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首页> 外文期刊>American Journal of Medical Sciences and Medicine >Birth Weight Variation between the First and the Second Twin in Spontaneously Conceived Twin Pregnancies Delivered in Alex Ekwueme Federal University Teaching Hospital Abakaliki: A 5-year Retrospective Study
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Birth Weight Variation between the First and the Second Twin in Spontaneously Conceived Twin Pregnancies Delivered in Alex Ekwueme Federal University Teaching Hospital Abakaliki: A 5-year Retrospective Study

机译：Alex Ekwueme联邦大学教学医院Abakaliki分娩的自然双胎妊娠中第一胎和第二胎的出生体重差异：一项为期5年的回顾性研究。

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Background: Twin pregnancies are associated with disturbed fetal growth. Studies have shown reduced fetal growth, compared to singletons, and also differences in birth weight between first and second twin. Hence, there is a need to evaluate this outcome among twin pregnancies delivered in our hospital. Aim: To determine the birth weight variation between the first and second twin in spontaneously conceived twin pregnancies delivered at the Alex Ekwueme Federal University Teaching Hospital Abakaliki. Materials and Methods: This was a 5-year retrospective study undertaken between January 2012 and December 31 2016 at our hospital. The study cohorts were parturients who were delivered twin pregnancies that were spontaneously conceived. Data collection was done using a pre-designed proforma; analysis was done using SPSS version 20. Result: During the study period, there were 11,932 deliveries and 378 were spontaneously conceived twin deliveries. This accounted for 3.2% of all hospital deliveries. The peak age group for twin gestation was 21-34 years 319(84.4%), 262(69.3%) were booked. Primigravidae were 101 (26.7%) while multiparas were 207 (54.8%) and grandmultiparas; 70 (18.5%). Those delivered through caesarean section were 186 (49.2%) while 176(42.0%) were delivered through the vaginal route. The Apgar score for the first twin in the first and fifth minute respectively were good in 287(75.9%) while in the second twin, 260(68.8%) suffered no asphyxia. Males were more in the first, 211 (58.8%) as well as in the second twins 209(55.3%). The mean birth weight of the first twin was 2.39kg while the mean birth weight of the second twin was 2.36kg. The first twin therefore weighed heavier than the second twin by 30g. Conclusion: Birth weight between the first and the second twin can vary depending on the gestational age, the socio-demographic status and the sex of the fetuses.
机译：背景：双胞胎妊娠与胎儿生长受阻有关。研究表明，与单胎相比，胎儿的生长速度下降，而且第一胎和第二胎之间的出生体重也有所不同。因此，有必要在我院分娩的双胎妊娠中评估这一结局。目的：确定在Alex Ekwueme联邦大学教学医院Abakaliki自发怀孕的双胞胎孕妇中第一胎和第二胎的出生体重差异。材料与方法：这是一项于2012年1月至2016年12月31日在我院进行的为期5年的回顾性研究。研究人群是自然分娩的双胎孕妇。数据收集使用预先设计的形式进行;使用SPSS 20版进行分析。结果：在研究期间，有11,932例分娩，其中378例是自然而然的双胎分娩。这占所有医院分娩的3.2％。双胎妊娠的最高年龄组是21-34岁，319（84.4％），262（69.3％）被预订。初产妇为101（26.7％），而多产妇为207（54.8％）和Grandmultiparas。 70（18.5％）。剖宫产分娩者为186（49.2％），而经阴道分娩者为176（42.0％）。第一个双胞胎在第一和第五分钟的Apgar得分分别为287（75.9％）好，而第二个双胞胎中的260（68.8％）没有窒息。男性在第一对双胞胎中更高，分别为211（58.8％）和第二对双胞胎209（55.3％）。第一对双胞胎的平均出生体重为2.39kg，而第二对双胞胎的平均出生体重为2.36kg。因此，第一对双胞胎比第二对双胞胎重30克。结论：第一胎和第二胎之间的出生体重可能因胎龄，社会人口统计学状况和胎儿性别而异。

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