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Obstetrical Profile of Twin Pregnancies: A Retrospective Review of 11 Years (1969–1979) at Hôpital Notre-Dame, Montréal, Canada

Published online by Cambridge University Press:  01 August 2014

Xavier De Muylder ,
Jean-Marie Moutquin ,
Marie Françoise Desgranges ,
Bernard Leduc  and
Francisco Lazaro-Lopez
Xavier De Muylder
Affiliation:
Department of Obstetrics and Gynecology, Department of Neonatology, Hôpital Notre-Dame, University of Montréal
Jean-Marie Moutquin*
Affiliation:
Department of Obstetrics and Gynecology, Department of Neonatology, Hôpital Notre-Dame, University of Montréal
Marie Françoise Desgranges
Affiliation:
Department of Obstetrics and Gynecology, Department of Neonatology, Hôpital Notre-Dame, University of Montréal
Bernard Leduc
Affiliation:
Department of Obstetrics and Gynecology, Department of Neonatology, Hôpital Notre-Dame, University of Montréal
Francisco Lazaro-Lopez
Affiliation:
Department of Obstetrics and Gynecology, Department of Neonatology, Hôpital Notre-Dame, University of Montréal
*
Hôpital Notre-Dame, Sherbrooke Street East, Montréal, PQ, Canada H2L 4K8

Abstract

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Four hundred and thirty-four twins delivered from 220 women at Notre-Dame Hospital were studied during a period of 11 years (1969–1979). The maternal, fetal, and neonatal outcome was compared before and after 1974, the year ultrasonography and other changes in perinatal care were introduced in our institution. Early diagnosis occurred more frequently after 1974, together with increased antenatal hospitalization. Preeclampsia and hepatic cholestasis occurred in 19.5% and 9.5% of women, respectively. Preterm delivery occurred in 42.2% of the cases. The corrected fetal mortality rate was 30.2/1,000 and corrected perinatal mortality rate was 74.9/1,000. About 90% of the neonatal deaths occurred in infants born before 36 weeks. Internal version and complete extraction of the second twin increased the neonatal mortality sixfold compared to spontaneous delivery. Availability of ultrasound examination significantly reduced preterm delivery.

Keywords

TwinsAntenatal careUltrasoundPresentationToxemiaCholestasisPrematurityPerinatal mortalityAntenatal hospitalizationIntrauterine growth retardation
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 31 , Issue 3-4: Special Issue on Twin Pregnancies , July 1982 , pp. 149 - 155
Copyright
Copyright © The International Society for Twin Studies 1982

References

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