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[Hypertension in twin pregnancy]

P Mancino1, M Cocola, P Russo

  • 1I Clinica Ostetrica Ginecologica IV Divisione, Università degli Studi di Roma La Sapienza-Roma.

Minerva Ginecologica
|July 25, 1998
PubMed
Summary

Twin pregnancies pose risks; early management of factors like hypertension and obesity improves outcomes. Intensive therapy and monitoring are key for better maternal and fetal health in high-risk twin gestations.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatology

Context:

  • Twin pregnancies have increased, presenting elevated risks for both mother and fetus if not managed appropriately.
  • Hypertension in pregnancy (gestosis) is a significant concern in twin gestations.
  • Previous studies highlight the need for careful monitoring and intervention in high-risk pregnancies.

Purpose:

  • To analyze outcomes of 200 twin births between 1991-1996.
  • To investigate the incidence of hypertension, fetal repercussions, and placental morphology in twin pregnancies.
  • To evaluate the effectiveness of early risk factor correction and intensive management strategies.

Summary:

  • A study of 200 twin births revealed hypertension in 5.5% of mothers, with 66.6% experiencing premature delivery.

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  • Newborns were predominantly Appropriate for Gestational Age (AGA) at 80%, with 20% Small for Gestational Age (SGA).
  • Effective management involved early correction of risk factors, intensive therapy, rest, and close monitoring.

    • Impact:

    • Early intervention and comprehensive management strategies can significantly improve outcomes for twin pregnancies.
    • Identifying and treating risk factors like obesity, edema, and proteinuria is crucial for preventing severe complications.
    • This study underscores the importance of proactive care in reducing adverse events in twin gestations.