USE OF ULTRASOUND AND HORMONE ASSAYS IN THE DIAGNOSIS, MANAGEMENT, AND OUTCOME OF TWIN PREGNANCY

  • 1 January 1979
    • journal article
    • research article
    • Vol. 53  (3) , 367-372
Abstract
A study of 79 twin pregnancies was conducted between 1973-1976 with particular reference to the use of ultrasound and hormone analysis. There were 17 perinatal deaths, a perinatal mortality rate of 107/1000 deliveries. The contributing factors were antepartum anoxia (40%), prematurity (30%), congenital abnormalities (18%) and obstetric trauma (12%). During the period of study there was a complete change in the method of confirming twin pregnancies, i.e. in 1973, 84% were confirmed by X-ray and in 1976, 86% by ultrasound. About 40% were diagnosed at 28 wk gestation or earlier. The ranges (mean .+-. 2 SD) for human placental lactogen (hPL) and urinary estrogens were established for twin pregancy. The value of these measurements in the antenatal management of twin gestations is discussed.

This publication has 2 references indexed in Scilit: