Maternal and perinatal outcomes in twin pregnancies conceived spontaneously and by assisted reproductive techniques: cross-sectional study

BACKGROUND The incidence of multiple pregnancies in industrialized countries due to the use of assisted reproductive techniques has increased over the past two decades. Multiple births are more dangerous than single pregnancies for mother and baby. This study evaluated the frequency of multiple pregnancies and its neonatal complications.METHODS In this cross-sectional study, we assessed all multiple neonates hospitalized in Fatemieh Hospital of Hamadan, Iran from September 2016 to September 2017 in terms of gender, gestational age, birth weight, the use of assisted reproductive techniques, delivery method, cause of hospitalization, therapeutic intervention, and hospitalization outcome.RESULTS Of 10,581 deliveries during the study period, 351 (3.3%) was multiple pregnancies and 232 neonates hospitalized. The incidence of twin, triplet, and quadruplet birth were 1.7%, 0.39%, and 0.11% respectively. In this study, 178 twin and 54 triplet and quadruplet birth were compared. The mean gestational age and mean birth weight of triplet and quadruplet were lower than that of twin births (p<0.001). A significant difference was found on the frequency of assisted reproductive techniques (p<0.001). Female sex (p=0.007), lower mean gestational age (p=0.009), lower mean birth weight (p=0.017) and need to mechanical ventilation (p<0.001) were significantly associated with early neonatal death in multiple pregnancies.CONCLUSIONS The incidence of multiple births was high in the Hamadan province, which was often followed by infertility treatment. Moreover, multiple births cause prematurity, low birth weight, respiratory distress syndrome, and increased neonatal mortality rate.

Download Full-text

The results of different labour induction approaches: A Cross sectional study

Obstetrics & Gynecology International Journal ◽

10.15406/ogij.2021.12.00561 ◽

2021 ◽

Vol 12 (2) ◽

pp. 108-111

Author(s):

Jorge Duro Gómez ◽

María Dolores Lara Dominguez ◽

Antonio De La Torre Gonzalez ◽

Araceli Lopez Jimenez ◽

Beatriz Pineda Reyes ◽

...

Keyword(s):

Caesarean Section ◽

Perinatal Outcomes ◽

Clinical History ◽

Cross Sectional Study ◽

High Rate ◽

Labour Induction ◽

Sectional Study ◽

Cross Sectional ◽

Vaginal Deliveries ◽

Twin Pregnancies

Background and Purpose: To evaluate the use of prostaglandins and oxytocin in labour induction according to different indications. Perinatal outcomes, rate of vaginal delivery and complation of labour were studied and compared. Methods: Cross-sectional descriptive study from January 2012 to December 2012. 530 women who required labour induction were included. Seven groups were created according to the methods of induction. Women with twin pregnancies, induction of dead foetus, two previous caesarean sections or an incomplete clinical history were excluded. Results: The rate of vaginal deliveries in women that only received prostaglandins the first day was 84.6%; similar in women with prolonged pregnancies, 85.2%. The induction with oxytocin directly showed the highest rate of caesarean section. The rate of vaginal deliveries was 50% in women with previous caesarean section. Conclusions: A high rate of vaginal deliveries with a single dose of prostaglandin and within 24 hours of beginning induction. Administration of prostaglandins must be used when cervix is unfavorable and previous to oxytocin stymulation.

Download Full-text

Risk factors and adverse maternal and perinatal outcomes for women with dichorionic twin pregnancies complicated by gestational diabetes mellitus: A retrospective cross‐sectional study

Journal of Diabetes Investigation ◽

10.1111/jdi.13441 ◽

2020 ◽

Author(s):

Tai‐Ho Hung ◽

T’sang‐T’ang Hsieh ◽

Steven W Shaw ◽

Chan Kok Seong ◽

Szu‐Fu Chen

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Perinatal Outcomes ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Twin Pregnancies

Download Full-text

Evaluation of the outcome of assisted reproductive techniques in patients with inflammatory bowel disease: A cross sectional study

Fertility and Sterility ◽

10.1016/s0015-0282(02)03774-3 ◽

2002 ◽

Vol 78 ◽

pp. S146

Author(s):

