Effect of parity on maternal and neonatal outcomes in twin gestations

摘要: Objective. To compare maternal and neonatal outcomes of twin gestations in nulliparous multiparous women. Design. Retrospective analysis records. Setting. American University Beirut Medical Center, a referral university-affiliated hospital. Population. Pregnant women who delivered beyond 24 weeks from 1990 to 2004. Methods. The data collected were analyzed using Student's paired t-test or χ2test. Logistic regression was used study the effect multiple variables on preterm delivery. Main Outcome Measure. Preterm birth rate. Results. Nulliparas (n=333) more likely be younger (28.1±5.4 vs. 30.0±5.2years; p<0.001) pregnancy product assisted reproductive technology (23.1 4.5%; p<0.001) compared with multiparas (n=508). They at significantly increased risk delivery (54.4 45.1%; p=0.009) lower gestational age (35.6±3.2 36.2±3.0 weeks; p=0.004). had longer first second stages labor higher cesarean rate (61.3 44.9%; p<0.001). Except for intensive care nursery admission stay twins nulliparas, all morbidities comparable. On logistic analysis, multiparity (relative 0.70, 95% confidence interval 0.51–0.97) growth restriction 0.16, 0.12–0.22) protective, while discordance 2.24, 1.40–3.60) predictor delivery. Conclusions. Nulliparous are women. Although this not translated into perinatal mortality, these should monitored closely counseled regarding risks their attendant morbidity.