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쌍태임신에서 임신 전 체질량지수 및 임신 중 체중증가에 따른 임신 예후
김명주 ( Myung Joo Kim ),나은덕 ( Eun Duc Na ),이경진 ( Kyoung Jin Lee ),차동현 ( Dong Hyun Cha ),신중식 ( Joong Sik Shin ),이화영 ( Hwa Young Lee ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.5
Objective To analyze the pregnancy outcome and prognosis related to prepregnancy body mass index (BMI) and gestational weight gain in twin pregnancies according to the 2009 Institute of Medicine recommendation (IOM). Methods The study subjects were 500 twin pregnant women and their 1,000 babies delivered from January 2008 to December 2010. The women divided in 4 groups according to prepregnancy BMI; underweight (BMI<18.5 kg/m2), normal weight (18.5≤BMI<23 kg/m2), overweight (23.0≤BMI<25 kg/m2), and obese (BMI≥25 kg/m2) and also categorized 3 groups according to gestational weight gain; poor if it was below the IOM range for the prepregnancy BMI, normal if it was within the range, and excessive if it was above the range. Results Among total 500 twin pregnant women, underweight were 76 (15.2%), normal weight 330 (66.0%), overweight 55 (11.0%) and obese 39 (7.8%); poor 237 (47.4%), normal 220 (44%) and excessive 43 (8.6%). The mean total weight gain during pregnancy was 16.3±4.9 kg and mean weight gain per week was 0.45±0.13 kg/wk. Gestational diabetes mellitus was signifi cantly associated with obese women. Anemia was signifi cantly increased in poor weight gain group whereas gestational hypertension, large for gestational age and neonatal Apgar score of 5 minutes under 7 were signifi cantly increased in excessive weight gain group. Conclusion The adverse pregnancy and neonatal prognosis were associated with abnormal prepregnancy BMI or gestational weight gain in twin pregnancies. It is important to maintain normal prepregnancy BMI and gestational weight gain through appropriate counseling and education.
체외수정시술로 임신된 쌍태 임신과 정상 쌍태 임신의 예후 비교
강은희(Eun Hee Kang),박은주(Eun Joo Park),채희동(Hee Dong Chae),김성훈(Sung Hoon Kim),김정훈(Chung Hoon Kim),강병문(bYUNG mOON kANG),장윤석(Yoon Seok Chang) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
Objective : To compare pregnancy outcome of in vitro fertilization (IVF) twin pregnancies with that of normally conceived twin pregnancies Materials and Method : From October 1995 to October 1998, total 100 twin pregnancies were included in this study. The pregnancies were grouped into the IVF twin pregnancy group (n = 60) and normal twin pregnancy group (n = 40). Twin pregnancies resulting from multifetal pregnancy reduction (MFPR) were excluded in this study. The obstetric and perinatal outcomes were compared between the two groups. Statistical analysis was performed using Student's t-test, Fisher's exact test, and χ2 test as appropriate. Statistical significance was defined as p < 0.05. Results : There were no significant differences in mean gestational age and distribution of gestational age between the two groups. We did not find any significant differences in birthweight, weight discordancy, presentation of fetuses, and frequency of cesarean section between the two groups. There were also no differences in obstetric and perinatal outcomes between the IVF twin and normal twin pregnancy groups. Conclusion : This study suggests the pregnancy outcome of twin pregnancies resulting from IVF-ET is comparable with that of normally conceived twin pregnancies.