Mohamed A Bedaiwy ◽

Kurt Miller ◽

Jeffery M Goldberg ◽

Marjan Attaran ◽

Ashok Agarwal ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

Bowel Disease ◽

Cross Sectional Study ◽

Assisted Reproductive Techniques ◽

Sectional Study ◽

Cross Sectional ◽

Reproductive Techniques ◽

Inflammatory Bowel

Download Full-text

The attitudes of infertile couples towards assisted reproductive techniques in Yazd, Iran: A cross sectional study in 2014

International Journal of Reproductive BioMedicine ◽

10.29252/ijrm.14.12.761 ◽

2016 ◽

Vol 14 (12) ◽

pp. 761-768

Author(s):

Seyed Alireza Afshani ◽

Ali Mohammad Abdoli ◽

Mehrieh Hashempour ◽

Maryam Baghbeheshti ◽

Mohammad Zolfaghari ◽

...

Keyword(s):

Cross Sectional Study ◽

Assisted Reproductive Techniques ◽

Sectional Study ◽

Cross Sectional ◽

Reproductive Techniques ◽

Infertile Couples

Download Full-text

Perinatal Outcomes in Monozygotic Pregnancies Resulting From Assisted Reproductive Techniques: A Single-Center 6-Year Experience Base on a Large Cohort of Pregnancies

10.21203/rs.3.rs-149411/v1 ◽

2021 ◽

Author(s):

Nur Güngör ◽

Tuğba Gürbüz

Keyword(s):

Perinatal Outcomes ◽

Monozygotic Twin ◽

Cross Sectional Study ◽

Assisted Reproductive Techniques ◽

Cross Sectional ◽

Vitro Fertilization ◽

Reproductive Techniques ◽

Potential Risks ◽

Clinical Conditions

Abstract Purpose: Monozygotic twin (MZT) pregnancies increase the risk of maternal and infant mortality and reveal many complications. In the present study, we aimed to share our assisted reproductive techniques (ART) through the analysis of perinatal outcomes in MZT pregnancies.Materials and Methods: In this retrospective clinical cross-sectional study, 1159 cycles in the In vitro fertilization (IVF) program between October 2014 and December 2019 were retrospectively evaluated and perinatal outcomes and general clinical conditions were analyzed. Results: 16 cycles with MZT were achieved with IVF, resulting in a MZT incidence of 1.38%. The MZT incidence aged≤35 and >35 years were 0.2% and 1.1%, respectively. Eight MZT pregnancies resulted in a live birth, while 5 MZT resulted in an abortus. A significant positive correlation was found between the number of trials and the age of female (r:0.674; p=0.004) and male (r:0.657; p=0.006). Cumulus-Oocytes Complexes (COC) (r:0,635; p=0,008), Metaphase II Oocyte (MIIO) (r:0,627; p=0,009), Pronucleus Oocyte (PO) (r:0,585; p=0,017) were correlated with serum AMH levels. Number of MZT was positively correlated with the male age (r:0,527; p=0,036), while negatively correlated with embryo transfer day (ETd) (r: -0,548; p=0,028). Conclusion: The pregnancies that we identified and achieved with IVF had a similar incidence of MZT with the literature, although its risk was more for women >35 years. MZT pregnancies can become a problem as the increasing number of IVF applications continue due to its potential risks for both maternal and fetus.

Download Full-text

The predictive value of signs and symptoms in predicting adverse maternal and perinatal outcomes in severe preeclampsia in a low-resource setting, findings from a cross-sectional study at Mpilo Central Hospital, Bulawayo, Zimbabwe

Pregnancy Hypertension ◽

10.1016/j.preghy.2020.05.004 ◽

2020 ◽

Vol 21 ◽

pp. 77-83

Author(s):

Solwayo Ngwenya ◽

Brian Jones ◽

Desmond Mwembe ◽

Hausitoe Nare ◽

Alexander Heazell

Keyword(s):

Predictive Value ◽

Perinatal Outcomes ◽

Signs And Symptoms ◽

Cross Sectional Study ◽

Sectional Study ◽

Central Hospital ◽

Cross Sectional ◽

Resource Setting ◽

Low Resource Setting ◽

Mpilo Central Hospital

Download Full-text

Prevalence and Perinatal Outcomes of Singleton Term Breech Delivery in Wolisso Hospital, Oromia Region, Southern Ethiopia: A Cross-Sectional Study

Journal of Environmental and Public Health ◽

10.1155/2017/9413717 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Temesgen Debero Mere ◽

Tilahun Beyene Handiso ◽

Abera Beyamo Mekiso ◽

Markos Selamu Jifar ◽

Shabeza Aliye Ibrahim ◽

...

