江汉大学学报（自然科学版）2024，Vol.52Issue(4)：71-75,5.DOI:10.16389/j.cnki.cn42-1737/n.2024.04.008
双胎妊娠不同绒毛膜性母儿妊娠结局差异
Differences in Pregnancy Outcomes of Twins with Different Chorionic Pregnancies
程文娜 1余功志 1曾思羽 1周燕2
作者信息
- 1. 江汉大学 医学部,湖北 武汉 430056
- 2. 武汉儿童医院(武汉市妇幼保健院) 产科三病区,湖北 武汉 430016
- 折叠
摘要
Abstract
Objective To analyze the difference in pregnancy outcomes of twins with different chorionic pregnancies.Methods We analyzed 257 pregnant women with twins who gave birth in Wuhan Maternal and Child Healthcare Hospital from January 2021 to December 2022 and divided them into two groups according to their chorionic characteristics:the double chorionic group and the single chorionic group.The general conditions,delivery outcomes,and neonatal complications of these pregnant women were analyzed retrospectively,and the differences in pregnancy outcomes of different chorionic mothers and children were compared.Results The incidence of preterm delivery in the monochorionic group was higher than in the double-chorionic group(58.4% vs.43.3% ).The difference was statistically significant(P<0.05).There was no significant difference in postpartum hemorrhage(3.9% vs.8.9% )and cesarean section rate(88.3% vs.92.8% )between the monochorionic group and the dichorionic group(P>0.05).The incidence of neonatal low body weight(72.1% vs.47.5% ),neonatal pneumonia(36.4% vs.20.0% ),neonatal hyperbilirubinemia(33.8% vs.22.8% ),and neonatal respiratory failure(15.6% vs.7.5% )in the monochorionic group was higher than that in the dichorionic group.The difference was statistically significant(P<0.05).There was no significant difference in the incidence of neonatal respiratory distress syndrome(8.4% vs.5.8% )and ischemic hypoxic myocardial damage(17.5% vs.11.7% )between the two groups(P>0.05).Conclusion The incidence of preterm birth,low birth weight,neonatal pneumonia,neonatal hyperbilirubinemia,and neonatal respiratory failure are higher in the monochorionic group,which should be paid more attention to clinically.关键词
双胎妊娠/绒毛膜性/妊娠结局Key words
twin pregnancy/chorionicity/pregnancy outcome分类
医药卫生引用本文复制引用
程文娜,余功志,曾思羽,周燕..双胎妊娠不同绒毛膜性母儿妊娠结局差异[J].江汉大学学报（自然科学版）,2024,52(4):71-75,5.