임재현 ( Jae Hyun Lim ),김행수 ( Haeng Soo Kim ),황경주 ( Kyung Joo Hwang ),양정인 ( Jeong In Yang ),김미란 ( Mee Ran Kim ),이희종 ( Hee Jong Lee ),임종찬 ( Jong Chan Lim ),오기석 ( Kie Suk Oh ),유희석 ( Hee Sug Ryu ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.12
Objective : To compare the obstetrical and perinatal outcomes of twin pregnancies after IVF-ET with those of twin pregnancies conceived spontaneously. Methods : Two hundred and six cases of IVF-ET twin pregnancies (IVF group) were compared with 229 sponta
체외수정시술 후 삼태 임신에서 다태 임신 감수술의 시행으로 성립된 쌍태 임신의 주산기 예후
이해림(Hae Rim Lee),이동선(Dong Sun Lee),박은주(Eun Ju Park),김성훈(Sung Hoon Kim),전대준(Dae Joon Cheon),채희동(Hee Dong Chae),김정훈(Chung Hoon Kim),강병문(Byung Moon Kang),박견(Kyun Park),장윤석(Yoon Seok Chang) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.3
Objective:To investigate the perinatal outcome and complications of reduced twin pregnancies from triplet by multifetal pregnancy reduction (MFPR) in patients who underwent in vitro fertilization and embryo transfer. Materials and methods:From January 1995 to December 1999, a total of 71 twin pregnancies were included in this study. The patients were grouped into the MFPR group (n = 19) and the non-MFPR group (n = 59). The pregnancies in the MFPR group were reduced to twin from triplet by the MFPR. MFPR was performed by transvaginal sonography-guided fetal aspiration or mechanical trauma. The obstetric and perinatal outcomes were compared between the two groups. Statistical analysis was performed using Student's t-test, Fisher's exact test, and χ2 test as appropriate. Statistical significance was defined as p < 0.05. Results:There were no significant differences in mean gestational age and distribution of gestational age between the two groups. However, the fetal loss rate before 24 weeks of gestation was significantly higher in the MFPR group than the non-MFPR group. We did not find any significant differences in mean birth weight and weight discordancy between the two groups. There were no differences in obstetric and perinatal outcomes between the MFPR and non MFPR groups as well. Conclusion:These data suggest that pregnancy outcome of reduced twin pregnancies from triplet by MFPR in patients underwent IVF-ET might be comparable to that of non-reduced twin pregnancies.
2009 Institute of Medicine (IOM) 권고안을 기초로 한 쌍태임신에서의 임신 중 체중 증가에 따른 임신 예후
이은주 ( Eun Joo Lee ),김영한 ( Young Han Kim ),권자영 ( Ja Young Kwon ),박용원 ( Yong Won Park ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.8
Objective: The aim of this study was to investigate the effect of gestational weight gain on pregnancy outcome in twin pregnancies according to prepregnancy body mass index (BMI), on the basis of 2009 Institute of Medicine (IOM) recommendations. Methods: One hundred ninety-eight twin pregnancy women and their 396 neonates who delivered in Yonsei University Health System from January 1st, 2005 to April 30th, 2010. Maternal height, maternal weight in prepregnancy and gestational weight gain were retrospectively reviewed. Women were grouped into four categories of BMI: underweight (<18.5 kg/m2), normal weight (18.5~24.9 kg/m2), overweight (25~29.9 kg/m2) and obese (≥30 kg/m2). Gestational weight gain was categorized as Less if it was below the IOM`s recommended range for the woman`s prepregnancy BMI, Within if it was within the range, and More if it was above the range. Results: Underweight with Less or Within maternal weight gain groups were associated with significantly increased odds for small for gestational age (Less, odds ratio [OR] 6.5, confidence interval [CI] 1.75~24.14; Within, OR 3.55, CI 1.37~9.14) and More weight gain with overweight or obesity groups were associated with significantly increased odds for large for gestational age (overweight, OR 6.25, CI 1.14~34.32; obesity, OR 8.33, CI 1.14~47.93). Overweight or obese women and excessive gestational weight gain were associated with significantly increased odds of pregnancy induced hypertension (overweight: OR 7.04, CI 1.04~47.78, obesity: OR 10.56, CI 1.32~84.14) and gestational diabetes mellitus (overweight: OR 13.2, CI 1.78~97.74, obesity: OR 19.8, CI 2.29~171.02). Conclusion: Overweight or obese women with excessive gestational weight gain were associated with significantly increased risk of adverse pregnancy outcome in twin pregnancies. Therefore, physician should pay attention not only to prepregnancy BMI but also to maternal weight gain. A large prospective study is necessary to confirm the relationships between gestational weight gain and pregnancy outcome in twin pregnancies.
