Maternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population

Objective: To compare the adverse maternal and neonatal outcomes of multiple pregnancy and singleton pregnancy from multiple medical centers in Beijing. Methods: Data concerning maternal and neonatal adverse outcomes in multiple and singleton pregnancies were collected from 15 hospitals in Beijing b...

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Autores principales: Ri-Na Su, Wei-Wei Zhu, Yu-Mei Wei, Chen Wang, Hui Feng, Li Lin, Hui-Xia Yang
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2015
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spelling oai:doaj.org-article:a92969a491e34174b76141ede191cd452021-12-02T12:53:08ZMaternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population2095-882X10.1016/j.cdtm.2015.08.004https://doaj.org/article/a92969a491e34174b76141ede191cd452015-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X1500050Xhttps://doaj.org/toc/2095-882XObjective: To compare the adverse maternal and neonatal outcomes of multiple pregnancy and singleton pregnancy from multiple medical centers in Beijing. Methods: Data concerning maternal and neonatal adverse outcomes in multiple and singleton pregnancies were collected from 15 hospitals in Beijing by a systemic cluster sampling survey conducted from 20 June to 30 November 2013. The SPSS software (version 20.0) was used for data analysis. The Ï2 test was used for statistical analyses. Results: The rate of caesarean deliveries was much higher in women with multiple pregnancies (85.8%) than that in women with singleton pregnancies (42.6%, Ï2 = 190.8, P < 0.001). The incidences of anemia (Ï2 = 40.023, P < 0.001), preterm labor (Ï2 = 1021.172, P < 0.001), gestational diabetes mellitus (Ï2 = 9.311, P < 0.01), hypertensive disorders (Ï2 = 122.708, P < 0.001) and post-partum hemorrhage (Ï2 = 48.550, P < 0.001) was significantly increased with multiple pregnancy. In addition, multiple pregnancy was associated with a significantly higher rate of small-for-gestational-age infants (Ï2 = 92.602, P < 0.001), low birth weight (Ï2 = 1141.713, P < 0.001), and neonatal intensive care unit (NICU) admission (Ï2 = 340.129, P < 0.001). Conclusions: Multiple pregnancy is a significant risk factor for adverse maternal and neonatal outcomes in Beijing. Improving obstetric care for multiple pregnancy, particularly in reducing preterm labor, is required to reduce the risk to mothers and infants. Keywords: Multiple pregnancy, Perinatal outcomes, Systemic cluster sampling survey, Multicenter, BeijingRi-Na SuWei-Wei ZhuYu-Mei WeiChen WangHui FengLi LinHui-Xia YangKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 1, Iss 4, Pp 197-202 (2015)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
spellingShingle Medicine (General)
R5-920
Ri-Na Su
Wei-Wei Zhu
Yu-Mei Wei
Chen Wang
Hui Feng
Li Lin
Hui-Xia Yang
Maternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population
description Objective: To compare the adverse maternal and neonatal outcomes of multiple pregnancy and singleton pregnancy from multiple medical centers in Beijing. Methods: Data concerning maternal and neonatal adverse outcomes in multiple and singleton pregnancies were collected from 15 hospitals in Beijing by a systemic cluster sampling survey conducted from 20 June to 30 November 2013. The SPSS software (version 20.0) was used for data analysis. The Ï2 test was used for statistical analyses. Results: The rate of caesarean deliveries was much higher in women with multiple pregnancies (85.8%) than that in women with singleton pregnancies (42.6%, Ï2 = 190.8, P < 0.001). The incidences of anemia (Ï2 = 40.023, P < 0.001), preterm labor (Ï2 = 1021.172, P < 0.001), gestational diabetes mellitus (Ï2 = 9.311, P < 0.01), hypertensive disorders (Ï2 = 122.708, P < 0.001) and post-partum hemorrhage (Ï2 = 48.550, P < 0.001) was significantly increased with multiple pregnancy. In addition, multiple pregnancy was associated with a significantly higher rate of small-for-gestational-age infants (Ï2 = 92.602, P < 0.001), low birth weight (Ï2 = 1141.713, P < 0.001), and neonatal intensive care unit (NICU) admission (Ï2 = 340.129, P < 0.001). Conclusions: Multiple pregnancy is a significant risk factor for adverse maternal and neonatal outcomes in Beijing. Improving obstetric care for multiple pregnancy, particularly in reducing preterm labor, is required to reduce the risk to mothers and infants. Keywords: Multiple pregnancy, Perinatal outcomes, Systemic cluster sampling survey, Multicenter, Beijing
format article
author Ri-Na Su
Wei-Wei Zhu
Yu-Mei Wei
Chen Wang
Hui Feng
Li Lin
Hui-Xia Yang
author_facet Ri-Na Su
Wei-Wei Zhu
Yu-Mei Wei
Chen Wang
Hui Feng
Li Lin
Hui-Xia Yang
author_sort Ri-Na Su
title Maternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population
title_short Maternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population
title_full Maternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population
title_fullStr Maternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population
title_full_unstemmed Maternal and neonatal outcomes in multiple pregnancy: A multicentre study in the Beijing population
title_sort maternal and neonatal outcomes in multiple pregnancy: a multicentre study in the beijing population
publisher KeAi Communications Co., Ltd.
publishDate 2015
url https://doaj.org/article/a92969a491e34174b76141ede191cd45
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