Termınation of twin pregnancies

Amaç

Twin pregnancy is determined as a development of two or more fetuses in one uterus. it is count as a high risk pregnancy, followed by numerous complications. Malpresentation of one or both fetuses implicates more frequent operative delivery. Aim of this study was to determine frequency of multiple pregnancy in Tuzla Canton, development and it outcome.

Yöntem

Out of 4480 deliveries during 2001 there were 59 twin pregnancies that we analyse. Control group was 100 deliveries of singleton pregnancies.

Bulgular

Out of 59 pregnant woman who delivered twins, 3.39% have 18 years or less, 77,97% were between 19 and 34, and 18.64% were older than 35. in control group 86% were in the age group between 18 and 34, and 14% were older than 34. There were 38,98% primipara, 55.93% multiparas and 5.08% pluripara in experimental group. in control group authors find 45% primiparas, 48% multiparas, and 7% pluriparas. There were 64.41% preterm deliveries, 35.59% at term in experimental group. in control group authors find 5% preterm, 93% term and 2% postterm deliveries. EPH gestosis authors find in 22.03% cases, and 10% in control group. in the experimental group authors find 10.17% cases of ablation of placenta. but in control group there were no such cases. Premature rupture of membranes authors find in 32.20% of cases and 28% in control group. There were 44.07% of malpresentation of one or both twins in experimental group only 4% in control group. The way of delivery was vaginal in 40.68%, vaginal operative in 8.47% and cesarean section in 50.84% of cases. in control group 87% was conduct vaginally, 1% operative vaginally, and 12% with cesarean section. Average body weight in the experimental group was 2099.57g and 3388.50g in control group. Average gestational age in the experimental group was 30 weeks of gestation and 38 weeks of gestation in control group.

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