전현권(HK Jun),신승권(SK Shin),윤광섭(KS Youn),박주현(JH Park),임헌정(HJ lm) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.3
A clinical review of 145 twin pregnancy among 11490 women, who delivered in the seven year period from Jan 1972. to Dec. 1978 in the Kwang-Ju Christian Hospital . the results of study were as follows. 1. the incidence of twin birth was one in 78.7 births. 2. The youngest was 20 year old woman the oldest was 42 year old woman and average age was 28.2 year old in twin pregnancy 3. Multipara was 60.1percent of twin pregnant women. About 10.3% of twin pregnant women had familial history of twin pregnancy 4. The diagnosis was made by simple X-ray (47.2%) and clinical findings (34.2%) women who had been taken antenatal care were only 48.6% in twin pregnant women. 5. An incidence of 55.4% of twin were delivered between 37th. Week and 40th. Week of gestation. The average duration of twin pregnancy was 37.2 weeks of gestaion. 6. In presentation both cephalic combination was 39.1% cephalic-breech was 29.4% 7. The average duration of labor in primiparas was 10.6hours, and in multiparas, about 7.2 hours. An incidence of 54.1% of cases were within 5 minutes in time interval between first and second baby delivery. 8. The average birth weight of newborn infant was 2412gm(2476gm in 1st baby, 2392 gm in 2nd baby)
시험관 아기 시술후 쌍태 임신의 결과에 대한 임상적 고찰
김철홍(Cheol Hong Kim),이여길(Yu Il Lee) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
Objectives : This study compares the obstetric complications and perinatal outcomes of twin pregnancies after In Vitro Fertilization and Embryo Transfer to twin pregnancies conceived spontaneously.Methods : One hundred sixteen cases of twin pregnancies were reviewed. All deliveries were performed between March 1996 and July 1999 at Chonnam National University Hospital. The study group(n=46) consisted of IVF-ET twin pregnancies and the control(n=70) consisted of spontaneous twin pregnancies delivered within the same time period. Clinical data were examined by age, parity, antenatal care, gestational age at delivery, method of delivery, type of chorioamnionicity, fetal presentation, obstetric complications, as well as perinatal outcomes. Observed obstetric complications included premature rupture of membrane, pregnancy induced hypertension, preterm labor, prematurity, gestational diabetes, placenta previa, placenta abruption and anemia. Results : The women in the IVF-ET group were significantly older than those in the spontaneous group(32.7±3.9 and 28.2±3.6 years, respectively). The proportion of primiparous patients was higher in the IVF-ET group(89.1%) than in the spontaneous group(54.3%). Method of conception did not influence the frequency of obstetric complications. No differences were seen in birth weight, rate of low birth weight, rate of intrauterine growth restriction and perinatal mortality.Conclusions : There is no difference in obstetric complications or perinatal outcomes between the groups. In light of the higher frequency of obstetric complications in twin pregnancies, the rematching task is to reduce the frequency of twin pregnancies in IVF-ET induced pregnancies.
쌍태임신에서 태반유형 및 제대부착부위가 출생체중과 성장불일치에 미치는 영향
김금석 ( Kum Seok Kim ),한용보 ( Young Bo Han ),정연욱 ( Yoen Ug Jung ),권오준 ( Oh Joon Kweon ),김석영 ( Suk Young Kim ),이의돈 ( Eui Don Lee ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.12
Objective : To investigate the effect of the type of placenta and the portion of umbilical cord insertion on birthweight and growth discordancy in twin pregnancies. Methods : We selected 120 twins of 146 multiple pregnancies between March, 2000 and March,
체외수정 후 일측 두개 뇌류를 동반한 쌍태 임신에서 임신 중반기 선택적 유산
한경희 ( Kyoung Hee Han ),한혁동 ( Hyuk Dong Han ),홍민 ( Min Hong ),이향아 ( Hyang Ah Lee ),정진경 ( Jin Kyung Chung ),김나옥 ( Na Ok Kim ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.2
Selective termination can be used to preserve normal fetus from the other fetus with chromosomal, structural abnormality in multifetal pregnancy. This case is about twin pregnant patient who had undergone in vitro fertilization and embryo transfer. In 18