| Clinical Survey of Perinatal Mortality in Multiple Pregnancy. |
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Hoon Kook, Dong Hun Cho, Hwa Il Kwag, Kwang Ok Lee, Young Youn Choi |
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Department of Pediatrics, Chonnam University Hospital, Kwangju, Korea |
| 다태임신의 주산기 사망에 대한 고찰 |
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국훈, 조동헌, 곽화일, 이광옥, 최영륜 |
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전남대학교 의과대학 소아과학교실 |
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Received: 30 July 1988 • Accepted: 26 September 1988 |
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| Abstract |
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A clinical survey was performed on 151 cases of multiple pregnancies (149 cases of twins and 2 cases
of triplets) and their 304 multiplets who were born at the Chonnam University Hospital during 7 years
from January 1, 1980 to December 31, 1986. The results are as follows:
1) The incidence of twins was 1 out of 50 births, and that of triplets 1 out of 3,726.
2) The sex distribution (both males: both females: different sexes) was 2.3:1.9:1.0, and males
slightly outnumbered females.
3) Among 304 multiplets, total deaths were 53 which included 37 stillbirths and 16 neonatal deaths.
The perinatal mortality rate was 174.3.
4) The perinatal mortality rate was significantly higher in shorter gestational age, smaller birth
weight, lower Apgar score group and in babies of multiparous mother.
5) The order. of delivery, maternal age, mode of delivery, time intervals between deliveries and
difference in birth weights did not affect the perinatal mortality rate significantly.
6) Causative factors for perinatal mortality in multiplets were prematurity itself, delivery complication, and respiratory distress syndrome, which comprised over two thirds of all deaths. |
| Key Words:
Multiple pregnancy, Perinatal mortality |
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