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Clinical analysis of 258 patients with twin pregnancies |
LIU Yun1,2, WANG Xin1, SAHN Lixin1, and ZHAO Qianqian1 |
1.Department of Obstetrics and Gynecology, Army General Hospital of PLA, Beijing 100010, China; 2. First Maternal and Child Health Care Hospital of Dongcheng District, Beijing100010, China |
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Abstract Objective To review the clinical features of twin pregnancies, exploring the measures of improving the Results of twin gestations. Methods The clinical data of 258 cases of twin pregnancies were collected and retrospectively analyzed; the neonatal complications, mode of delivery, and twins unique complications were compared. Results Different levels of newborn’s complications in premature birth group and in different gestational age were low birth weight infant, neonatal respiratory distress syndrome, high bilirubin blood disease, neonatal hypoxic ischemia encephalopathy, neonatal asphyxia, each complication rate with very significant difference(P<0.001). Cesarean section rate in twin pregnancy was 93.57%, social factor was the main cause of cesarean section(22.75%), the incidence of postpartum hemorrhage in two delivery ways had no significantly difference(P>0.05), neonatal asphyxia rate in vaginal delivery group(46.67%) was significantly higher than in cesarean delivery group(10.20%,P<0.001). Conclusions Premature birth is the major cause of neonatal twins morbidity. Prevention and treatment of premature birth is important to improve the quality of life and long-term prognosis of newborns. The suitable women are encouraged to choose vaginal delivery, reducing the cesarean section rates due to social factors.
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Received: 20 May 2016
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