[Pregnancy, delivery and acid-base status in twin pregnancy].

BACKGROUND

Twin pregnancy may be a burden both during pregnancy and delivery, thus it is necessary, apart from special supervision and determination of Apgar scores, to perform testing of fetal blood. The purpose of this investigation was to determine the incidence of twin pregnancies during the three-year period, associated pathologies during pregnancy and delivery, as well as acid-base status of the twins.

METHODS

The investigation included a group of women with twin pregnancy who underwent either vaginal or cesarean delivery during the three-year period (1994-1996) with special attention paid to acid-base status.

RESULTS

During 1994, there were 80 pairs of twins (1.31%) delivered at the Department of Obstetrics and Gynecology in Novi Sad, in 1995--81 twins (1.22%) and in 1996, there were 70 pairs of twins (1.15%). The following associated pathologies have been recorded: PIH--7.98%, incompetent cervices--6.75%, cystitis--6.52%, pyelonephritis--0.61%. In 1994 term delivery was recorded in 60.71%, whereas preterm in 39.29%. In 1995 there were 61.67% term and 38.33% preterm deliveries and in 1996, there were 57.45% term and 42.55% preterm deliveries. Apgar score values were estimated at 1 and 5 minute and pH levels estimated for both twins as well as the values of PaCO2 (kPa), BE (mEq/l), BB (mEq/l), HCO3 (mEq/l), PaO2 (kPa). Satyr. O2 (%)-acid-base status.

CONCLUSIONS

Twin pregnancy being a high risk pregnancy, requires intensive monitoring: of the course of pregnancy and labor, proper choice of completion of the delivery, particularly in cases of preterm labor in order to avoid hypoxia, trauma and metabolic disorders and consequent damage of organs and systems.