Assessment of Frequency of Twin Pregnancy and Neonatal Outcome in Deliveries of Mo'tazedi Hospital, Kermanshah in 2004-2007.

INTRODUCTION: Twin pregnancy is a high-risk pregnancy with different prevalences in different regions of the world which is on the rise due to growing use of assisted reproductive technology. The objective of this study is to determine the frequency of twin pregnancy and the neonatal outcome of these pregnancies. MATERIALS AND METHODS: This is a descriptive-analytic study conducted in 2004-2007 in Mo'tazedi Hospital, Kermanshah on 142 twin deliveries as well as the singleton deliveries before and after twin pregnancy as the control group. The required information, including maternal age, gestational age, newborn's gender, presentation of twins, birth weight, Apgar score, fetal anomalies, and neonatal mortality were extracted from medical files and analyzed statistically. FINDINGS: After assessment of 29,438 deliveries performed from 2004 to 2007, the frequency of twin pregnancy was found out to be 1 in 208 cases (48 %). The mean age of mothers was higher in twin pregnancies. The mean gestational age of twin pregnancy was 34.3 weeks. Apgar score and neonatal weight were significantly lower in twin pregnancy compared to singleton pregnancy (p < 0.001). Furthermore, visible anomalies and mortality were significantly higher in neonates born to twin pregnancies compared to singleton pregnancies (p < 0.0001 and p = 0.009, respectively). The ratio of male to female neonates was 1. CONCLUSION: This study indicated that twin pregnancy is a high-risk condition and entails greater neonatal complications compared to singleton pregnancy. Therefore, it is recommendable to have greater perinatal care and perform deliveries in well-equipped centers under supervision of an obstetrician.

Evaluation of maternal and foetal outcomes in pregnant women hospitalized in Kermanshah Hospitals, Iran, owing to burn injury, 2003-2008.

This study addresses maternal and foetal complications in pregnant women hospitalized for burn injuries in 2003-2008. It was a retrospective descriptive cross-sectional study, carried out in pregnant women hospitalized in the burn ward of Imam- Khomeini Hospital, Iran, in 2003-2008 (burn injury rate, 1.88%, 39 cases; mean age, 23.51 ± 4.78 yr). The pregnant woman death rate was 66.7%: 26 patients died because of burn complications and 13 patients (23.3%) survived. The causes and circumstances of the fatalities are reported. There was a statistically significant relationship between burn severity and foetal and maternal mortality rates (p < 0.02). Burn severity was not statistically related to premature delivery and mode of delivery. The factors affecting prognosis and the maternal and foetal death rates were the total burn area, continuous clinical surveillance of the mother and foetus, and employment of appropriate treatment protocols.

Cette étude affronte les complications maternelles et foetales chez les femmes enceintes hospitalisées pour des brûlures pendant la période 2003-2008. C'est une étude descriptive rétrospective et transversale, menée sur des femmes enceintes hospitalisées dans le service de brûlures de l'hôpital Imam-Khomeini, Iran, entre 2003-2008 (taux de lésions par brûlure, 1,88%, 39 cas; âge moyen, 23,51 ± 4,78 ans ). Le taux de décès dans les femmes enceintes était de 66,7%: 26 patientes décédées pour complications de la brûlure et 13 (23,3%) ont survécu. Les causes et les circonstances des décès sont rapportés. Il y avait une relation statistiquement significative entre la sévérité de l'incendie et le taux de mortalité foetale et maternelle (p < 0,02). La sévérité de l'incendie n'était pas statistiquement liée à un accouchement prématuré et le mode d'accouchement. Les facteurs qui influaient sur le pronostic et les taux de mortalité maternelle et foetale étaient l'extension totale de la zone brûlée totale, la surveillance clinique continuelle de la mère et du foetus, et l'emploi des protocoles de traitement appropriés.

Maternal and foetal outcome of burns during pregnancy in kermanshah, iran.

Burn injury is rare during pregnancy. However, severe burn injury during pregnancy is very dangerous for both mother and foetus. Maternal and foetal outcome depends on the mother's total body surface area (TBSA) burned. In women with more than 50% TBSA burned, foetal and maternal complications are considerable. Our study on pregnant women over a period of 12 years in Kermanshah, Iran, found 59.5% maternal mortality in the age range 21-40 yr. This study shows a positive correlation between foetal and maternal mortality, morbidity, and TBSA burned, with the highest rate in women with more than 50% TBSA.