İkinci doğan ikiz yüksek risk altında mıdır?

Abstract

OBJECTIVE: To compare the outcome of the second born, twin with that of the first twin and to find out whether there were any difference and the reason for such differences, if any, and how to improve those differences. STUDY DESIGN: We retrospectively reviewed twin deliveries from 15th of April 1994-14th of April 1996. We excluded twins weighing <500 gm, either twin had lethal malformation, and either twin was dead before the onset of labour. After this exclusion 246 twin pairs remained in the study. We compared perinatal mortality, and 5 Minutes Apgar scores for both twins. RESULTS: Perinatal mortality was similar for both twin as well as 5 minutes Apgar scores. The <1500 gm appear at special risk. The mode of delivery has no influence on the perinatal outcome of both twins. CONCLUSION: The second born twin may not be at increased risk of complications compared with first born twin. Caesarean delivery may not improve this outcome. (Gynecol Obstet Reprod Med 1997; 3:337-339)