Multifetal Pregnancy: Facts and Outcomes Prospective cohort study | ||||
Sohag Medical Journal | ||||
Article 47, Volume 22, Issue 3, October 2018, Page 391-394 PDF (53.92 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/smj.2018.39354 | ||||
View on SCiNiTO | ||||
Authors | ||||
Osman Abdelkareem1; Magdy Ameen1; Ahmed Mohammed2; Haitham kadry3 | ||||
1Department of Obstetrics and Gynecology, Faculty of Medicine, Sohag University, Egypt. | ||||
2Department of Obstetrics and Gynecology, Faculty of Medicine, Sohag University, Egypt. | ||||
3Department of Obstetrics and Gynecology, Faculty of Medicine, Sohag University, Egypt. | ||||
Abstract | ||||
Objective :to present an updated overview of multifetal pregnancy as well as to study the problems of multifetal pregnancy in our community via a hospital-based study . Methods :data concerning maternal and neonatal adverse outcomes in multiple pregnancy was collected from feb. 2017 to jan. 2018. IBM-SPSS ( version 24) was used for statistical data analysis. Results :The prevalence of multifetalprgnancy was 4.5% , Mean maternal age was 27.3 years with SD 5.9 years, and ranged from 17 to 42 years, Mean of gestational age was 31 weeks with SD 6.1 weeks, and ranged from 17 to 40 weeks, risk factors of multiple pregnancy was 17% history of ART and ovulation inducton in 53%. Only 13% had family history of multiple pregnancy and only 4% had previous history of multiple pregnancy, , 85% of the study group had a twin , 11% had a triplet and 4% had a quadriplet., that 21% had inevitable abortion, 2% had Deep venous thrombosis(DVT), 2% had threatened abortion, also 2% had missed abortion, 3% had polyhydraminos, 3% had Intrauterine fetal death(IUFD) , 27% had premature rupture of membranes(PROM), 12% had Pre_eclampsia, only 1% had eclampsia, 10% had Hyperemesis gravidarum(HEG), 2% had gestational DM, 4% had gestational hypertension , 2% had congenital anomalies and 1% had antepartum hemorrhage , 56% had CS, 23% delivered vaginally and 21% had abortion, 30% not need neonatal intensive care unit (NICU), 43% need NICU, 4% had neonatal deaths, 23% abortion and 51 % preterm baby. Conclusion :Multifetal pregnancies are associated with increased maternal and perinatal risks specially preterm delivery that increase risk of neonatal morbidity and mortality . There is a need for specialized antenatal care to reduce complications via wise used of ovulation induction , fetal reduction, single embryo transfer in case of ART . | ||||
Keywords | ||||
multiple pregnancy; twin; perinatal outcomes; Neonatal outcomes | ||||
Supplementary Files
|
||||
References | ||||
2. Chan A , Scott J , Nguyen A , and Saga L. (2007) :pregnancy outcome in south Australia 2007 . Adelaide :pregnancy outcome Unit Epidemiology Branch ,department of Human Services ;2007.
3. Kahn B, Lumey LH, Zybert PA, Lorenz JM, Cleary-Goldman J, D’Alton ME, et al (2003): Prospective risk of fetal death in singleton, twin and triplet gestations: implications for practice. Obstet Gynecol;102:685–92.
4 .Laws PJ and Hilder L.(2008) : Australia mothers and babies 2006. Sydney :AIWH national peinatalstatastics Unit ; 2008 .
5 .Qazi G (2011): Obstetric and Perinatal Outcome of Multiple Pregnancy. Journal of the College of Physicians and Surgeons Pakistan; 21(3):142-5.
6. Rizwan N, Razia Mustafa Abbasi, Razia Mughal (2010): Maternal morbidity and perinatal outcome with twin pregnancy. J Ayub Med Coll Abbottabad; 22(2),105-107,2010.
7.Samera F. AlBasri ,Ghadah M. Shouib ,Osama S. Bajouh , Hasan A. Nasrat , Ejaz Ahmed ,and Fahad M. AlGreisi (2017): maternal and neonatal outcomes in twin and triplet gestations in western Saudi Arabia .saudi med J.2017 Jun;28(6):657-681
| ||||
Statistics Article View: 184 PDF Download: 305 |
||||