Multiple Pregnancy: Epidemiology and Association with Maternal and Perinatal Morbidity
| Autor: | Fernanda Garanhani Surita, José Guilherme Cecatti, Danielly S. Santana |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Population MEDLINE high-risk pregnancy Maternal morbidity Infant Newborn Diseases Obstetric care maternal morbidity 03 medical and health sciences 0302 clinical medicine Pregnancy Epidemiology Humans Medicine 030212 general & internal medicine education Twin Pregnancy perinatal morbidity education.field_of_study 030219 obstetrics & reproductive medicine business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Gynecology and obstetrics medicine.disease Pregnancy Complications Perinatal morbidity Pregnancy Twin RG1-991 multiple pregnancies Female Morbidity business |
| Zdroj: | Revista Brasileira de Ginecologia e Obstetrícia v.40 n.9 2018 Revista brasileira de ginecologia e obstetrícia Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) instacron:FEBRASGO Revista Brasileira de Ginecologia e Obstetrícia, Vol 40, Iss 9, Pp 554-562 (2018) |
| ISSN: | 1806-9339 0100-7203 |
| DOI: | 10.1055/s-0038-1668117 |
| Popis: | Twin pregnancy accounts for 2 to 4% of total births, with a prevalence ranging from 0.9 to 2.4% in Brazil. It is associated with worse maternal and perinatal outcomes. Many conditions, such as severe maternal morbidity (SMM) (potentially life-threatening conditions and maternal near-miss) and neonatal near-miss (NNM) still have not been properly investigated in the literature. The difficulty in determining the conditions associated with twin pregnancy probably lies in its relatively low occurrence and the need for larger population studies. The use of the whole population and of databases from large multicenter studies, therefore, may provide unprecedented results. Since it is a rare condition, it is more easily evaluated using vital statistics from birth e-registries. Therefore, we have performed a literature review to identify the characteristics of twin pregnancy in Brazil and worldwide. Twin pregnancy has consistently been associated with SMM, maternal near-miss (MNM) and perinatal morbidity, with still worse results for the second twin, possibly due to some characteristics of the delivery, including safety and availability of appropriate obstetric care to women at a high risk of perinatal complications. |
| Databáze: | OpenAIRE |
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