Pregnancy outcomes in twin gestation

Twin gestation is generally associated with significant feto-maternal
complications. Women with twin pregnancy need more contact with the health care
provider during the antenatal period. This study evaluated the pregnancy outcomes in
women with twin gestation at a central hospital in Bulawayo, Zimbabwe.
The study was conducted at Mpilo Central Hospital, a tertiary health institution
in Zimbabwe from 1 January 2017 to 31 July 2017. It was based in labour ward and
postnatal ward. The inclusion criteria was women with twin gestation attending Mpilo
Central Hospital maternity unit for delivery at or above the gestational age of 28 weeks. The objective was to determine the pregnancy outcomes in women with twin gestation.
A data collection form was used to record data on patient demographics, antenatal
information, and maternal and perinatal outcomes. The main outcomes were booking status, gestational age at booking, antenatal hospitalization, PPROM, hypertensive disorders of pregnancy, anaemia, preterm labor and delivery, cesarean section, HIV infection, stillbirth, NICU/ SCBU admissions, birth asphyxia, prematurity and low birth weight.
The statistical analyses were performed using the Statistical Package for Social Sciences (SPSS version 20). Basic descriptive statistics were used to describe maternal
characteristics and delivery outcomes for different categories. The results were presented using tables and graphs. Chi-square test analyses were performed to measure the relationship between some outcomes.

During the study period, a total of 5 072 deliveries occurred at Mpilo Central
Hospital. 117 (2.31%) of the women had twin gestation of which 115 (98.3%) were
enrolled into the study. This study showed that women with twin gestation are at high risk of adverse outcomes. 39.1% were unbooked, 26.1% were HIV positive, and 40% were hospitalized during antenatal period. There was high risk of hypertensive disorders which affected 28.7% of mothers, preterm labor (36.5%), PPROM/ PROM (20.9%), anaemia (27.8%), caesarian delivery (43.5%) and postpartum haemorrhage (15.7%). Babies were also at high risk adverse perinatal outcomes which included prematurity which affected 48.7% of the babies, low birth weight (49.6%), birth asphyxia (7.8%), respiratory distress (12.2%). 35.2% of the babies were admitted into NICU or SCBU.

双胎妊娠通常与母胎并发症显著相关。患有双胎妊娠的妇女在孕期期间需要与医疗保健提供者保持更多的联系。本研究评估了津巴布韦布隆迪中央医院双胎妊娠妇女的妊娠结果。该研究于2017年1月1日至2017年7月31日在津巴布韦的 Mpilo 中央医院——一所三级医疗机构——进行，研究地点为产科病房和产后病房。纳入标准为28周及以上孕周来Mpilo 中央医院产科单元分娩的双胎妊娠妇女。研究目标在于确定双胎妊娠妇女的妊娠结果。研究者使用数据收集表格记录患者的基线信息、孕期信息以及母体和围产期结果。主要结果指标包括预约状态、预约时的孕周、孕期住院、PPROM、妊娠高血压疾病、贫血、早产及分娩、剖宫产、HIV感染、死产、新生儿重症监护病房/婴儿重症监护病房的入院、新生儿窒息、早产和低出生体重。统计分析采用社会科学统计软件包（SPSS版本20）进行。基本描述性统计用于描述不同类别中的母体特征和分娩结果。结果以表格和图表的形式呈现。采用卡方检验分析以测量某些结果之间的关系。在研究期间，Mpilo 中央医院共发生5,072次分娩。其中117名（2.31%）妇女患有双胎妊娠，其中115名（98.3%）被纳入研究。本研究表明，双胎妊娠的妇女面临着高风险的不良妊娠结果。其中39.1%未预约，26.1%为HIV阳性，40%在孕期期间住院。妊娠高血压疾病的发病率较高，影响了28.7%的母亲，早产（36.5%）、PPROM/PROM（20.9%）、贫血（27.8%）、剖宫产（43.5%）和产后出血（15.7%）的风险增加。婴儿也面临着高风险的不良围产期结果，包括早产（影响48.7%的婴儿）、低出生体重（49.6%）、新生儿窒息（7.8%）、呼吸窘迫（12.2%）。35.2%的婴儿被收入新生儿重症监护病房或婴儿重症监护病房。