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Twin pregnancy. Neonatal morbidity and mortality
Acta Obstetricia Et Gynecologica Scandinavica. Supplement
|January 1, 1975
Summary
Neonatal mortality in twins remains high, with respiratory distress syndrome, intracranial hemorrhage, and anoxia being leading causes. Twin pregnancies require specialized obstetric and pediatric care due to significant neonatal morbidity.
Area of Science:
- Perinatology
- Neonatology
- Obstetrics
Background:
- Twin pregnancies present unique challenges in neonatal care.
- Historically, twin births have higher rates of morbidity and mortality compared to singleton births.
Purpose of the Study:
- To investigate the neonatal morbidity and mortality rates in a cohort of twin pairs.
- To identify common causes of neonatal death and significant morbidities in twins.
Main Methods:
- Retrospective analysis of 335 twin pairs born between 1965-1973.
- Data collection included birth weight, gestational age, Apgar scores, and neonatal diagnoses.
Main Results:
- Neonatal mortality was 7.1%, with respiratory distress syndrome, intracranial hemorrhage, and anoxia as primary causes.
- 29% of twins were preterm, 31% small for date, and 41% weighed under 2500g.
- Birth asphyxia/aspiration syndrome and respiratory distress syndrome were more frequent in B twins.
Conclusions:
- Despite declining mortality, neonatal morbidity in twins remains substantial.
- Twin pregnancies represent a high-risk group requiring vigilant obstetric and pediatric management.
- Specific conditions like birth asphyxia and respiratory distress syndrome warrant focused attention in B twins.