多胎妊娠247例临床分析

Analysis of Clinical Data of 247 Patients with Multiple Pregnancies

目的:分析多胎妊娠临床特点和影响妊娠结局的因素,为临床多胎围生期保健和并发症防治提供参考。方法:对2001年1月至2005年12月间我院住院分娩的247例多胎妊娠病例进行回顾性分析。结果:双胎和三胎妊娠发生率分别为1.5%和0.078%。早产60.3%,多胎围生儿死亡率8.5%。出生孕周和体重是影响围生儿预后的主要因素。经阴道分娩的多胎妊娠新生儿窒息率和死亡率明显高于剖宫产者。结论:多胎妊娠合并症、并发症及死亡率均较高,早产是主要的并发症,因此积极防治妊娠期各种并发症,延长孕周,选择有利的分娩时机和分娩方式对降低多胎围生儿患病率和死亡率有重要意义。

Objective： To study the clinical features of multiple pregnancies and the factors which influence the pregnancy outcomes for improve perinatal care and complication treatment of multiple pregnancies. Methods： 247 cases of multiple pregnancies in our hospital from 2001 to 2005 were studied retrospectively. Results：The incidence of twin and triple pregnancy were 15.2%o and 0.078%, respectively in the recent 5 years.The prevalence of preterm labor was 60.3% .The perinatal mortality of multiple pregnancy （8.5%） was significantly higher than average, The gestational age and birth weight were the two major factors influencing the perinatal outcome, The neonatal asphyxia and mortality in vaginal delivery were significantly higher than that of the cesarean section. Conclusions： Regular perinatal care, prevention and cure complications, avoidance of premature birth, and proper choice for the time and mode of delivery are important measures to decrease the perinatal mortality and morbidity of multiple gestations.