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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2010, Number 3

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An Med Asoc Med Hosp ABC 2010; 55 (3)

Multiple pregnancy: Incidence, morbidity and management at the ABC Medical Center

García-Ruiz R, Rodríguez-Martínez JA, Ortiz RME, Matute LÁ

Language: Spanish
References: 10
Page: 122-126
PDF size: 52.90 Kb.


ABSTRACT

Twin pregnancy occurs in approximately 1 of each 100 births, incidence that has changed and there are even triple or quadruple pregnancies known as fetal higher order, resulting in increased morbidity and maternal and fetal mortality during this period. Objective: To determine the frequency of multiple pregnancies, it´s management, outcome as well as maternal and fetal complications during 5 years. Material and methods: Retrospective study in the ABC Medical Center, included 224 patients with twin pregnancy from 2003-2008. Results: Mean maternal age was 32.8 ± 4.6 years. The most frequent morbidity was premature rupture of membranes (19.6%), followed by preterm labor (12.5%), mild (4%) and severe (4%) preeclampsia, and acute fetal distress (0.9%). The average gestational age was 34.6 ± 2.9 weeks. The Apgar at one and five minutes were 8 ± 1.3 and 8.74 ± 1.18 for twin one, 7.8 ± 1.6 and 8.53 ± 1.6 for twin two, and 7.55 ± 1.5 and 8.7 ± 0.5 for the twin three; 97.3% were resolved through cesarean section and 2.7% by delivery. Conclusion: In our center the incidence of twins was high, as compared with literature reported, the average pregnancies end in week 35, the resolution was via cesarean section and 85% of the products was discharged as healthy.


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