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| 題 名 | A Retrospective Analysis of 300 Consecutive Sets of Twins Including In Vitro Fertilization Babies=三百對雙胞胎新生兒之回顧性研究 |
|---|---|
| 作 者 | 賴秉鈞; 滕儒錚; 何美美; | 書刊名 | 慈濟醫學 |
| 卷 期 | 6:1 1994.03[民83.03] |
| 頁 次 | 頁25-31 |
| 分類號 | 417.517 |
| 關鍵詞 | 雙胞胎; 懷孕週數; 週產期預後; Twin; Birth weight; Gestational age; Perinatal outcome; |
| 語 文 | 英文(English) |
| 中文摘要 | 本研究收集自民國72年8月至80年7月期間,於省立桃園醫院院內出生之 雙胞胎新生兒,共300對。在此9年間,同時有16,65;例單胞胎及1組三胞胎新生兒, 雙胞胎新生兒發生率為1.77,男女比為0.974但96/30)。早產兒(小於37週)、低體重 兒(小於2,500克)和極低體重兒(小於1,500克)比率分別為38.7吶、51.7%和7.8%男女 之平均體重無明顯差異,每對雙胞胎體重差異為104±9.0%。新生兒死亡率為千 分之47,所有死亡病例體重皆小於1,500公克且懷孕週數皆小於32週。將體重1,000 至1,499公克的雙胞胎,分為陰道生產和剖腹生產兩組,前者第二胎有較高的新 生兒死亡率(p<0.05),後者第一胎及第二胎間則無顯著差異。第一胎和第二胎的 Apgar分數於1分數於1分鐘及5分鐘皆無明顯差異。然而,第一、二胎皆為男性的 雙胞胎與其他雙胞胎相比,有較短的懷孕週數及身長和較輕的體重。剖腹產的比 率由最初三年的44.2增至最近三年的77.2。(慈濟醫學1994;6:25-31) |
| 英文摘要 | Three hundreds twin pregnancies were delivered at Provincial Tao-Yuan General Hospitalbetween May 1, 1983 and July 31, 1992. There were 16,657 singleton pregnancies and 15 tripletpregnancies during the same period, giving a rate of 1.77 (300/16,972) in twin pregnancies. Themale/female ratio was 0.974 (296/304). The frequency of preterm birth (<37 weeks), low birthweight (<2,500 g), and very low birth weight (<1,500 g) were 38.7, 51.7, and 7.8, respectively. The intertwin difference in birth weight was 10.4±9.0. The neonatal mortality rate (per1,000) was 47. All neonatal deaths were belonged to birth weights of less than 1,500 g and gestational age of less than 32 weeks. There was a higher mortality rate for the second twins, weighing 1,000 to 1,499 g, delivered vaginally (p<0.05). From our study, Cesarean section may be thebetter method of delivery, if the gestational age is less than 32 weeks or the expected fetal weightis less than 1,500 g. There was neither significant difference in the mean birth weights betweenmale and female twins, nor in the Apgar scores at 1 and 5 minutes between the first and secondtwins. However, male twin pairs of like sex had shorter gestations, shorter body lengths and lighterbirth weights as compared with other twin pairs. The rate of Cesarean section in the first 3-yearperiod (1983-1985) was 44.2 versus 77.2 in the last 3-year period (1989-1991), which reflectthe present attitude of our obstetricians in managing twin pregnancies. (Tzu-Chi Med J 1994; 6:25-31) |
本系統中英文摘要資訊取自各篇刊載內容。