The Problems of Multiple Pregnancies Delivered and Clinic Observations

Abstract

Although the incidence of multiple pregnancies is between 1%and 2%among whole births, it constitutes 10-12% of all perinatal mortality. In this study, we aimed to expose causes of perinatal mortality and morbidity affecting factors on neonates, who hospitalized in Neonatal Intensive Care Unit, and multiple pregnancies resulted with and without intervention throughout a 2-year period in our hospital. In our study, morbidity and mortality in newborns born from multiple pregnancy were evaluated retrospectively among 5065 patients who born greater than 24weeks of gestation within the last 2years and admitted to our hospital delivery unit. 91 pregnancy cases resulted with 185 neonates, including 88twins and 3triplets, were included in this study.

The rate of multiple pregnancies was 1.79%in total pregnancies. 89.1%of multiple pregnancies was spontaneous pregnancy. Assisted Reproductive Techniques was used in 10% of cases. However, 82% of women with multiple pregnancy delivered by C/S, only 18% via normal spontaneous vaginal delivery. As the result, there was no significant difference between birth weights of the babies who stayed in Neonatal Intensive Care Unit. The only way to minimize prematurity and its problems in multiple pregnancies, in order to reduce morbidity and mortality, is possible via transport to a hospital which had 2-3 level neonatal intensive care service.