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    Multiple Pregnancy NOR Poster PDF

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    Multiple pregnancies are associated with increased risks for both mothers and babies. A study of over 136,000 deliveries in Malaysia found a multiple pregnancy rate of 1.04%. Women with multiple pregnancies faced greater risks of anemia, C-section delivery, uterine atony, and postpartum hemorrhaging. Babies from multiple pregnancies were at higher risk of stillbirth, prematurity, low birthweight, and low Apgar scores. The study concluded that efforts should be made to reduce multiple pregnancies from fertility treatments, while improving surveillance of at-risk mothers and babies.

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    Multiple Pregnancy NOR Poster PDF

    Uploaded by

    bigboss
    71 views1 page
    Multiple pregnancies are associated with increased risks for both mothers and babies. A study of over 136,000 deliveries in Malaysia found a multiple pregnancy rate of 1.04%. Women with multiple pregnancies faced greater risks of anemia, C-section delivery, uterine atony, and postpartum hemorrhaging. Babies from multiple pregnancies were at higher risk of stillbirth, prematurity, low birthweight, and low Apgar scores. The study concluded that efforts should be made to reduce multiple pregnancies from fertility treatments, while improving surveillance of at-risk mothers and babies.

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    Multiple pregnancies are associated with increased risks for both mothers and babies. A study of over 136,000 deliveries in Malaysia found a multiple pregnancy rate of 1.04%. Women with multiple pregnancies faced greater risks of anemia, C-section delivery, uterine atony, and postpartum hemorrhaging. Babies from multiple pregnancies were at higher risk of stillbirth, prematurity, low birthweight, and low Apgar scores. The study concluded that efforts should be made to reduce multiple pregnancies from fertility treatments, while improving surveillance of at-risk mothers and babies.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    71 views1 page

    Multiple Pregnancy NOR Poster PDF

    Uploaded by

    bigboss
    Multiple pregnancies are associated with increased risks for both mothers and babies. A study of over 136,000 deliveries in Malaysia found a multiple pregnancy rate of 1.04%. Women with multiple pregnancies faced greater risks of anemia, C-section delivery, uterine atony, and postpartum hemorrhaging. Babies from multiple pregnancies were at higher risk of stillbirth, prematurity, low birthweight, and low Apgar scores. The study concluded that efforts should be made to reduce multiple pregnancies from fertility treatments, while improving surveillance of at-risk mothers and babies.

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    of 1

    MULTIPLE PREGNANCIES

    - A RISKY AFFAIR FOR


    MOTHERS AND BABIES
    Soon Ruey*, Carol KK Lim*, Michael FW Hoong#,
    Nur Amirah bt Zolkepali , Shahrul Aiman bin Soelar
    ¤ ¤

    *Sabah Women’s and Children’s Hospital, Malaysia


    #Keningau Hospital, Malaysia
    ¤Centre of Clinical Research, Kuala Lumpur Hospital, Malaysia

    Introduction
    Multiple pregnancies are associated with increased
    risks throughout pregnancy to both the mother and
    fetus, and problems may extend into the postnatal
    period.

    Methodology
    The National Obstetrics Registry is a web-based
    database which compiled obstetrics data from 14 state
    hospitals across Peninsular Malaysia and East
    Malaysia. Relevant data for year 2010 was analysed to
    identify demographic factors which influence multiple
    pregnancy rates, and complications associated with
    such pregnancies.

    National Obstetrics Registry (NOR)


    Results
    Of the 136,856 deliveries studied, there were 1395
    twins, 29 triplets, and 2 higher order pregnancies,
    giving a multiple pregnancy rate of 10.4 per 1000
    deliveries (1.04%).
    Multiple pregnancies were significantly
    (p<0.001) associated with anaemia at booking
    (OR 1.24, 95% CI 1.11-1.39), caesarean delivery
    (OR 3.62, 95% CI 3.26-4.03), uterine atony (OR
    6.07, 95% CI 2.82-13.05) and primary post-
    partum haemorrhage (OR 3.28, 95% CI 2.09-
    5.14). Fetal and neonatal morbidities were
    significantly increased as well: intrauterine fetal
    death (OR 4.77, 95% CI 2.91-7.79), prematurity
    (OR 8.09, 95% CI 6.41-10.21), low birth weight
    (OR 12.53, 95% CI 11.19-14.02), low Apgar scores
    at one and five minutes (OR 2.95, 95% CI 2.53-
    3.44 and OR 4.17, 95% CI 3.21-5.41).

    The highest rates of multiple pregnancies Conclusion


    occurred in the 41-50 years old age group (12.4
    per 1,000 births) and the grandmultiparas Efforts should be taken to reduce multiple
    (parity 6-9; 11.8 per 1,000 births). The Melanaus, pregnancies resulting from assisted reproductive
    Indians and Chinese had higher multiple techniques. Increased antenatal and intrapartum
    pregnancy rates than other ethnicities (16.5, 13.8 surveillance is required to improve the outcome
    and 13.4 per 1,000 births). of these high risk pregnancies.

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