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Twin pregnancies--a continuing perinatal challenge

P A Hawrylyshyn, M Barkin, A Bernstein

    Obstetrics and Gynecology
    |April 1, 1982
    PubMed
    Summary
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    Despite increased use of bed rest and ultrasonography, twin pregnancy outcomes remain poor. Early intervention before 30 weeks is crucial for reducing perinatal mortality and neonatal morbidity in twin gestations.

    Area of Science:

    • Obstetrics and Gynecology
    • Perinatology
    • Maternal-Fetal Medicine

    Background:

    • Twin pregnancies carry significantly higher risks of perinatal mortality and neonatal morbidity compared to singleton births.
    • Current management strategies, including bed rest and ultrasonography, have not substantially improved outcomes for twin gestations.

    Purpose of the Study:

    • To analyze the management and outcomes of twin pregnancies over a 5-year period.
    • To identify factors contributing to perinatal mortality and neonatal morbidity in twin gestations.
    • To suggest improvements in the management of twin pregnancies.

    Main Methods:

    • Retrospective analysis of 177 twin pregnancies.
    • Review of management strategies including bed rest and ultrasonography.

    Related Experiment Videos

  • Analysis of perinatal mortality and neonatal morbidity rates.

    • Main Results:

    • Perinatal mortality in twin pregnancies was 13.2%, approximately 10 times that of singleton births.
    • Elective hospitalization for bed rest did not decrease perinatal mortality, though it prolonged gestation.
    • Seventy percent of perinatal mortality occurred before 30 weeks gestation, coinciding with peak neonatal morbidity.

    Conclusions:

    • Current management protocols for twin pregnancies require re-evaluation.
    • Earlier implementation of interventions, particularly before 30 weeks gestation, may be necessary to reduce adverse outcomes.
    • Further research and revised recommendations are needed to improve the care of twin pregnancies.