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Related Experiment Videos

Multiple pregnancy and preterm labor.

Ahmed M Kurdi1, Rateb A Mesleh, Malak M Al-Hakeem

  • 1Department of Obstetrics and Gynocology, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.

Saudi Medical Journal
|May 13, 2004
PubMed
Summary

Multiple pregnancies significantly increase the risk of preterm labor, occurring seven times more often than in singleton births. This highlights the critical need for careful management and monitoring of high-risk multiple gestations to improve outcomes.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatology

Background:

  • Multiple gestations are associated with numerous complications, including prematurity, low birth weight, pre-eclampsia, and increased perinatal mortality.
  • Effective management strategies are crucial to mitigate the risks inherent in high-risk pregnancies.

Purpose of the Study:

  • To determine the incidence of multiple pregnancies.
  • To evaluate the effect of multiple pregnancies on the rate of preterm labor in tertiary care settings.

Main Methods:

  • Retrospective analysis of 375 multiple pregnancy cases.
  • Data collected from January 2000 to December 2001 at two tertiary care hospitals in Riyadh, Saudi Arabia.
  • Analysis focused on incidence and impact on preterm delivery.

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Main Results:

  • The incidence of twin births was 14 per 1000 births.
  • Preterm labor occurred in 42% of multiple pregnancies, seven times higher than in singletons (6.4%).
  • Cesarean section was performed in 49% of cases, and 16% experienced gestational diabetes.

Conclusions:

  • Preterm delivery is the most significant complication of multiple gestation.
  • Long-term sequelae for infants include cerebral palsy and hearing disabilities.
  • Recommendations include controlling fertility treatments, limiting embryo transfers, and improving maternal health and socioeconomic factors.