Twin pregnancy: prematurity and perinatal mortality

An 8-year (1976-1984) retrospective analysis was undertaken of the management and outcome of 245 twin pregnancies delivered at Flinders Medical Centre, Adelaide. The incidence of twin delivery was 1 in 69 with a perinatal mortality of 85.7 per 1,000 total births. Amongst 42 perinatal deaths, 28 were...

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Bibliographic Details
Published inAustralian & New Zealand journal of obstetrics & gynaecology Vol. 26; no. 3; p. 165
Main Author O'Shea, R T
Format Journal Article
LanguageEnglish
Published Australia 01.08.1986
Subjects
Bed Rest
Female
Fetal Death - etiology
Hospitalization
Humans
Infant Mortality
Infant, Newborn
Infant, Premature
Obstetric Labor, Premature - etiology
Pregnancy
Pregnancy, Multiple
Retrospective Studies
Twins
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Summary:An 8-year (1976-1984) retrospective analysis was undertaken of the management and outcome of 245 twin pregnancies delivered at Flinders Medical Centre, Adelaide. The incidence of twin delivery was 1 in 69 with a perinatal mortality of 85.7 per 1,000 total births. Amongst 42 perinatal deaths, 28 were associated with preterm labour at or before 28 weeks' gestation. If bed rest in hospital is to be implemented as a possible means of improving perinatal outcome in twin pregnancy it needs to be effected between 21 and 28 weeks' gestation; there is no rational theoretical basis for hospitalization beyond this time.
ISSN:0004-8666
DOI:10.1111/j.1479-828X.1986.tb01558.x