Abstract

MOLINA GIRALDO, Saulo et al. Resultado perinatal de embarazos gemelares atendidos en dos instituciones de alta complejidad en Bogotá, Colombia. Rev. chil. obstet. ginecol. [online]. 2015, vol.80, n.1, pp.18-23. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262015000100003.

Introduction: The risk of multiple pregnancies experience different nature, frequency, and severity, given its particular pathophysiological behavior as placental characteristics, directly impacting perinatal outcomes. Objective: To evaluate perinatal outcomes in twin pregnancies taking into account maternal characteristics, obstetric outcome, morbidity and fetal and neonatal mortality. Methods: Descriptive study of perinatal outcome of twin pregnancies in two institutions with presence of maternal fetal medicine group, through review of maternal and neonatal medical records between January 2009 and December 2012. Results: The mean maternal age was 28.6 ± 6 years, 438 pregnant women and 885 twins of a total of 490 multiple pregnancies were included, with birth at 34 ± 4.1 weeks gestational age. Severe neonatal morbidity in 127 cases (14.3 %), early neonatal mortality in 18 cases (2%), admission to the Neonatal Intensive Care Unit in 282 cases (31.8%), the cause was submitted admission were more frequent respiratory complications in 275 cases (31%). Conclusions: Our findings suggest that multiple pregnancies in our environment, is associated with maternal, fetal, and neonatal complications, similar to that reported in the literature, being higher in monochorionic diamniotic pregnancies. So should emphasize prenatal care, during childbirth and postnatal care in multiple pregnancies, in order to improve both maternal and perinatal outcomes.

Keywords : Twins; multiple pregnancy; perinatal morbimortality; perinatology.

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