Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/326312
Type: Artigo
Title: Twin Pregnancy And Severe Maternal Outcomes The World Health Organization Multicountry Survey On Maternal And Newborn Health
Author: Santana
Danielly S.; Cecatti
Jose G.; Surita
Fernanda G.; Silveira
Carla; Costa
Maria L.; Souza
Joao P.; Mazhar
Syeda B.; Jayaratne
Kapila; Qureshi
Zahida; Sousa
Maria H.; Vogel
Joshua P.
Abstract: To evaluate maternal complications (potentially life-threatening conditions, maternal near miss, and maternal death) that are mutually exclusive and severe maternal outcomes (maternal near miss or maternal death) associated with twin pregnancies. METHODS: We performed a secondary analysis of a cross-sectional World Health Organization Multicountry Survey, which was implemented in 29 countries. Data from 4,756 twin deliveries were compared with 308,111 singleton deliveries. Factors associated with maternal morbidity and twin pregnancies were reported with adjusted prevalence ratio (95% confidence interval). RESULTS: Potentially life-threatening conditions, maternal near miss, severe maternal outcomes, and maternal deaths were 2.14 (1.99-2.30), 3.03 (2.39-3.85), 3.19 (2.58-3.94), and 3.97 (2.47-6.38) times higher, respectively, among twin pregnancies. Maternal age older than 20 years, having a partner, multiparity, and elective cesarean delivery were associated with twin pregnancies. Postpartum hemorrhage and chronic hypertension were more frequently associated with severe maternal outcomes among twin pregnancies. Conditions indicating organ dysfunction (maternal near miss) were twofold to fivefold higher for twins. Poisson multiple regression analysis identified several factors independently associated with a severe maternal outcome, but not twin pregnancies. CONCLUSION: Twin pregnancy is associated with greater severe maternal morbidity and a higher rate of maternal death than singleton pregnancy.
Editor: Lippincott Williams & Wilkins
Philadelphia
Rights: fechado
Identifier DOI: 10.1097/AOG.0000000000001338
Address: http://journals.lww.com/greenjournal/Abstract/2016/04000/Twin_Pregnancy_and_Severe_Maternal_Outcomes__The.3.aspx
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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