Evaluation of multiple pregnancies who have delivered in our clinic Kliniǧimizde doǧum yapan çoǧul gebeliklerin deǧerlendirilmesi
Jinekoloji ve Obstetrik Dergisi, cilt.21, sa.1, ss.19-25, 2007 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 1
- Basım Tarihi: 2007
- Dergi Adı: Jinekoloji ve Obstetrik Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.19-25
- Anahtar Kelimeler: Complication, Multiple pregnancy, Twin pregnancy
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
OBJECTIVE: Our purpose was to retrospectively evaluate of multiple pregnancy cases encountered during the last five years in our clinic. STUDY DESING: 123 multiple pregnancy cases who have delivered in our clinic during the period January 2001-March 2006 were included to this study. 121 twin and 2 triplet pregnancies were analyzed retrospectively by assorted maternal and fetal characteristics like: maternal age, gestational age at delivery, gravidity, parity, presentation, the delivery route: abdominal via vaginal, birth weight, sex, chorionicity-amnionicity, additional obstetric problems and perinatal outcomes. RESULT: The incidence of twin and triplet pregnancies was found to be 1/40.4 and 1/2442, respectively. The mean gestational age at delivery was found to be 35.5±3.2 weeks in twin and 34±1.4 weeks in triplet pregnancies. While 32 (26.4 %) and 87 (71.9 %) of the twin pregnancy cases were delivered vaginal and abdominal route, respectively, in 2 (1.7 %) of the cases second baby delivered by caesarian section with an indication of acute fetal distress immediately after the vaginal birth of first fetus. Both of the two triplet pregnancies were delivered by caesarian section. The birth weights of 17 (14.1 %) cases of twin pregnancies were evaluated as to be discordant. Elective caesarian section and pregnancy after infertility treatment are the most frequent indications for an abdominal delivery in multiple pregnancies with a ratio of (29.3 %) and (28.1 %), respectively. Preterm delivery, preterm rupture of membranes, intrauterine growth restriction (IUGR), postpartum atony, gestational diabetes, intrauterine fetal death and polyhidramnios were the complications experienced in our multiple pregnancy series with the ratios of 49.6 %, 14.6 %, 11.4 %, 2.5 %, 4.1 %, 2.5 %, 2.5 % and 2.5 %, respectively. CONCLUSION: The certain definition of the chorionicity and amnionicity can be made during first trimester ultrasound examination in multiple pregnancies. It is possible to lower the mortality and morbidity rate of multiple pregnancies by the help of the knowledge of complications unique for multiple pregnancies and early detection and delicate management of these complications and also by appropriate usage of neonatal intensive care unit fascilities.