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KMID : 0358419790220020135
Korean Journal of Obstetrics and Gynecology
1979 Volume.22 No. 2 p.135 ~ p.142
Clinical Observation for Twin Pregnancy -Review of 96 Gases-
±èÁ¾½Ä/Kim JS
ÀÌÁ¾ÅÂ/À̵¿¼ö/±èµ¿¼º/Lee JT/Lee DS/Kim DS
Abstract
A clinical review of 96 twin deliveries at the Dept. of Obstet. & Gynecol., Taegu Fatima Hospital for 5 years from Jan., I 1973 to Dec., 31, 1977 was presented. 1) The frequency of twin birth was one in 73 births. 2) The youngest was twenty-one year old woman and the oldest was forty year old one in twin deliveries. Average age was twenty-eight years. And in primipara 45.8 per cent of twin delivery occurred. 3) Delivery after 37th week of gestation occurred in 81.6 per cent and the babies weighing over 2,500gm. Revealed 60.4 percent. In the first twin and 46.8 per cent. In the second twin. Apgar score 7¡­10 was shown in 85.4 per cent, and cephaliic-breech combination was 28.1 per cent. 5) The mode of delivery in twin pregnancy, the first twin baby was 54.2 percent in vaccum delivery, 22.9 per cent in spontaneous delivery and 7.3 percent in cesarean section and the second twin baby was 49.0 per cent in vaccum delivery, 15.6 per cent in breech extraction and 7.3 percent in cesarean section. 7 cases of cesarean section, 7.3 per cent was encountered, it`s main indication being such as placenta previa, contracted pelvis and uterine dysfunction. 6) In 13.5 per cent of the cases manual removal of the placenta was performed. 7) There were 39 cases of both males, 40.6%, 34 cases of both famales, 35.4%, and 23 cases of opposite sex, 24.0%, and in about half of the cases, the placenta with monochorionic and diamniotic membranes were seen. 8) As maternal complication of twin pregnancy, 40.9 per cent of toxemia, anemia in 38.0 per cent, postpartum hemorrhage in 42.4 per cent were noted. 9) There were 11 perinatal deaths, it revealing 57.3 of perinatal mortality rate of twins.
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