TITLE:
Analysis of Perinatal Outcomes of Twin Pregnancy in a Referral Hospital for High Risk
AUTHORS:
Eduarda Paim, Pedro Lucas Carneiro Ferreira, Luciano Selistre, Fernanda Grossi, José Mauro Madi, Gabriela Françoes Rostirolla
KEYWORDS:
Pregnancy, Twin Pregnancy, High Risk Pregnancy, Morbidity, Perinatal Mortality, Perinatal Results
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.7,
July
10,
2024
ABSTRACT: Introduction: The incidence of twin pregnancies has increased significantly in recent decades. These pregnancies require more attention due to their worse outcomes than singleton pregnancies. Objective: To analyze the characteristics and perinatal outcomes of twin pregnancies at the Caxias do Sul General Hospital. Methods: This is a descriptive and retrospective study that included all births related to twin pregnancies between March 1998 and June 2018. Maternal and perinatal variables were analyzed. Descriptive analyses were carried out using measures of central tendency and dispersion for continuous variables (mean and standard deviation or median and interquartile range), according to a prior assessment of distribution using the Shapiro-Wilk test, and absolute (n) and relative (n%) frequencies for categorical variables. Results: 172 pairs of twins/21,972 births (0.8%) were identified. There was a high percentage of interpartum interval of less than 12 months, adherence and prenatal visits, body mass index, and need for neonatal intensive care. Stillbirth and neomortality rates were within acceptable parameters. Conclusion: The sample studied showed a percentage similar to that in the literature, a high rate of maternal and perinatal complications, characterizing it as a high-risk fetal pregnancy.