Keyword(s):

Perinatal Mortality ◽

Perinatal Outcome ◽

Mode Of Delivery ◽

Birth Asphyxia ◽

Perinatal Outcomes ◽

Cross Sectional Study ◽

Fetal Weight ◽

Sectional Study ◽

Cross Sectional ◽

Breech Delivery

Background.Breech deliveries have always been topical issues in obstetrics. Neonates undergoing term breech deliveries have long-term morbidity up to the school age irrespective of mode of delivery.Objective. To determine prevalence and perinatal outcomes of singleton term breech delivery.Methods. Hospital based cross-sectional study was conducted on 384 participants retrospectively. Descriptive and analytical statistics was used.Result. A total of 384 breech deliveries were included. Prevalence of singleton breech deliveries in the hospital was 3.4%. The perinatal outcome of breech deliveries was 322 (83.9%). Adverse perinatal outcome of singleton term breech delivery was significantly associated with women’s age of greater than or equal to 35 years (AOR = 2.62, 95% CI = 1.14–6.03), fully dilated cervix (AOR = 0.48, 95% CI = 0.25–0.91), ruptured membrane (AOR = 5.11, 95% CI = 2.25–11.6), and fetal weight of <2500 g (AOR = 6.77, 95% CI = 3.22–14.25).Conclusion. Entrapment of head, birth asphyxia, and cord prolapse were the most common causes of perinatal mortality. Factors like fetal weight <2500 gm, mothers of age 35 years and above, those mothers not having a fully dilated cervix, and mothers with ruptured membrane were associated with increased perinatal mortality.

Download Full-text

Oxygen Saturation as a Predictor of Adverse Maternal Outcomes in Women with Preeclampsia

Birat Journal of Health Sciences ◽

10.3126/bjhs.v4i1.23926 ◽

2019 ◽

Vol 4 (1) ◽

pp. 582-585

Author(s):

Sweta Rani ◽

Pallab Kumar Mistri

Keyword(s):

Oxygen Saturation ◽

Perinatal Outcomes ◽

Sampling Technique ◽

Cross Sectional Study ◽

Adverse Outcomes ◽

Therapeutic Interventions ◽

Maternal Outcomes ◽

Sectional Study ◽

Cross Sectional ◽

Medical Disorders

Introduction: In preeclampsia, hypoxemia may result from a number of mechanisms. Preeclampsia remains a complex and poorly understood disease. Currently, there are no reliable predictors of preeclampsia for early diagnosis to avoid adverse maternal or perinatal outcomes. Objective: The objective was to evaluate the efficacy of oxygen saturation (SpO2) as a predictor of adverse maternal outcome in women with preeclampsia. Methodology: We conducted the cross-sectional study on 182 preeclamptic women selected by random sampling technique. They were divided into two groups on the basis of oxygen saturation: 29 preeclamptic women (Group L) having oxygen saturation 95% or below and 153 women (Group H) having oxygen saturation 96% or above. The groups were statistically compared with respect to age, gestational age, proteinuria, severity of hypertension and developing different adverse effect of preeclampsia. Women with any medical disorders were excluded. Results: After statistical analysis, it was seen that the women having Spo2 ≤ 95% (L-Group) had experienced more adverse 2 outcomes. They were more hypertensive and more proteinuric, had higher liver enzyme levels, lower platelet counts, and were more likely to have experienced cardio-respiratory symptoms. Women with adverse outcomes were also more likely to have had therapeutic interventions, including corticosteroids, antihypertensives, and magnesium sulphate. Conclusion: Women having SpO2 ≤ 95% (L-Group) had more adverse 2 outcomes in comparison to SpO2 ≥96%(H-Group).

Download Full-text