Twin Pregnancy: Delivery and Complications

Authors

  • Irina Markova
  • Asen Nikolov
  • Peter Markov

Keywords:

twin pregnancy, incidence, gestational age, delivery mode, complications, obstetrics.

Abstract

The aim of this research is to find out the incidence of twin pregnancies, the time and mode of delivery, as well as delivery related complications. The study is retro- and prospective and it covers a period of 20 years ranging from 1994 to 2014. In order to evaluate the incidence of twin pregnancy, the study includes a total of 73785 births with 1791 twins from them. Detailed analysis, regarding the delivery mode and complications was made for 562 twin pregnancies. The number of twin pregnancies in 1994 was 44 and in 2014 was 151. The incidence of twins increased from 1.18% at the beginning of the observed period to 3.79% at the end of the period. In 1994, 62% of women had vaginal delivery and only 38% Caesarean section. In 2014, 82% of the twins were delivered by Caesarean section and only 18% had vaginal delivery. Gestational age at the time of delivery in dichorionic diamniotic twins was 36+4 w.g., in monochorionic biamniotic twins - 35+0 w.g. and in monochorionic monoamniotic twins - 34+6 w.g. Results show that natal complications are more common in twin pregnancies, compared to singleton pregnancies. There is a significant increase in the incidence of twin pregnancy.

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Published

2016-10-30

How to Cite

Markova, I., Nikolov, A., & Markov, P. (2016). Twin Pregnancy: Delivery and Complications. International Journal of Sciences: Basic and Applied Research (IJSBAR), 30(2), 241–250. Retrieved from https://gssrr.org/index.php/JournalOfBasicAndApplied/article/view/6495

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