Goeschen K
Geburtshilfe Frauenheilkd. 1979 Jun;39(6):447-56.
From January 1967 to April 1978, 175 twin deliveries occurred among 19,935 deliveries (.88%). A comparison to the literature a low perinatal mortality of 4.57% (adjusted 2.84%) was noted. The reason for the 3 to 5 fold increase in perinatal mortality compared to single on pregnancies was investigated. Review of the records showed conditions specific for twin pregnancies. The treatment necessary to improve the prognosis for twin pregnancies was discussed. It is suggested that the perinatal mortality of 2% for twin pregnancies can be achieved with intensive antenatal care for twin pregnancies.
1967年1月至1978年4月期间,19935例分娩中有175例双胎分娩(0.88%)。与文献对比发现围产期死亡率较低,为4.57%(调整后为2.84%)。对双胎妊娠围产期死亡率比单胎妊娠增加3至5倍的原因进行了调查。对记录的回顾显示了双胎妊娠的特定情况。讨论了改善双胎妊娠预后所需的治疗方法。建议通过对双胎妊娠进行强化产前护理,可使双胎妊娠的围产期死亡率达到2%。