双胎妊娠47例临床分析

目的　通过对 47例双胎妊娠资料进行回顾性分析 ,找出双胎妊娠的高危因素 ,以正确防治并发症 ,提高婴儿生存率。方法　分析 47例双胎妊娠资料中胎先露类型与分娩方式 ,分娩方式与围生儿窒息及死亡的关系 ,并发症的发生情况等。结果　剖宫产 2 5例 ,阴道分娩 2 2例。阴道分娩窒息率明显高于剖宫产窒息率。并发症中以妊高征为最多 ,其次为贫血、产后出血和早产。结论　对于双胎妊娠 ,应早期行B超及其它检查 ,以达到早期诊断并及时防治并发症 ,并应放宽剖宫产指征

Clinical Analysis of 47 Twin Pregnancy

Objective To prevent and cure for complication of twin pregnancy and increase the survival rate of infants, we try to find high risk factor of twin pregnancy by retrospective analysis for our hospital's data of 11 years. Methods The data of 47 twin pregnancys were analysed to study the relationship between presentation type and delivery type, the relationship between delivery type and preinatal mortality, and the incidence of complication. Results Of the 47 twin pregnancys, there were 25 cesarean and 27 vagina delivery. the incidences of asphyxia was significantly higher in vagina delivery than in cesarean. Gestation hypertension was the most in the complications, then was anemia, postpartum hemorrhage and premature delivery. Conclusion For the twin pregnancy, we should carry on the ultrasonic and other examination early so as to diagnosis early and prevent and cure for complication timely. In the mean time, we should not over limited the indication of cesarean for twin pregnancy.