Clinical Analysis on the Risk Factors Related to Preterm Twin Pregnancy / 实用妇产科杂志

ABSTRACT

Objective:To investigate the incidence and risk factors of preterm twin pregnancy.Methods:343 twin-pregnant women delivered in Beijing Obstetrics and Gynecology Hospital from January 2016 to December 2016 were analyzed retrospectively,including 170 preterm twins and 173 term twins.Results:In the preterm group,mean gestational weeks,the rates of cesarean section and vertex twins,mean birth weight,1 min and 5 min Apgar scores were significantly lower compared with the control group(P ＜ 0.05).Multiple factors Logistic regression analysis demonstrated that monochorionic twins,premature rupture of membranes,hypertensive disorder complicating pregnancy and cicatrical uterus were risk factors of preterm twin pregnancy.Conclusions:Preterm birth in twin pregnancy is in correlation with many risk factors,such as chorionicity,premature rupture of membranes,hypertensive disorder complicating pregnancy and cicatricaluterus.Prenatal care and individualized intervening measures should be strengthened to improve maternal and neonatal outcomes.