Comparison of singleton, twin and triplet pregnancy outcomes of preterm infants delivered before 34 weeks of gestation

Öz

Objective: We aimed to compare the perinatal characteristics, neonatal morbidity and mortality of singletons, twins and triplets born before 34 weeks of gestation and admitted to our neonatal intensive care unit.Method: Singleton and multiple-birth infants born before 34 weeks of gestation and admitted to our unit between January 2012 and January 2013 were compared in terms of demographic features, natal and neonatal problems. Data were collected from medical records. Results: Five Hundred Forty-Four infants were enrolled to the study. Among these, 435 (80%) there were singletons, 92 (17%) twins and 17 (3%) triplets. There was no difference between groups according to maternalage, chorio amnionitis, oligohydramniosis, and diabetes. While all triplet pregnancies had antenatal care, only 43.2% of twin pregnancies and 32.2% of singletons had antenatal care (p<0.0001). As expected, antenatal steroid administration rate was higher in triplets (p<0.01). Although there was no difference between incidence of major morbidities, durations of parenteralnutrition and hospitalization were longer in singleton infants. Mortality was 21.2 % in singletons, 21.3% in twins. All triplet infants were discharged without any complication.Conclusions: There was no adverses hortterm outcome in multiple-birth infants, comparing with singletons. More over, it was found that neonatal outcome was better in multiple-birth group who had higher antenatal care rate.

Anahtar Kelimeler

• Newborn
• singleton
• triplets
• twins.CİLT: 45 YIL: 2014 SAYI: 1ZEYNEP KAMİL TIP BÜLTENİ

Otuz Dört Hafta Altı Tekil, İkiz ve Üçüz Gebelik Sonuçlarının Karşılaştırılması

Öz

Amaç: Yenidoğan kliniğimizde izlenen 34 haftadan küçük, tek, ikiz ve üçüz gebelik sonucu doğan bebeklerin erken neonatal sonuçlarının karşılaştırılması amaçlandı.

Yöntem: Ocak 2012-Ocak 2013 tarihleri arasında servisimizde yatarak izlenen, tekil ve çoğul gebelik sonucu doğan, gebelik yaşı 34 haftadan küçük bebekler demografik özellikler, doğum ve yenidoğan problemleri açısından retrospektif olarak karşılaştırıldı. Veriler hasta dosyalarından elde edildi.

Bulgular: Beş yüz kırkdört hasta çalışmaya alındı. Hasta grubunun 435’ini (% 80) tek, 92’sini (%17) ikiz, 17’sini (%3) üçüz bebekler oluşturmaktaydı. Anne yaşı, koriyoamniyonit, oligohidramniyoz, diyabet açısından gruplar arasında fark yoktu. Üçüz gebeliklerin hepsi antenatal dönemde takipli iken ikiz gebeliklerin %43.2’si, tekil gebeliklerin ise %32.2’sinin antenatal takipli olduğu görüldü (p<0.0001). Bununla ilişkili olarak antenatal steroit yapılma oranı üçüz gebeliklerde daha yüksekti (p<0.01). Majör neonatal morbiditelerin sıklığı açısından anlamlı fark saptanmamakla birlikte parenteral nutrisyon ve yatış süresi tekil bebeklerde daha uzundu. Mortalitenin tekil bebeklerde %21.2, ikizlerde %21.3 olduğu görüldü. Bütün üçüz bebekler sağlıklı olarak taburcu edildi. 

Yorum            : Çoğul gebeliklerde kısa dönem neonatal sonuçlar açısından tekil gebeliklere göre olumsuz bir sonuç saptanmamıştır. Buna ek olarak, gebeliğinde antenatal izlem oranı daha fazla olan çoğul gebelik grubunda neonatal sonuçlar daha olumlu bulunmuştur.

Anahtar Kelimeler

• İkiz
• tekil
• üçüz
• yenidoğan.Comparison of singleton
• twin and triplet pregnancy outcomes of preterm infants delivered before 34 weeks of gestation.

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