Reappraisal of twinning: epidemiology and outcome in the early neonatal period
| Autor: | Priyanka Gupta, Zeashan Zaidi, Neerja Goel, Mohammad Moonis Akbar Faridi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Gestational hypertension
Adult Male medicine.medical_specialty medicine.medical_treatment Birth weight Twins India Tertiary Care Centers Pregnancy Sepsis Medicine Humans Caesarean section Prospective Studies Neonatal sepsis business.industry Obstetrics Cesarean Section Infant Newborn Pregnancy Outcome Anemia General Medicine Middle Aged medicine.disease Pregnancy Complications Birth order Low birth weight Diabetes Gestational Treatment Outcome Pregnancy Twin Gestation Original Article Female medicine.symptom business |
| Popis: | INTRODUCTION The present study aimed to determine the epidemiology, maternal complications and adverse neonatal outcomes associated with twin births at a tertiary care hospital in India. METHODS A prospective observational study was conducted on all successively born twin pairs (≥ 23 weeks of gestation) and their mothers from January to September 2005. Main outcome measures included maternal medical/obstetric complications, labour characteristics and the morbidities/mortality observed during the early neonatal period. RESULTS The twinning rate was 1 in 54 deliveries. Around 10% of mothers had a predisposition for twinning in the form of familial tendency or consumption of clomiphene. Anaemia (85%) was the most common maternal complication, followed by gestational hypertension (17%). Nearly one-third of births were delivered via Caesarean section. Prematurity (61%) was the most common neonatal complication followed by early-onset neonatal sepsis (21%). The risk of early neonatal death was 27%. Shorter gestation and low birth weight were significantly associated with adverse neonatal outcome (p < 0.05). Factors such as chorionicity, mode of delivery, birth order, inter-twin delivery time interval, gender and intra-pair birth weight discordance did not affect neonatal morbidity or mortality (p ≥ 0.05). CONCLUSION The rates of maternal complications and early neonatal morbidities/mortality were quite high in twin gestations. Except for the prematurity and low birth weight, none of the other factors, including inter-twin delivery time interval of more than 15 mins, were found to affect neonatal outcome. |
| Databáze: | OpenAIRE |
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