Maternal characteristics and twin gestation outcomes over 10 years: impact of conception methods  

Oleh:

Bamberg, Christian ; Fotopoulou, Christina ; Neissner, Philipp ; Slowinski, Torsten

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 98 no. 01 (Jul. 2012), page 95-101.
Topik: EARLY PREGNANCY; Conception mode; fertility treatment; morbidity; perinatal outcome; twins' gestation

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2012.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To compare maternal characteristics and obstetric outcomes of spontaneously conceived (SC) and after–fertility treatment (FT) twins. Design Retrospective study. Setting Single tertiary center (university hospital). Patient(s) All twin pregnancies (n = 1,239) delivered =24 weeks of gestation and classified by the mode of conception. Intervention(s) None. Main Outcome Measure(s) Maternal age, prematurity, preterm rupture of membranes (PROM), delivery mode, cervical insufficiency, preeclampsia/HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome, gestational diabetes, and postpartum hemorrhage. Result(s) Of 1,239 mothers evaluated, 34.4% received FT. We observed a continuous 3.2-year mean increase in maternal age over time in the FT population. The FT group had statistically significantly higher rates of women =35 years of age versus the SC group (37.6% vs. 22.9%). Mean maternal age (32.5 vs. 30.1 years) and the rates of cesarean delivery (72.3% vs. 63.9%), dichorionic twin prematurity (67.7% vs. 59.6%), postpartum hemorrhage (9.9% vs. 6%), PROM (2.3% vs. 0.6%), and cervical insufficiency (17.6% vs. 10%) were statistically significantly higher in the FT group. Preeclampsia/HELLP syndrome and gestational diabetes showed no significantly significant difference. Conclusion(s) Mothers of twins after FT were statistically significantly older and had higher rates of prematurity, cesarean delivery, and obstetric morbidity.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali