Clinical and experimental obstetrics & gynecology · 2013
Platelet count as a predictive factor of neonatal outcome in twin pregnancy with fetal demise.
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Plesinac S, Kotlica B Kastratović, Aksam S, Babović I, Pilić I
Аннотация
PURPOSE: During the last decade, the rate of twin pregnancies has increased and reached 3% of all pregnancies.
MATERIALS AND METHODS: This study enrolled 36 twin pregnancies that were followed and delivered at the Clinic for Gynecology and Obstetrics, Clinical Center of Serbia over a five-year period.
RESULTS: The first group included 15 patients with a monochorionic twin pregnancy, and the second group consisted of 21 patients with a dichorionic twin pregnancy. The platelet count was significantly lower in patients with APGAR scores of more than 8, with an average of 185,000/ml, and in patients with a score of less than 4, the average count was 221,000/ml. The perinatal mortality rate of the surviving twin was 33% in the monochorionic group and 0.4% in the dichorionic group.
CONCLUSION: An increase in the maternal platelet count can be used as a predictor for a negative neonatal outcome of the surviving twin.
MATERIALS AND METHODS: This study enrolled 36 twin pregnancies that were followed and delivered at the Clinic for Gynecology and Obstetrics, Clinical Center of Serbia over a five-year period.
RESULTS: The first group included 15 patients with a monochorionic twin pregnancy, and the second group consisted of 21 patients with a dichorionic twin pregnancy. The platelet count was significantly lower in patients with APGAR scores of more than 8, with an average of 185,000/ml, and in patients with a score of less than 4, the average count was 221,000/ml. The perinatal mortality rate of the surviving twin was 33% in the monochorionic group and 0.4% in the dichorionic group.
CONCLUSION: An increase in the maternal platelet count can be used as a predictor for a negative neonatal outcome of the surviving twin.