Hostname: page-component-6d856f89d9-8l2sj Total loading time: 0 Render date: 2024-07-16T04:42:01.789Z Has data issue: false hasContentIssue false
  • English
  • Français

An Assessment of Perinatal Mortality in Twin Pregnancies in Dundee

Published online by Cambridge University Press:  01 August 2014

G.K. Osbourne  and
N.B. Patel
G.K. Osbourne*
Affiliation:
Department of Obstetrics and Gynaecology, Ninewells Hospital and Medical School, Dundee, Scotland
N.B. Patel
Affiliation:
Department of Obstetrics and Gynaecology, Ninewells Hospital and Medical School, Dundee, Scotland
*
Consultant Obstetrician and Gynaecologist, Bellshill Maternity Hospital, Bellshill, Lanarkshire, Scotland

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

An analysis of all perinatal deaths occurring in twin pregnancies in Dundee women from 1956 to 1983 was performed. The uncorrected perinatal mortality rate fell from 116/1000 births in 1956-60 to 16/1000 births in 1981-83, this fall almost entirely taking place after 1975. Causes of death were identified using the Aberdeen Classification and a reduction in deaths in all cause groupings occurred. About half of the deaths were in the Premature, Cause Unknown group and a marked decrease in deaths in this group made the largest contribution to the improved perinatal mortality rate. This fall was partly due to a reduction in the incidence of extreme prematurity and low birth weight. Changes in obstetric management which may have influenced outcome included the introduction of routine early pregnancy ultrasound scanning, the use of tocolytic drugs, intrapartum fetal monitoring, epidural analgesia and an increase in Caesarean section rate from 2% in 1956-60 to 39% in 1981-83.

Keywords

Twin perinatal mortalityPrematurityUltrasound scanningTocolytic drugsEpidural analgesiaIntrapartum monitoringTwin Caesarean section
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 34 , Issue 3-4 , October 1985 , pp. 193 - 199
Copyright
Copyright © The International Society for Twin Studies 1985

References

REFERENCES

1. Baird, D, Walker, J, Thomson, A (1954): The causes and prevention of stillbirth and first week deaths. J Obstet Gynaecol Br Emp 61:433–448.Google Scholar
2. Gairdner, D, Pearson, J (1971): A growth chart for premature and other infants. Arch Dis Child 46:783–787.Google Scholar
3. Goldenberg, RL, Nelson, KG (1977): The premature breech. Am J Obstet Gynecol 127:240–244.Google Scholar
4. Ingemarsson, I (1984): Pharmacology of tocolytic agents. In Howie, PW, Patel, NB (eds): “Clinics in Obstetrics and Gynaecology. The Small Baby” London: W.B. Saunders Company, p 348.Google Scholar
5. Ingemarsson, I, Westgren, M, Svenningsen, NW (1978): Longterm follow-up of preterm infants in breech presentation delivered by Caesarean section. Lancet. 2, 172–175.Google Scholar
6. Jouppila, P, Kauppila, A, Koivisto, M, Moilanen, I, Ylikorkala, O (1975): Twin pregnancy. The role of active management during pregnancy and delivery. Acta Obstet Gynecol Scand (Suppl) 44:13–19.Google Scholar
7. Kauppila, O (1975): The perinatal mortality in breech deliveries and observations on affecting factors. Acta Obstet Gynecol Scand (Suppl) 39:29–35.Google Scholar
8. Kauppila, A, Jouppila, P, Koivisto, M, Moilanen, I, Ylilorkala, O (1975): Twin prengnacy. A clinical study of 335 cases.Acta Obstet Gynecol Scand (Suppl) 44:5–12.Google Scholar
9. Koivisto, M, Jouppila, P, Kauppila, A, Moilanen, I, Ylikorkala, O (1975): Twin pregnancy. Neonatal morbidity and mortality. Acta Obstet Gynecol Scand (Suppl) 44:21–29.CrossRefGoogle ScholarPubMed
10. Laursen, B (1973): Twin pregnancy. The value of prophylactic rest in bed and the risk involved. Acta Obstet Gynecol Scand 52:367–371.Google Scholar
11. Mcllwaine, GM, Howat, RCL, Dunn, F, Macnaughton, MC (1979): Scotland 1977 Perinatal Mortality Survey. Glasgow: the University pp 79–83.Google Scholar
12. Osbourne, GK, Patel, NB, Howat, RCL (1984): A comparison of the outcome of low birth weight pregnancy in Glasgow and Dundee. Health Bull (Edinb) 42:68–77.Google Scholar
13. Steer, PJ, Beard, RW (1973): Two cases of continuous fetal heart rate monitoring in twins. Br Med J 3:263–265.Google Scholar
14. Weeks, ARL, Menzies, DN, De Boer, CH (1977): The relative efficacy of bed rest, cervical suture, and no treatment in the management of twin pregnancy. Br J Obstet Gynaecol 84:161–164.CrossRefGoogle Scholar