Twin Delivery in Sisaket Hospital
Main Article Content
Abstract
Background: Twin gestation is considered as one of the most common, high-risk conditions in obstetrics. Morbidity and mortality rate for twins was higher than singletons.
Objective: To study etiology and effect of twin pregnancy in Sisaket hospital
Research Design: Retrospective descriptive study
Setting: Obstetric and gynecological department and pediatric department, Sisaket hospital.
Method: To study the incidence of twin pregnancy in Sisaket hospital in period of 3 years during from October 151 2002 - September 30th 2005. Data were collected from maternal chart.
Result: There were 167 twin delivers from total 11,638 deliveries. The incidence of twin deliveries was 14.35 per 1,000 deliveries. The mean maternal age was 28.45 years and mean gestational age of deliver was 35.6 weeks. The mean birth weight was 2215.75 grams and low birth weight rate was 70.66 percents. The most route of deliver of twins was vaginal delivery and female : male ratio was 1.12 : 1. The most common maternal complication was preterm labor and perinatal mortality rate was 53.89 per 1,000 twin deliveries.
Conclusion: The incidence of twin deliveries at Srisaket hospital was 14.35 per 1,000 deliveries. The perinatal mortality rate was high (53.89 per 1,000 twins deliveries).The effective antepartum and intrapartum care for twin gestation by experienced clinicians may reduce risk of perinatal mortality.
Key word: Twin
Article Details
References
2. Barbara Luke. The rise in multiple births in the united states : Who, What, When, Where and Why. Clin Obstet Gynecol 2004;47:118-33.
3. Blondel B, Kaminski M. Trend in the occurrence, determinants, and consequence of multiple births. Seminars in perinatology 2002;26:239-49.
4. MacGilivary I. Epidemiology of twin pregnancy.Semin Perinatol. 1986;10:4-8.
5. Templeton A : The multiple gestation epidemic : the role of the assisted reproductive technologies. Am J Obstet Gynecol 2004;190:894-98.
6. ดิฐกานต์ บริบูรณ์หิรัญสาร, รณชัย อธิสุข. ครรภ์แฝด. ใน : มานี ปิยะอนันต์. ชาญชัย วันทนาศิริ, ประเสริฐ ศันสนีย์วิทยกล, บรรณาธิการ. ตำราสูติศาสตร์. พิมพ์ครั้งที่ 1. กรุงเทพมหานคร : พี.เอ ลิฟวิช ; 2548. หน้า 284 - 304.
7. ฤชา ตั้งจิตธรรม. ผลของการตั้งครรภ์แฝด เปรียบเทียบกับการตั้งครรภ์เดี่ยว. วารสารโรง พยาบาลสระบุรี 2546;3-134-42.
8. Nylander PPS : Serum levels of gonadotropins in relation to multiple pregnancy in Nigeria . Br J Obstet Gynecol 1973;80:651-6.
9. Scott A, Roger N. Prediction and prevention of preterm delivery in multiple gestations. Clin Obstet Gynecol 2004;47:203-15.
10. Conde - Agudelo A, Belizan JM, Lindmark G. Maternal morbidity and mortality associated with multiple gestations. Obstet Gynecol 2000;95:899-904.
11. Laros RK, Dattle BJ. Management of twin pregnancy : The vaginal route is still safe. Am J Obstel Gynecol. 1988;158:1330-8.
12. Christopher R, Sunee P. Intrapartum management of twins. Clin Obstet Gynecol 2004;47:248-62.
13. Machin GA. Some causes of genotypic and phenotypic discordance in monozygotic twin pairs. Am J Med Genet 1996;61:216-21.
14. Gnai V, Vidyasagar D. Morbidity and Mortality factors in twins, and epidemidogic approach. Clin Perinatol 1988;15:123-40.
15. Bruce WK, Thomus HK, Richard HP. Twin gestation : I. Antenatal care and complication. Obstet Gynecol 1989;74:313-7.
16. Garner MD, Robert LG, Suzanne PC, Jame MT, Kathleen GN, Rachel LC. The origin and outcome of preterm twin pregnancies. Obstet Gynecol 1995;85:553-7.
17. Chervana FA, Youcha S, Jchnsom RE, Berkowitz RL, Hobbins JC. Twin gestation, antenatal diagnosis and perinatal outcome in 385 consecutive pregnancies. J Reprod Med 1984;29:727-30.
18. Bruke MS. Single fetal demise in twin gestation. Clin Obstet Gynecol 1990;33:69-78.
19. Goldenbery RL. lam JD. The preterm prediction study : risk factor in twin gestations. Am J Obstet Gynecol. 1996;175:1047-53.