KẾT QUẢ THAI NGHÉN CỦA SONG THAI MỘT BÁNH RAU, HAI BUỒNG ỐI TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Introduction: Twins pregnancy is high-risk obstetricial condition, which can cause many complications for the health of both maternals and their babies during pregnancy and also delivery process. There are two types of twins: identical (monozygotic) and fraternal (dizygotic). 70% of monozygotic twins that share a placenta, two amniotic sacs and this type has the most complications. Purposes: Describe the pregnant results of maternals who are diagnosed twin pregnancy with one placenta and two amniotic sacs at the National Hospital of Obstetrics and Gynecology from 2017 to 2019. Results: Monozygotic twins pregnancy with one placenta and two amniotic sacs was a type of high-risk pregnancy, the proportion of preterm birth (<37 weeks) in this type of twins pregnancy was 75.6%,  in which the rate of preterm birth <34 weeks was about 42.2%. Caesarean section was the main method of suspending pregnancy (78.9%), the percentage of blood transfusion syndrome was 26.7%. Twin-twin transfusion syndrome made the rate of early hospital admission increase and the risk of preterm birth under 34 weeks rised 3.1 times higher than twins without blood transfusion syndrome. The average gestational age when suspended pregnancy of group that was monitored twin twin transfusion syndrome was 31.1 ± 5.2 (week). The cases of two babies had normal development after delivery was 64.4%, the postpartum cases where one fetus lived, one fetus died 2 was 20%,  and the proportion of both babies die was 15,6%. Conclusions: Twins transfusion syndrome is a high-risk pregnancy and the complication of blood transfusion syndrome makes the rate of preterm birth under 34 weeks increase higher than twin pregnancy without transfusion syndrome. Due to advances in neonatal feeding and  progress in follow-up detection of twin twin transfusion syndrome complication, the tendency of early cesarean section takes place more often.