Analysis of influencing factors on delivery mode of twin pregnancy
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 9
Abstract
Objective To explore the factors affecting the mode of delivery in twin pregnancies. Methods Clinical data of 2 085 pregnant women with twin pregnancy who were delivered in the First Affiliated Hospital of Nanjing Medical University from June 2006 to October 2019 were retrospectively analyzed. According to different delivery modes, 1 376 cases were divided into cesarean section group and 709 cases were divided into natural delivery group. The general prenatal conditions, pregnancy complications and pregnancy outcomes of the two groups were analyzed. Results Compared with the natural delivery group, the average age of pregnant women in the cesarean section group was higher, the proportion of primipara was significantly increased (P＜0.01), and the proportion of pregnant women who conceived naturally was significantly different (P＜0.01). All pregnant women with a history of uterine surgery chose cesarean section to terminate pregnancy. The rate of dichorionic diamniotic (DCDA) twins in the cesarean section group was lower than that in the natural delivery group (P＜0.01). In terms of pregnancy complications and complications, the rate of preeclampsia in the cesarean section group was significantly higher; at the same time, it was found that the incidence rate of preterm birth in the cesarean section group was also significantly higher than that in the natural delivery group, with a statistically significant difference (P<0.05). The rate of postpartum hemorrhage in the cesarean section group was higher than that in the natural delivery group, and the proportion of low birth weight infants in the first and second fetuses was significantly higher than that in the natural delivery group. However, the severe asphyxia rate and stillbirth rate of the second newborn in the cesarean section group were lower than those in the natural birth group, and the differences were statistically significant (P＜0.05). There was no statistically significant difference in the probability of first fetal asphyxia and death between the two groups (P＞0.05). Conclusion Age, history of uterine surgery, and preeclampsia are important factors affecting the mode of delivery in twin pregnancies.
Authors and Affiliations
HUANG Ting , XU Yetao, JIANG Lingling, SUN Lizhou, PAN Yi
Keywords
Related Articles
- EP ID EP745466
- DOI 10.13429/j.cnki.cjcr.2024.09.019
- Views 10
- Downloads 0
Dapagliflozin combined with sitagliptin in treatment of type 2 diabetes
Objective To investigate the efficacy of single drug treatment of dapagliflozin and combination of dapagliflozin and sitagliptin in the treatment of type 2 diabetes mellitus (T2DM). Methods Sixty-two patients with T2DM...
Risk factors and predictive efficacy of anastomotic fistula after radical right hemicolectomy
Objective To explore the risk factors for the occurrence of anastomotic fistula after radical right hemicolectomy, and to further assess the predictive efficacy of related factors. Methods A total of 467 patients who und...
Clinical significance of circulating tumor cell detection in elderly patients with esophagogastric gastric junction adenocarcinoma
Objective To investigate the relationship between circulating tumor cells (CTCs) and clinical characteristics and prognosis of elderly patients with esophagogastric junction adenocarcinoma (AEG) by detecting CTCs in thei...
Research progress in targeted therapy for gastric cancer
Gastric cancer is a common malignant tumor worldwide, and its incidence rate and mortality have always been in the forefront. Most gastric cancer patients in China are diagnosed in the middle or late stages, with an unsa...
Safety and feasibility analysis of indocyanine green guided preservation of upper rectal vessels in laparoscopic radical resection of sigmoid cancer
Objective To investigate the safety and feasibility of indocyanine green guided preservation of the superior rectal artery in patients undergoing laparoscopic radical resection for sigmoid cancer. Methods A total of 73 p...