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Obstetrical Implications in Multiple Pregnancies

Published online by Cambridge University Press:  01 August 2014

A. Pachì ,
R. Paesano ,
T. Giorgetti ,
C. Conti Puorger ,
V. Petrelli ,
G. Ianiro ,
M.T. Rocino  and
G. Spera
A. Pachì*
Affiliation:
2nd Obstetrics and Gynaecology Clinic, University of Rome “La Sapienza”, Rome, Italy
R. Paesano
Affiliation:
2nd Obstetrics and Gynaecology Clinic, University of Rome “La Sapienza”, Rome, Italy
T. Giorgetti
Affiliation:
2nd Obstetrics and Gynaecology Clinic, University of Rome “La Sapienza”, Rome, Italy
C. Conti Puorger
Affiliation:
2nd Obstetrics and Gynaecology Clinic, University of Rome “La Sapienza”, Rome, Italy
V. Petrelli
Affiliation:
2nd Obstetrics and Gynaecology Clinic, University of Rome “La Sapienza”, Rome, Italy
G. Ianiro
Affiliation:
2nd Obstetrics and Gynaecology Clinic, University of Rome “La Sapienza”, Rome, Italy
M.T. Rocino
Affiliation:
2nd Obstetrics and Gynaecology Clinic, University of Rome “La Sapienza”, Rome, Italy
G. Spera
Affiliation:
2nd Obstetrics and Gynaecology Clinic, University of Rome “La Sapienza”, Rome, Italy
*
II Cattedra di Clinica Obstetrica e Ginecologica, Policlinico Umberto I, Viale Regina Elena 324, 00161-Roma, Italia

Abstract

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In the present study 90 multiple pregnancies were examined. These were subdivided on the basis of the number of embryos involved (74 twins, 10 triplets, 6 quintuplets) and on whether they were followed at our clinic for the entire pregnancy or not. In each group we analysed certain variables, calculating the respective mean values and standard deviations. We used the ANOVA test to discriminate the eventual differences in the means of the variables analysed, operating a p<0.05 significance value. In addition, significant differences were analysed by the test of Contrasts (Scheffe F-test). The concept that emerged from the data investigated is that careful management of these pregnancies, carried out in high-level structures, can reduce the incidence of complications on both the maternal and fetal side and thus prevent “minimal brain damage” in the newborn.

Keywords

TwinningMultiple pregnanciesTripletsQuadrupletsQuintupletsPreterm delivery.
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 43 , Issue 1-2 , April 1994 , pp. 33 - 43
Copyright
Copyright © The International Society for Twin Studies 1994

References

REFERENCES

1. Boklage, CE (1987): Twinning, non-righthandedness and fusion malformations evidence for heritable causal elements in common. Am J Med Genet 28 (1):67–84.CrossRefGoogle Scholar
2. Dudley, DK, D'Altan, ME (1986): Single fetal death in twin gestation. Semin Perinatol 10:65–73.Google ScholarPubMed
3. Mechin, GA (1993): Pathology of twinning. In Keeling, JW (ed): Fetal and Neonatal Pathology (2nd ed). London: Springer-Verlag Ltd.Google Scholar
4. Nogeotte, MP (1990): Prevention and treatment of preterm labor in twin gestation. Clin Obstet Gynecol 33:101–108.Google Scholar
5. Pachi, A, Paesano, R, Masella, C et al (1992): Multiple pregnancies: diagnosis and monitoring, (in Italian) Gravidanze multiple: diagnosi e monitoraggio. Bollettino della S.I.M.P. 1:7–9.Google Scholar
6. Peacemann, M, Dooley, SL et al (1992): Antepartum management of triplet gestations. Am J Obstet Gynecol 167:1117–1120.CrossRefGoogle Scholar
7. Ron-El, R, Mor, Z et al (1992): Triplet, quadruplet and quintuplet pregnancies. Acta Obstet Gynecol Scand 71:347–350.CrossRefGoogle ScholarPubMed
8. Schinze, A (1983): Structural defects in twins, (in Italian) Difetti strutturali nei gemelli. Prospettive in pediatria 50:89–94.Google Scholar