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Journal of the Korean Academy of Family Medicine 1990;11(1):27-35.
Published online January 1, 1990.
쌍태임신의 임상적 고찰 (A Clinical Stndy on Twin Pregnancies)
이상영(Lee Sang Young),온해선(Ohn Hae Sun),안용항(Ahn Yong Hang),최유덕(Choi Yu Duk)
인천길병원 가정의학과 인천길병원 산부인과
Abstract
This retrospective clinical study was attempted to analyse 173 cases of twin deliveries out of 11, 481 cases delivered at the Department of Obstetrics and Gynecology, Incheon Gil's Hospital during 7 years, from Jan. 1, 1981 to Dec. 31, 1987.
Cinical evaluation with multiple aspects on 120 cases of twin pregnancy were made.
The results obtained were as follows:
1. The freguency of twin births was one in 66 births.
2. Predominant age group of gravida was 25-29 with 61.7% and the least was that of more than 40 years showed 0%, also, that of less than 20 years showed 0%.
3. According to parity, primipara was the most freguent with 44.2% and the least was group of para 4 with 0%.
4. The predominant gestational weeks group of twin births was 37-39 weeks with 37.5% and the least was more than 42 weeks with 0.8%.
5. In presentation of twins, vertex-vertex combination was the most common with 61.7% and vertex-breech was next with 26.7%
6. In cases of first baby, the most freguent baby weight group was 2,500-2,999gm with 30.0% followed by 2,000-2,499gm with 23.3% respectively.
7. The mode of delivery in twin pregnancy, the first baby was 55.8% in cesarean section, 30.8% in spontaneous delivery. The second baby was 55.8% in cesarean section, 24.2% in spontaneous dilivery.
8. 1 minute Apgar score of over 7 was shown in 71.7% of the first and 71.7% of the second twin.
5 minute Apgar score of over 7 was shown in 75% of the first and 75.0% of the second twin.
Low one minute Apgar scores occurred more often in second twins than in first twins.
9. Freguency of cesarean section was 55.8% and their indications were elective with 43.4% both previous C-section and collision revealed 10.5% respectiely.
10. The most freguent maternal complication during antepartum was hypertensive disorder with 27.9%, followed by anemia with 25.7% and premature labor with 16.4% and PROM with 11.4%.
11. The most freguent maternal complication during labor and postpartum was postpartum bleeding with 72.0%, both toxemia and infection revealed 7.0% respectively.
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