Evaluation of Maternal and Fetal Complications in Twin Pregnancies
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Author:
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MARZIEH GHASEMI, NARJES NOORI, ALIREZA DASHIPOUR, ARGHAVAN FARAZMAND
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Abstract:
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Background and Objective
With the development of Assisted Reproductive Techniques (ARTs), the frequency of twin and multiple pregnancies has increased dramatically, which is associated with complications, and fetal and maternal mortality. The aim of this study was to determine the frequency of complications of twin pregnancy and compare it with singleton pregnancy.
Materials and Methods
In this descriptive-analytical study, the cases of mothers with twin pregnancies in Ali Ibn Abitaleb Hospital of Zahedan during the years 2016 and 2017 were investigated. Then, such information as maternal complications, neonatal complications and type of delivery were evaluated.
Results
The cases of 197 twin pregnant mothers were examined, whose mean age was 28.09±6.31. Their mean gestational age was 35.11±2.57 weeks. Maternal complications in the study were as follows: gestational diabetes, preeclampsia, and concurrent preeclampsia and gestational diabetes, accounting for 5.6%, 10.2% and 2%, respectively. Also, 64.7% of fetuses had no complications, however, umbilical cord abnormalities (14.7%), IUGR (8.6%), meconium aspiration (7%) and Oligohydramnios (6.5%) were more common among fetuses. In addition, 75.1% of deliveries were cesarean-type.
Conclusion
In present study, the most common maternal complication was preeclampsia twin pregnancy. Also, a high percentage of fetuses were dichorionic and preterm labor was the most conventional complication of twin pregnancy affecting the mother and fetuses.
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Keyword:
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Maternal Complications, Fetal Complications, Twin Pregnancies.
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.638
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