Morbimortality in neonatal twins twins

Abstract

We compared the morbidity and mortality among twins at Hospital Universitario San Vicente de Paúl, Medellín, Colombia, to those of products of single deliveries. Among 10.634 deliveries the frequency of twins was 1.16% and that of triplets was 0.02%. Mothers 30 to 34 years old had the highest frequency of twin pregnancy. Prevalence of prematurity was significantly higher in twins as in controls; complications associated to prematurity were among the most frequently found perinatal problems. Asphyxia was found in 29.2% of twins and triplets. Cesarean delivery was performed in 51.7% of cases; the prevalence of congenital abnormalities was 4.0% and that of perinatal mortality 4.7%. AII these variables were significantly more frequent in the study group. Data on weight and cephalic perimeter are presented. We emphasize the need to improve prenatal care In order to decrease the high indexes of morbidity and mortality.