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Perinatal Management of Twin Pregnancy

Published online by Cambridge University Press:  01 August 2014

I. Fuchi ,
Y. Okumra  and
K. Noda
I. Fuchi*
Affiliation:
Department of Obstetrics and Gynecology, Kinki University, Osaka, Japan
Y. Okumra
Affiliation:
Department of Obstetrics and Gynecology, Kinki University, Osaka, Japan
K. Noda
Affiliation:
Department of Obstetrics and Gynecology, Kinki University, Osaka, Japan
*
Department of Obstetrics and Gynecology, Kinki University School of Medicine, 377-2 Ohno-higashi, Osakasayama, Osaka, 589, Japan

Abstract

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Of 104 cases, 38 (ie, 36.53%) experienced premature delivery (controls: 4.32%). In instances of threatened premature delivery, 28 cases (26.92%) underwent ligation of the cervix. EPH gestosis occurred in 62 cases - a high incidence rate of 59.61% (controls: 12.9%). Forty-nine cases (47.11%) were complicated by anemia (controls: 8.36%). There were 57 cases of SFD infants, again a high 27.40% incidence rate (controls: 5.94%). Apgar scores of 7 or less at 1 minute after birth indicated that of the 208 neonates, the second-born twin only in 20 cases (9.61%); both infants in 14 cases (6.73%); and, the first-born only in 3 cases (1.44%), developed asphyxia neonatorum. Given the high incidence of premature and immature infants in cases of twins, caution should be employed against threatened premature delivery from around the 28th week of gestation onwards. Ligation of the cervix with ritodrine administration should be performed following admission to hospital, and EPH gestosis, anemia and IUGR should be carefully monitored.

Keywords

Twin pregnancyEPH gestosisIUGRPremature and immature infantsThreatened premature delivery
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 41 , Issue 2-3 , July 1992 , pp. 149 - 153
Copyright
Copyright © The International Society for Twin Studies 1992

References

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