Pregnancy outcome of twin pregnancy in Ramathibodi Hospital.
OBJECTIVE
To evaluate maternal and neonatal complications and pregnancy outcomes of twin pregnancies.


METHODS
The retrospective analysis included data on the twin pregnancies delivered at Ramathibodi Hospital between January 1995 and December 2000. The data retrieved from the medical records included demographic data, complications of pregnancy, and maternal and neonatal outcomes. Statistical analysis was performed.


RESULTS
Of 374 twin pregnancies, 321 cases had completed medical records. Incidence of twin pregnancies was 8.6 per 1,000 births. Most common maternal complication was preterm delivery (49.2%). Other maternal complications were anemia (21.5%), pregnancy induced hypertension (13.4%), premature rupture of membranes (10%), postpartum hemorrhage (5.6%) and antepartum haemorrhage (1.9%), respectively. Median gestational age at delivery was 37 weeks. Most common route of delivery was caesarean section (58.3%). Most common neonatal complication was low birth weight (62.3%). Perinatal mortality rate was 45 per 1,000 births. Prematurity was the most common cause of neonatal death. No neonatal death was found after 34 weeks of gestation.


CONCLUSIONS
Twin pregnancy has high maternal and neonatal complications, especially preterm delivery that increases risk of significant neonatal morbidity and mortality.
Chittacharoen
Apichart
A
Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. raaco@mahidol.ac.th
Singhakun
Duangtip
D
Ayudhya
Nathpong Israngura Na
NI
D000293:Adolescent; D000328:Adult; D005260:Female; D006304:Health Status; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007234:Infant, Premature; D008429:Maternal Welfare; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D012307:Risk Factors; D013785:Thailand; D014427:Twins