Obstetric and perinatal outcomes in women with multiple pregnancy in Altai region
https://doi.org/10.23946/2500-0764-2019-4-3-27-33
Abstract
Aim. To study complications and perinatal outcomes of multiple pregnancy in women of the Altai Region.
Materials and Methods. We recruited 678 consecutive pregnant women, including 378 with multiple pregnancy, with the subsequent analysis of clinical and ultrasound examination data as well as perinatal outcomes.
Results. Women with multiple pregnancy were characterised by a significantly higher rate of gynecological and somatic diseases including pregnancy-related anemia (20.2% versus 4.3% in women with multiple and singleton pregnancy, respectively, OR = 6.0, 95% CI = 3.2-11.3). Further, multiple pregnancy was a significant risk factor for preterm birth (62.26% and 21.82%, respectively, OR = 5.9, 95% CI = 4.2-8.4, p ≤ 0.001). Application of cervical pessary was able to prolong the multiple pregnancy for 4 weeks.
Conclusion. Prevention of threatening preterm birth in women with a multiple pregnancy using a cervical pessary improves perinatal outcomes.
About the Authors
S. V. Barinov
Omsk State Medical University
Russian Federation
Russian Federation
MD, DSc, Head of the Department of Obstetrics and Gynecology #2,
12, Lenina Street, Omsk, 644099
A. A. Belinina
Altai Regional Clinical Perinatal Centre
Russian Federation
Russian Federation
MD, PhD, Deputy Chief Executive Officer,
154, Fomina Street, Barnaul, 656045
I. V. Molchanova
Altai Regional Clinical Perinatal Centre
Russian Federation
Russian Federation
MD, PhD, Chief Executive Officer,
154, Fomina Street, Barnaul, 656045
O. V. Kolyado
Altai Regional Clinical Perinatal Centre
Russian Federation
Russian Federation
MD, Head of the Obstetric Unit,
154, Fomina Street, Barnaul, 656045
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Review
For citations:
Barinov S.V., Belinina A.A., Molchanova I.V., Kolyado O.V. Obstetric and perinatal outcomes in women with multiple pregnancy in Altai region. Fundamental and Clinical Medicine. 2019;4(3):27-33. (In Russ.) https://doi.org/10.23946/2500-0764-2019-4-3-27-33
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