Effect of complicated twin pregnancy on maternal, fetal and neonatal complications
WANG Lili1,2,WANG Xin1,LIU Yun1,SHANG Lixin1,WANG Limei1,CAI Guiju2,and GU Yuchan2
1.Department of Obsterics and Gynecology, The Military General Hospital of Beijing,Beijing 100010,China 2.Dalian Medical University,Dalian 116044,China
Abstract：Objective investigate the effect of complicated twin pregnancy on maternal, fetal and neonatal complications. Methods 319 cases of twin pregnancies were retrospectively studied in this hospital from January 2000 to December 2014. The complicated twin pregnancies (n=57) were taken as the complicated group, and the non-complicated twin pregnancies(n=262)during the same period as the non-complicated group, and the complications between the two groups were compared. Results (1)Delivery gestational weeks of the complicated group(35.0 weeks) was less than that of the non-complicated group(36 .0weeks),and the incidence of polyhydramnios or oligohydramnios of the complicated group(12.3%) was higher than that of the non-complicated group(1.5%).Boththe differences were statistically significant (P<0.05).The maternal age, pregnancy, fertilization way,fetal sex, gestational period hypertension, pregnancy diabetes, placenta previa or abruption, premature rupture of membranes, postpartum hemorrhage, postpartum anemia, pregnancy intrahepatic cholestasis and other complications had no significant differences (P>0.05).(2)The fetal loss rate(18.4%), preterm birth or abortion rate(87.7%), neonatal brain injury rate(12.3%), neonatal asphyxia rate(8.8%)and the incidence of other complications of the complicated group were higher than the non-complicated group.The birth weight of the complicated group(2113±574)g was significantly less than the non-complicated group(2332±471)g, neonatal hospitalization rate of the complicated group(32.5%) was higher than the non-complicated group(20.4%).All the differences were statistically significant (P<0.05). Conclusions Complicated twinpregnancy has no significant effect on the maternal complications. It has a worse outcome for the fetus or neonate, not only the abnormal fetal prognosis is bad, but also the prognosis of the other is affected by the abnormal fetus.
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2016, Vol. 27 
