Jee Junghyun, Hong Su Jung, Ha Sungyeon, Kim Ho Yeon, Ahn Ki Hoon, Hong Soon-Cheol, Oh Min-Jeong, Kim Hai-Joong, Cho Geum Joon
Department of Obstetrics and Gynecology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Graduate School of Statistics, Sungkyunkwan University, Seoul, Korea.
Obstet Gynecol Sci. 2022 Jan;66(1):20-25. doi: 10.5468/ogs.22232. Epub 2022 Nov 29.
The aim of this study was to evaluate the changes in twin pregnancy outcomes between 2007 and 2016 in a Korean population.
The data for this nationwide population-based study was obtained from the national birth registry of the Korean National Statistical Office and the Health Insurance Review & Assessment Service of Korea. Women with twin pregnancies who gave birth between 2007 and 2016 were included.
From 2007 to 2016, the rate of twin pregnancies increased (1.37% vs. 1.91%, respectively, P<0.0001). The risk of preterm birth (adjusted odds ratio [aOR], 1.77; 95% confidence interval [CI], 1.66-1.89) also increased; however, the risk of twin growth discordance (aOR, 0.90; 95% CI, 0.82-0.99) decreased. The risks of cesarean section (aOR, 1.16; 95% CI, 1.03-1.29), gestational diabetes mellitus (aOR, 2.10; 95% CI, 1.83-2.39), and postpartum hemorrhage (aOR, 1.27; 95% CI, 1.14-1.41) all increased from 2007 to 2016.
Twin pregnancy outcomes have changed significantly in Korea over a recent 10-year period.
本研究旨在评估2007年至2016年韩国双胎妊娠结局的变化。
这项基于全国人群的研究数据来自韩国国家统计局的全国出生登记处和韩国健康保险审查与评估服务机构。纳入2007年至2016年期间分娩的双胎妊娠妇女。
2007年至2016年，双胎妊娠率上升（分别为1.37%和1.91%，P<0.0001）。早产风险（校正比值比[aOR]，1.77；95%置信区间[CI]，1.66-1.89）也上升；然而，双胎生长不一致风险（aOR，0.90；95%CI，0.82-0.99）下降。剖宫产风险（aOR，1.16；95%CI，1.03-1.29）、妊娠期糖尿病风险（aOR，2.10；95%CI，1.83-2.39）和产后出血风险（aOR，1.27；95%CI，1.14-1.41）在2007年至2016年期间均上升。
在最近10年里，韩国双胎妊娠结局发生了显著变化。
