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| Delivery mode, of postpartum hemorrhage and the neonatal outcomes of twin pregnant women in different gestational weeks |
| 1. The Frist People's Hospital of Suqian, Jiangsu Province, 223800; 2. Suzhou Municipal Hospital of Jiangsu Province |
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Abstract To study the situations of postpartum hemorrhage and the neonatal outcomes of twin pregnant women with pregnancy termination in different gestational weeks by different delivery model. Methods: The clinical data of 105 pregnant women with twin pregnancy from December 2018 to December 2021 were collected. The delivery model, the gestational weeks of newborns, the premature delivery rate, and the abortion rate during the third trimester of pregnancy, the fetal weight, and the incidence of neonatal asphyxia of these women were analyzed retrospectively. The incidence of neonatal asphyxia and the situation of postpartum hemorrhage of the women after cesarean section (in group A) or vaginal delivery (in group B) were analyzed, which included 32 cases with delivery during ≥37 gestational weeks, 52 cases with delivery during 34-36 gestational weeks, and 21 cases with delivery during 28-33 gestational weeks. Results: There was no significant difference in the incidence of postpartum hemorrhage of the women delivered during ≥37 gestational weeks (0 vs. 10%), during 34-36 gestational weeks (28.6% vs. 8.9%), and during 28 to 33 gestational weeks (0 vs. 6.3%) between the two groups (P>0.05). When delivery during 34-36 gestational weeks, the asphyxia rate (4.4%) of the second neonate of the women in group A was significantly different from that (14.3%) of the women in group B, and the body weight of neonates in group B was significantly lower than that in group A (all P＜0.05). When delivery during ≥37 and 28-33 gestational weeks, there were no significant differences in neonatal asphyxia rate and the neonatal birth weight between the two groups (P>0.05). Conclusion: The pregnant women with twin pregnancies should be prolonged their pregnancy to 36-37 gestational weeks as far as possible, and the indications of cesarean section should not be severely limited for decreasing the risk of accidents that may occur in the process of vaginal trial delivery.
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