Volume 82, Issue 1 (April 2024)
Tehran Univ Med J 2024, 82(1): 62-70 |
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Beitsayah F, Saadati N, Barati M. Evaluation of maternal and neonatal out come in twin or multiple births in Imam Khomeini Hospital of Ahwaz. Tehran Univ Med J 2024; 82 (1) :62-70
URL: http://tumj.tums.ac.ir/article-1-12999-en.html
URL: http://tumj.tums.ac.ir/article-1-12999-en.html
1- Department of Obstetrics and Gynecology, School of Medicine, Ahwaz Jundi Shapur University of Medical Sciences, Ahwaz, Iran. , f.baitsayah@gmail.com
2- Department of Obstetrics and Gynecology, School of Medicine, Ahwaz Jundi Shapur University of Medical Sciences, Ahwaz, Iran.
2- Department of Obstetrics and Gynecology, School of Medicine, Ahwaz Jundi Shapur University of Medical Sciences, Ahwaz, Iran.
Abstract: (62 Views)
Background: Maternal and neonatal complications in twin and multiple pregnancies are higher than in singleton pregnancies. The purpose of this study is to investigate maternal and neonatal outcomes in twin or multiple births.
Methods: In this descriptive and analytical study, 266 pregnant women with twins and multiples were selected in a goal-based manner who had medical records in Imam Khomeini Hospital in Ahwaz from March 2020 to March 2022. This study is based on the purpose of selection and then the required information was extracted from the archive department of Imam Khomeini Hospital in Ahwaz. A two-part checklist was used to collect data, and then the collected information was analyzed by descriptive and analytical statistical tests.
Methods: In this descriptive and analytical study, 266 pregnant women with twins and multiples were selected in a goal-based manner who had medical records in Imam Khomeini Hospital in Ahwaz from March 2020 to March 2022. This study is based on the purpose of selection and then the required information was extracted from the archive department of Imam Khomeini Hospital in Ahwaz. A two-part checklist was used to collect data, and then the collected information was analyzed by descriptive and analytical statistical tests.
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Results: The observations of this study show that the highest frequency of the total number of births is from March 2020 to March 2021 (6729 people), while the highest ratio of the number of twin or multiple births to the total number of births is from March 2021 to March 2022 (4.63 percent). The frequency of stillbirths is the highest from March 2021 to March 2022 (62.96 percent). There is a significant difference in fetal complications of twin and multiple births, premature birth, low birth weight and intrauterine growth delay between twin and multiple births (P-value<0.05) and for fetal anomaly and death from March 2021 to March 2022. Comparison of the two years under study shows no significant difference was observed between twin and multiple births (P-value>0.05). Pre-eclampsia was observed in 7.8 percent for twin births and 6 percent for multiple births, which statistically has no significant difference between them (P-value=0.331) and for diabetes, placental abruption and placenta Previa. There is a significant difference between twin and multiple births (P-value<0.05).
Conclusion: The frequency of multiple pregnancy shows an increase compared to previous studies in Iran, and prevention of premature birth and careful monitoring of the fetus can improve the outcome of twin or multiple births. |
Type of Study: Original Article |
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