INTRAPARTUM RISKS OF MULTIPLE PREGNANCY.
DOI:
https://doi.org/10.11603/24116-4944.2014.1.6626Abstract
Under observation there were 42 pregnant women with twins, who haddeiivery in RKMH #2 in Chernivtsi in 201З. According to the Ist uitrasound screening dyhorionic dyamniotic (DHDA) twins had been diagnosed in 24 women (57.1 %), monohorionic dyamniotic (MHDA) - 18 pregnant women (42.8 %), monohorionic monoamniotic (MHMA) twins had not been diagnosed. Compiications during this pregnancy has been diagnosed in ЗЗ women (78.5 %). Vaginai birth in muitipie pregnancies occurred in 50% of cases (21 women). Caesarean section has been performed in 21 pregnant women, aiso50 %.
Studies have shown that number of preterm deiivery increases to 40.4 % in muitipie pregnancy, the ievei of the disease in three times greater in MHDA than in DHDA. The frequency of operative deiivery in muitipie pregnancies is 50 %. The predominant indications for caesarean section were breech presentation and maiposition (47.2 %). The frequency of stiiibirth is higher than the average popuiation vaiues in 2 times in pregnancy with twins. Reduction of perinatai mortaiity in muitipie pregnancies iscioseiy iinked to the prevention of preterm deiivery and fetai diagnostic improvement of the fetus.
References
Aylamazyan É. K., Kulakov V. Y., Radzynskyy V. E., Savelʹeva H. M. - Akusherstvo: natsyonalʹnoe rukovodstvo. - M.: HÉOTAR-Medya, 2007.
Yinon Y., Mazkereth R., Rosentzweig N., Jarus-Hakak A., Schiff E., Simchen M. J. Growth restriction as a determinant of outcome in preterm discordant twins. Obstet. Gynecol. 2005; 105: 80-84.
Berghella V, Obdido AO, To MS, Rust OA, Althuisius SM. Cerclade for short cervix on ultrasound: meta-analysis of trials using individual patient-level data. Obstet Gynecol.- 2005 Jul; 106 (1): 181-9.
D. Staub et al. Reference curves of symphysis-fundus height in twin pregnancies. European Journal of Obstetrics & Gynecology and Reproductive Biology. 128 (2006) 236 - 342.
Practice Committee of the Society for Assisted Reproductive Technology and the American Society for Reproductive Medicine. Guidelines on the number of embryos transferred. Fertil. Steril. 2004; 82 Suppl. 1-2.
Downloads
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
