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SM ISO690:2012 PALADI, Gheorghe, CERNEŢCHI, Olga, DONDIUC, Iurie, TABUICA, Uliana, TAUTU, Ludmila. Aspecte controversate în conduita naşterilor multiple. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2009, nr. 5(10), pp. 9-15. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 5(10) / 2009 / ISSN 1857-1719 | ||||||
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Pag. 9-15 | ||||||
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Rezumat | ||||||
In the last years multiple pregnancies reached a high level of importance for the medical practice. This is due to the increased risks that accompany multiple pregnancy and labour for both mother and fetus, and its increased incidence due to the implementation of assisted reproduction methods. The goal of our study was to determine the maternal and fetal results related to the mode of delivery. In the study were included 441 patients with multiple pregnancies hospitalized in the Municipal Clinical Hospital No. 1 during 2000-2007. In this period were recorded 41,443 births, the incidence of multiple gestations is 1.06%. In Conclusion:
1. We consider that the optimal mode of delivery must be determined for each woman in particular; depending on the term of gestation, zigocity, fetus presentation, and the body mass of the second fetus.
2. In case of cranial presentation of the first fetus and non cranial of the second one, the caesarian operation is prior if the mass of the second fetus is 25% higher then of the first one.
3. The term for the finalization of the multiple gestations with 2 fetuses must not exceed 37-38 weeks and with triplex 36 weeks. We consider that after this term the placental insufficiency establishes and as a result the fetal metabolic and respiratory needs are no longer satisfied. In the same time the maternal organism is -. The complications risk and the perinatal mortality are elevated.
4. Our results confirm the decrease of the perinatal mortality and morbidity after the enlargement of the Caesarian operation indications. |
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