Twin Pregnancy: Delivery and Complications
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.
References
Asen Nikolov.
Nikola Vasilev.
JM Dodd, Crowther.
Keith LG, Papiernik E, Keith DM, Luke B: Multiple Pregnancy: Epidemiology, Gestation and Perinatal Outcome. London, Parthenon Publishing Group, 1995
L Keith, Johnson, T, Glob. libr. women's med. (ISSN: 1756-2228) 2008; DOI 10.3843/GLOWM.10140
ZH Bateni, Clark SL, Sangi-Haghpeykar, Aagaard KM, Blumenfeld YJ, Ramin SM et al.
?COG Practice Bulletin #56: Multiple gestation: complicated twin, triplet and high-order multifetal pregnancy. Obstet Gynecol 2004 Oct; 104(4): 869-83
P. Steer.
K. Barrett, Robinson, Russell S. Miller, Mary E. D
Jennifer L. Burgess, Elizabeth R. Unal, Paul J. Nietert, Roger B. Newman.
Amy Elizabeth Sullivan, Paul Nathan Hopkins, Hsin-Yi Weng, Erick Henry, Jamie Oi-Ting Lo, Michael Walter Varner et al.
Roger B. Newman, Elizabeth R. Unal.
M. Khandelwal, Revanasiddappa VB, Moreno SC, Simpinks G, Weiner S, Westover T.
O Anselem, Mephon A, Le Ray C, Marcellin L, Cabrol D, Goffnet F.
FA Chervenak, Johnson RE, Youcha S, Hobbins JC, Berkowitz RL:
H de Castro, Haas J, Schiff E, Sivan E, Yinon Y, Barzilay E.
V Ravishankar, Gerald Quirc J.
I Blickstein, Goldman RD, Kupferminc M.
SM Goossens, Hukkelhoven CW, de Vries L, Mol BW, Nijhuis JG, Roumen FJ.
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Authors who submit papers with this journal agree to the following terms.