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|Title: ||Multiple Pregnancy and Preterm Labor|
|Authors: ||Kurdi, Ahmed M.|
Mesleh, Rateb A.
Al-Hakeem, Malak M.
Khashoggi, Tareq Y.
Khalifa, Hani M.
|Keywords: ||Multiple pregnancy|
|Issue Date: ||2004 |
|Citation: ||Saudi Medical Journal: 25 (5): 632-637|
|Abstract: ||Multiple gestations are high risk
pregnancies, which may be complicated by pre-maturity,
low birth weight infants, pre-eclampsia, anemia,
postpartum hemorrhage, intrauterine growth restriction,
neonatal morbidity and high perinatal, neonatal and
infant mortality. This study was carried out to determine
the incidence and effect of multiple pregnancies on
pre-term labor in tertiary care hospitals.
Methods: Retrospective case record analysis of 375
cases of multiple pregnancies that were reported at
Armed Forces Hospital and King Khalid University
Hospital, Riyadh, Kingdom of Saudi Arabia, between
January 2000 and December 2001. The data was
analyzed to determine the incidence of multiple
pregnancies and its effect on pre-term delivery.
Results: The over whole incidence of twins was
14/1000 births. Premature labor in multiple pregnancies
was 7 times greater than singletons (42% versus 6.4%).
Almost half of multiple pregnancy cases were delivered
by cesarean section (49% versus 14%). Pregnancy was
induced in 34% of cases. Cervical cerclage was applied in only 8% of cases and betamemetics were administered
to only 11% of cases. Fetal distress in labor, abnormal
presentation and previous uterine scar were the main
indications for cesarean section. Fifty percent had no
antenatal complications, gestational diabetes complicated
16%, and anemia was reported in 22% of cases.
Conclusion: Preterm delivery remains the most serious
complication of multiple pregnancies. Multiple gestation
children may suffer long term sequel of, prenatal
complications, including cerebral palsy and hearing
disabilities. Every effort should be made to" reduce the
risk of multiple gestation and pre-terirj"'iabor through
proper control and close monitoringiof fertility drugs,
limiting number of embryo transfer to maximum of 3 or
only 2, improving the socioeconomic status of expectant
mothers, reduce cigarette smoking, relieve maternal
stress, restrictien'of maternal activity, frequent contact
with health care personnel and treatment of any obstetric
or medical disorders.|
|Appears in Collections:||College of Medicine|
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