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首页> 外文期刊>Nepal Journal of Obstetrics and Gynaecology >Perinatal Outcome of the Second Twin
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Perinatal Outcome of the Second Twin

机译：第二胎的围产期结果

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Aims: The purpose of this study was to determine the perinatal outcome of the second twin compared to the first one. Methods: This is a hospital based comparative study of 60 pregnant women with twin pregnancy at Paropakar Maternity and Women’s Hospital, Kathmandu from 14 January 2013 to13 April 2013. Apgar score and admission to neonatal intensive care unit of the first and the second twins were studied in relation to the gestational age, chorionicity, mode of delivery, inter-delivery interval and birth weight. Mc Nemars test was used with 0.05 as the level of significance. Results: Among 60 sets of twins, Apgar score of the second twin was found to be lower than the first one (p=0.02) in general and in preterm gestation (p=0.049), dichorionic diamniotic chorionicity (p=0.012), vaginal delivery (p<0.001), inter-delivery interval of <30 minutes (p=0.007) and birth weight discordance of <30 % (p=0.014). Admission to neonatal intensive care unit was not significant (p=0.5). Conclusions: Second twin had low Apgar score and the neonatal admission rate was similar for both twins.
机译：目的：本研究的目的是确定第二对双胞胎与第一对双胞胎的围产期结局。方法：这是一项基于医院的对比研究，研究对象为2013年1月14日至2013年4月13日在加德满都帕罗帕卡妇产妇和妇产医院的60名双胎妊娠孕妇。研究了第一胎和第二胎双胞胎的Apgar得分和新生儿重症监护病房的住院情况。与胎龄，绒毛膜，分娩方式，分娩间隔和出生体重有关。 Mc Nemars检验的显着性水平为0.05。结果：在60对双胞胎中，第二个双胞胎的Apgar得分总体上低于第一个（p = 0.02），早产（p = 0.049），绒毛膜绒毛膜绒毛膜绒毛膜性绒毛膜炎（p = 0.012），阴道分娩（p <0.001），分娩间隔<30分钟（p = 0.007）和出生体重不一致性<30％（p = 0.014）。新生儿重症监护病房的入院率不明显（p = 0.5）。结论：第二对双胞胎的Apgar评分较低，并且双胞胎的新生儿入院率相似。

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