双胎妊娠256例孕晚期临床分析

Clinical analysis of 256 cases of twin pregnancy in late stage

目的探讨双胎妊娠的发生率、并发症及妊娠结局。方法回顾性分析我院2010年1月—2013年1月间分娩的256例双胎妊娠孕产妇及围生儿的分娩结局,并选择同期分娩的300例单胎孕产妇做对照分析。结果 3年里双胎妊娠发生率为2.99%,近年升高明显。常见的合并症有早产(47.66%)、胎膜早破(31.64%)、妊高征(14.45%)、产后出血(12.89%)、胎位异常(60.93%)、贫血(12.11%);围生儿异常情况主要有:胎儿死亡(2.34%)、早产儿(92.19%)、低体质量儿(76.56%)、重度窒息(9.38%)、新生儿死亡(4.30%)。结论双胎妊娠增加了妊娠晚期孕产妇并发症及围生儿病死率。故加强双胎妊娠监护,及时防治并发症,根据产妇具体情况选择适当的分娩方式及时机,是改善双胎妊娠结局的重要手段。

Objective To investigate the incidence of twin pregnancy, as well as its outcomes and complications. Methods A total of 256 women with twin pregnancy, who had gave birth from January 2010 to January 2013, were enrolled in our study, and another 300 women with single pregnancy at the same time were enrolled as controls. The maternal and neonatal outcomes of were etrospectively analyzed. Results The incidence of twin pregnancy was 2.99% in the three years, showing a significant increase. The common complications included premature delivery （47.66%） ,preterm premature rupture of membranes（31.64% ）, rpregnancy induced hypertension （ 14.45% ）, postpartum hemorrhage （ 12.89% ）, abnormal fetal position （60.93%） and anemia （12.11%）. The main neonatal morbidities were listed as follows： fetal death （2.34%） , premature infant （92.19%）, infant ot low-birth weight （76.56%）, severe asphyxia （9.38%） and neonatal death （4.30%）. Conclusion The twin pregnancy might increase the late pregnancy maternal complications and perinatal mortality. It is important to improve the twin pregnancy outcomes with strengthening monitor in twin pregnancy, and timely prevention and treatment of complications.