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KMID : 0358419760190070495
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 7 p.495 ~ p.503
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Clinical observation for multiple pregnancies
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배석천/Bae SC
남궁성은/김도강/오원섭/Namkoong SE/Kim DK/O WS
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Abstract
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1. During the period there were 543 sets of twin births 7 sets of triplets and 1 set of quadruplets and no sighnificant difference revealed annual incidence of multiple births. 2. The youngest was 18 year old woman, the oldest was 44 year old woman and average age was 29 year old woman in multiple pregnancies. Primipara was occupied 63.4% 3. The familial and previous history of multiple pregnancies was 26 (6%) cases and 2 (0.5%) cases in twin pregnancies respectively. 4. An incidence of 57.9% of twin and 50% of triplets were delivered between the 37th and 40th week of gestation and one case of quadruplets was belong between 33th and 36 th week of gestation. 5. In presentation of twin pregnancies vertex vertex combination was 47.3% and vertex-breech combination was 41.1%. Vertex presentation of 1st twin was 3 cases in triplets and 1 caese in quadruplets. 6. In the twin deliveries were 218 (40.2%) cases of both males, 223 (41.1%) cases of both females and 102 (18.8%) cases of opposite sex. And in about half of the twin deliveries the placentas with monochorionic and diamniotic membranes were seen 7. The mode of delivery in twin pregnancy the 1st twin baby 51.6% in sponataneous delivery, 21.9% in vaccum delivery and 13.1% in cesarean section and the 2nd twin baby was 31.7% in spontaneous delivery 27.9% in breech extraction and 19.1% in vaccum delivery. 73 cases of cesarean section 13.4% was encountered it`s main indication being such as uterine dysfunction and elective cesarean section. 8. As maternal complications of twin pregnancy ; the antepartum complication was toxemia, premature labor and anemia, the intrapartum complications was PRM and uterine dysfunctin, and the postpartum complication was postpartum hemorrhage, etc 9. there were 133 perinatal deaths it revealing 12.6% of perinatal mortality rate of twin and two cases of maternal deaths were encountered.
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