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| Influence analysis on pregnancy outcome of twin pregnancy affected by different delivery modes |
| Ying Ying |
| Department of Gynecology of Maternity and Child Health of Cixi City, Cixi 315300, China |
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Abstract ObjectiveTo explore the influence of different delivery modes affecting twin pregnancy. Methods We retrospectively collected clinical data of 154 cases of twin pregnancy, and according to different delivery modes, these cases were divided into vaginal delivery group (58 cases) and uterine-incision delivery group (96 cases). These indexes such as gestational weeks, newborn weight, postpartum hemorrhage, Apgar score and complication incidence rates of perinatal fetus were compared between the two groups. Results Gestational weeks, newborn weight and Apgar score of the second fetus in the uterine-incision delivery group were much larger or higher than those of the vaginal delivery group (P<0.05). The complication incidence rates of neonatal asphyxia and perinatal mortality in the uterine-incision delivery group were much lower than those of the vaginal delivery group (P<0.05). Conclusion Twin pregnancy women being carried out uterine-incision delivery, could obviously decrease the rate of neonatal asphyxia and rate of perinatal mortality, but it also could lead to premature delivery, hypoplasia and neonatal asphyxia, so we should properly control the rate of uterine-incision delivery. In the case of the choice of delivery modes of twin pregnancy, we should comprehensively consider cesarean section indication, gestational weeks, body weight of fetus, fetal position and pregnancy complications.
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Received: 17 August 2015
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