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Related Experiment Videos

Twin gestations and prophylactic hospitalization.

J S Younis1, E Sadovsky, T Eldar-Geva

  • 1Department of Obstetrics and Gynecology, Hadassah University Hospital, Ein Karem, Israel.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|August 1, 1990
PubMed
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Elective hospitalization for twin gestations did not significantly reduce premature deliveries. However, hospitalized women had slightly higher birthweights, though not enough to justify hospitalization costs.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatology

Background:

  • Premature delivery is a significant risk in twin gestations.
  • The benefits of hospitalization for managing twin pregnancies are debated.
  • Identifying interventions to improve outcomes in twin pregnancies is crucial.

Purpose of the Study:

  • To evaluate the effectiveness of elective hospitalization in preventing premature delivery in twin gestations.
  • To assess the impact of hospitalization on gestational duration and birthweight in twin pregnancies.
  • To determine if hospitalization benefits outweigh its costs in managing uncomplicated twin gestations.

Main Methods:

  • A comparative study involving three groups of women with twin gestations.
  • Study group: 43 women electively hospitalized between 30-32 and 36 weeks gestation.

Related Experiment Videos

  • Control groups: 55 women resting at home and 53 women with no specific rest instructions.

    • Main Results:

    • Elective hospitalization did not significantly alter gestational duration or prematurity rates.
    • Hospitalized women showed a modest increase in mean birthweight compared to controls (143-205g difference).
    • This birthweight increase was more pronounced in multiparous women but did not justify hospitalization costs.

    Conclusions:

    • Elective hospitalization for twin gestations does not appear to prevent premature delivery.
    • While a slight increase in birthweight was observed, it is insufficient to warrant the expense of hospitalization.
    • Current evidence suggests hospitalization is not cost-effective for uncomplicated twin pregnancies.