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Is Routine Hospitalization in Twin Pregnancy Necessary? A Follow-up Study

Published online by Cambridge University Press:  01 August 2014

Anna-Liisa Hartikainen-Sorri
Anna-Liisa Hartikainen-Sorri*
Affiliation:
Department of Obstetrics and Gynecology, University of Oulu, Finland
*
Department of Obstetrics and Gynecology, University of Oulu, SF-90220 Oulu 22, Finland

Abstract

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During the years 1979-1980, a prospective study was carried out to evaluate the value and efficacy of routine hospital bed rest in the prevention of premature birth and pregnancy complications in twin gestation. This was done by comparing hospital bed rest to special antenatal care at outpatient clinic. Since the results did not support the idea of using routine hospital bed rest, this was abandoned. Because the material was rather small, the results of the changed policy of management were controlled in the present follow-up study. The material consists of 102 twin pregnancies diagnosed during the years 1982-1983. The number of deliveries before the 34th gestational week and of < 1500 g weighing infants were still decreasing (9.0% and 3.0%). Perinatal mortality after the 24th gestational week was 2.0%. The follow-up study confirmed the unefficacy of routine hospital bed rest. Early diagnosis is the basis of the management of twin pregnancy. This allows counselling of the pregnant women, regular examinations to detect pregnancy complications, and also planning of the delivery.

Keywords

Twin pregnancyAntenatal careBed restUltrasound examinationSymphyseal-fundal measurementPrematurity
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 34 , Issue 3-4 , October 1985 , pp. 189 - 192
Copyright
Copyright © The International Society for Twin Studies 1985

References

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