obstetric and perinatal outcome of twin pregnancy: a prospective study in a tertiary care hospital in North India
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Obstetric and perinatal outcome of twin pregnancy: a prospective study in a tertiary care hospital in North India

机译：双胎妊娠的产科和围产期结局：印度北部一家三级医院的前瞻性研究

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Background: Multiple pregnancy constitutes an important portion of high risk pregnancies and is a matter of grave concern to obstetricians and paediatricians owing to maternal and perinatal morbidity and mortality associated to it. Objective of present study was to evaluate maternal and perinatal outcome of twin pregnancy. Methods: This observational study included 50 women with twin pregnancy with gestational age of 26 weeks or more. Maternal and perinatal outcomes were studied. Results: The incidence of twin pregnancy was 2.8 % with maximum incidence in age group of 20 -29 years and in multigravida. Mean gestational age was 34.2 weeks. Vertex - vertex fetal presentation was most common presentation. Most frequent mode of delivery was ceserean section (54%). Preterm labour was most common maternal complication (74%), followed by anaemia (62%). Complications in perinatal period were birth hypoxia (58 %), intrauterine growth restriction (15 %), hyper-bilirubinemia (11%) and neonatal sepsis (10 %). 88% of the newborns were LBW. Perinatal mortality in our study was 17%. Conclusions: Twin pregnancies are associated with significant maternal and perinatal morbidity which is more so for second twin. Effective antenatal care planned delivery and good pediatric facilities help decrease the complications. Managment of twin pregnancy requires multidisciplinary approach and involvement of skilled obstetricians and paediatricians.
机译：背景：多胎妊娠是高风险妊娠的重要组成部分，由于产妇和围产期的发病率和死亡率，这是产科医生和儿科医生严重关注的问题。本研究的目的是评估双胎妊娠的母亲和围产期结局。方法：这项观察性研究包括50名双胎妊娠，孕龄26周或以上的妇女。研究了产妇和围产期结局。结果：双胎妊娠的发生率为2.8％，在20 -29岁年龄段和多胎妊娠中发生率最高。平均胎龄为34.2周。顶点-顶点胎儿表现是最常见的表现。最常见的分娩方式是剖宫产（54％）。早产是最常见的产妇并发症（74％），其次是贫血（62％）。围产期并发症包括出生缺氧（58％），宫内生长受限（15％），高胆红素血症（11％）和新生儿败血症（10％）。 88％的新生儿为LBW。在我们的研究中，围产期死亡率为17％。结论：双胞胎妊娠与母婴围产期发病率显着相关，第二胎双胞胎则更是如此。有效的产前护理计划分娩和良好的儿科设施有助于减少并发症。双胎妊娠的管理需要多学科的方法，并需要熟练的妇产科医生和儿科医生参与。

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