Análise retrospectiva das gestações múltiplas no Hospital Universitário Regional de Maringá no período de janeiro de 2000 a julho de 2003

Autor: Lourenço Tsunetomi Higa, Nelson Shozo Uchimura, Hilton José Pereira Cardim, Clarissa Fernandes Machado, Jessika Adriana Bornia
Rok vydání: 2005
Předmět:
Zdroj: Acta Scientiarum. Health Science. 27
ISSN: 1807-8648
1679-9291
DOI: 10.4025/actascihealthsci.v27i1.1444
Popis: Multiple gestation was one of the most challenges for obstetric medicine, because they usually have more maternal complications and perinatal morbidity and mortality than singletons. The aim of this study is to analyze and to compare the obstetrics and neonatal complications in twins versus singletons in the Regional University Hospital of Maringa between January 2000 and July 2003. The sample studied was composed of 50 multiple gestations and 2229 single gestations. The incidence of twins was 1/50 and the triplets was 1/1250. The occurrence of preterm labor, rupture premature of membranes and gestational diabetes mellitus were significantly higher in twins than singletons. The main complication of multiple pregnancies was preterm delivery which resulted in low and very low birthweight, respiratory distress syndrome, metabolic disorders, infections and neonatal hypoxia in that group. There were three cases of stillbirth and other three cases of neonatal death in 50 multiple gestations. To sum up, multiple gestations have increased risks of obstetrics complications and unfavorable perinatal outcomes
Databáze: OpenAIRE