Multifetal pregnancy and premature labour

Giriş

A multifetal pregnancy is generally considered to be a high-risk one. One of reasons for that is prematurity. Near about 50% twins were born before 37 week of gestation. The aim of this study was to analyse the frequency of premature labour in multifetal pregnancy in one year period (year 2000) at OB/GYN Clinic in Tuzla.

Yöntem

in retrospective study we analyzed multifetal pregnancies in one year period. The total number of multifetal pregnancy were 74 - out of this number we had 73 twin pregnancy and one pregnancy with three fetuses. The twin pregnancy was divided in three groups: 26 to 30 weeks of gestation, 31 to 34 weeks of gestation and 35 to 37 weeks of gestation. The body mass of neonates at the birth was divided in three groups: less than 1499 g, 1500 to 2499 g, and 2500 g and more. in controlled group we analyzed 100 pregnancies with one fetus delivered pretemporary. We used test of proportion in statistical management of datas.

Bulgular

Out of 4748 deliveries there were 73 (1,53%) twin pregnancy and 1 (0,02%) triplet pregnancy. in the most number of twin pregnancies the delivery was performed pretemporary, in 34 cases or 46,57%. İn control group the number of premature delivery was 11 (11%). We noticed the most number of termination in twin pregnancy in the period from 35 to 37 weeks of gestation, 18 or 52,94%. İn period of 31 to 34 weeks we performed 11 or 32,35% pregnancy and in period 26 to 30 weeks we performed 5 twin pregnancy or 14,7%. in the pregnancy with three fetuses delivery was performed in 34 weeks of gestation. The body mass at the delivery in twin pregnancy was from 1500 to 2499 gr, in 15 cases or 44,11%. in controlled group we had 5 neonates or 45,45% with 2500 g. and more. We found statistical difference between the number of premature deliveries in twin pregnancy and single pregnancies. The value of test of proportion was 5,378 (p<0,05).

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