Clinical factors affecting the timing of delivery in twin pregnancies

ObjectiveTo investigate clinical factors affecting the timing of delivery in twin pregnancies in order to minimize perinatal complications. MethodsA retrospective study involved 163 twin pregnancies delivered from January 2006 to September 2011 at Gachon University Gil Medical Center. These cases we...

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Bibliographic Details
Published in:Obstetrics & gynecology science 2014-11, Vol.57 (6), p.436
Main Authors: Chae Min Lee, Sun Hye Yang, Sun Pyo Lee, Byung Chul Hwang, Suk Young Kim
Format: Article
Language:Korean
Subjects:
Maternal complications
Perinatal complications
Timing of delivery
Twins
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Summary:ObjectiveTo investigate clinical factors affecting the timing of delivery in twin pregnancies in order to minimize perinatal complications. MethodsA retrospective study involved 163 twin pregnancies delivered from January 2006 to September 2011 at Gachon University Gil Medical Center. These cases were divided into three groups based on the delivery timing: less than 32 weeks’ gestation (group A), between 32 and 35+6 weeks’ gestation (group B), and over 36 weeks’ gestation (group C). Clinical factors including maternal age, parity, presence of premature uterine contraction, presence of premature rupture of membrane, white blood cell, high sensitive C-reactive protein level, cervical dilatation, maternal complication, chorionicity, twin specific complication, and perinatal complication were analyzed for each group. ResultsIn group B, the timing of delivery was postponed for 14 days or more from the time of admission, and there were fewer numbers of babies with low Apgar score at birth compared with other groups. The frequency of uterine contraction (P
ISSN:2287-8572