Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-23T05:21:24.709Z Has data issue: false hasContentIssue false
  • English
  • Français

Twin Pregnancies: An 11-Year Review

Published online by Cambridge University Press:  01 August 2014

W. Grothe  and
H. Rüttgers
W. Grothe*
Affiliation:
Department of Obstetrics and Gynecology, Heidelberg
H. Rüttgers
Affiliation:
Department of Obstetrics and Gynecology, Heidelberg
*
Universität-Frauenklinik, Voss-str. 9, Heidelberg, FRG

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.

From 1971 to 1981, 16752 women were delivered at the University Women's Clinic in Heidelberg; 228 of these were twin pregnancies (1.36%). The relationships between sex, gestational age, birthweight, mortality, and fetal outcome were investigated. For the reason of grading, so-called χ2 curves are used. These curves show the strength and the course of relationship between two parameters. Mortality of the twin (8.3%) depended on birthweight and on sex of the infant, but not on the mode of delivery. All twins were ‘small-for-date’ (25th weight percentile of single births). Starting at the 35th week of gestation, the increase in weight decelerated additionally. So, immaturity as well as twin-related factors led to the high mortality rate for twins. Fetal outcome was evaluated in respect to the birthweight and to the delivery interval.

Keywords

Twin pregnancyBirthweightGestational ageInfant mortality
Type
Review Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 34 , Issue 1-2 , April 1985 , pp. 49 - 58
Copyright
Copyright © The International Society for Twin Studies 1985

References

REFERENCES

1. Bach, HG, Kiffe, M (1962): Twin births in the University Women's Clinic of Heidelberg from 1950 to 1959. Obstet Gynecol Survey 17:680–696.CrossRefGoogle Scholar
2. Farooqui, MO, Grossman, JH, Shannon, RA (1973): A review of twin pregnancy and perinatal mortality. Obstet Gynecol Survey 28:144–153.CrossRefGoogle ScholarPubMed
3. Farrell, AGW (1965): Twin pregnancy: A study of 1000 cases. Obstet Gynecol Survey 20:274–278.CrossRefGoogle Scholar
4. Ho, SZ, Wu, PYK (1975): Perinatal factors and neonatal morbidity in twin pregnancy. Am J Obstet Gynecol 122:979–987.CrossRefGoogle ScholarPubMed
5. 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 52:13–19.CrossRefGoogle Scholar
6. Kauppila, A, Jouppila, P, Koivisto, M, Moilanen, I, Ylikorkala, O (1975): Twin pregnancy. A clinical study of 335 cases. Acta Obstet Gynecol Scand 52:5–12.Google Scholar
7. Koivisto, M, Jouppila, P, Kauppila, A, Moilanen, I, Ylikorkala, O (1975): Twin pregnancy. Neonatal morbidity and mortality. Acta Obstet Gynecol Scand 52:21–29.CrossRefGoogle Scholar
8. Naeye, RL (1964): The fetal and neonatal development of twins. Obstet Gynecol Survey 19:792–795.CrossRefGoogle Scholar
9. Powers, WF (1973): Twin pregnancy. Complications and Treatment. Obstet Gynecol 42:795–808.Google ScholarPubMed
10. Sparling, DW (1964): Twin pregnancy. Am J Obstet Gynecol 88:349–355.CrossRefGoogle ScholarPubMed
11. Spurway, JH (1962): The fate and management of the second twin. Am J Obstet Gynecol 83: 1377–1388.CrossRefGoogle ScholarPubMed