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| 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 |
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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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Received: 25 August 2015
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| [1] |
于书君, 孙丽洲. 复杂性双胎的研究进展[J]. 医学综述, 2012, 18(12): 1890-1893.
|
| [2] |
Valsky D V, Eixarch E, Martinez J M, et al. Selective intrauterine growth restriction in monochorionic diamniotic twin pregnancies [J]. Prenat Diagn, 2010, 30(8): 719-726.
|
| [3] |
王立晶,张海鹰.单绒毛膜双胎选择性宫内生长受限的诊治[J].中国妇幼保健,2011,26(15):2376-2378.
|
| [4] |
程春花, 李根霞. 65例复杂性双胎妊娠母儿结局[J]. 当代医学, 2014, 20(25): 18-19.
|
| [5] |
罗艳敏, 方 群, 庄广伦,等. 单卵双胎的不同一性[J]. 中华围产医学杂志, 2004, 7(5): 312-314.
|
| [6] |
Fichera A, Zambolo C, Accorsi P, et al. Perinatal outcome and neurological follow up of the cotwins in twin pregnancies complicated by single intrauterine death [J]. Eur J Obstet Gynecol Reprod Biol,2009,147(1):37-40.
|
| [7] |
赵 蕾,肖 梅.10年112例复杂性双胎妊娠的母儿结局[J].中国产前诊断杂志(电子版),2010,2(1):34-37.
|
| [8] |
Glinianaia S V, Obeysekera M A, Sturgiss S, et al. Stillbirth and neonatal mortality in monochorionic and dichorionic twins: a population-based study [J]. Hum Reprod, 2011, 26(9): 2549-2557.
|
| [9] |
Salomon L J, Ville Y. Twin-to-twin transfusion syndrome: diagnosis and treatment [J]. Bull Acad Natl Med, 2008, 192(8): 1575-1586.
|
| [10] |
Chelli D, Methni A, Boudaya F, et al. Twin pregnancy with single fetal death: etiology, management and outcome[J]. J Gynecol Obstet Biol Reprod (Paris), 2009, 38(7): 580-587.
|
| [11] |
Hillman S C, Morris R K, Kilby M D. Single twin demise: consequence for survivors [J]. Semin Fetal Neonatal Med, 2010, 15(6):319-326.
|
| [1] |
. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(8): 709-710. |
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2016, Vol. 27 
