Maternal and neonatal complications in spontaneous twin pregnancy versus IVF twin pregnancy

A.M. Predescu (Măreșescu), R. Vlădăreanu, S. Vlădăreanu,

Rezumat: Introduction. The aim of this study was to identify the maternal and neonatal complications in the twin pregnancy obtained spontaneously versus the twin pregnancy obtained through the assisted reproduction techniques (IVF). The study included 40 patients with twin pregnancy, respectively 80 newborns, who were diagnosed and treated at the “Elias” University Emergency Hospital, Bucharest. Results. The incidence of the twin pregnancy obtained through IVF was identified at the 36-40 years old group. 47.5% of the patients who obtained the pregnancy through IVF presented complications, compared to 22.5% of the patients with pregnancy obtained spontaneously who developed complications. The results showed that the highest incidence of complications was in the group of patients who obtained the pregnancy through IVF. As far as the newborns are concerned, 8.75% of the IVF ones developed breathing complications and 3.75% developed other complications which required admission in the Neonatal Intensive Care Unit (NICU), without significant differences between twin I and twin II. Conclusions. The neonatal and twin pregnant woman management should include the awareness of the problems that may appear more frequently in this pregnancy category, respectively the newborns.
Cuvinte cheie: twin pregnancy, maternal complications, IVF, neonatal complications.