Abstract：
OBJECTIVE: This paper aims to analyze the factors that can influence the method of childbirth in women with multiple pregnancies.
METHODS: Retrospective analysis of selected parameters in women with multiple pregnancies who gave birth at the 2nd Clinic of Gynecology and Obstetrics of the Faculty of Medicine (FM), Comenius University (CU) and University Hospital (UH) Bratislava in the years 2010-2022.
RESULTS: Between 2010 and 2022, at the 2nd Clinic of Gynecology and Obstetrics of the FM CU and UH in Bratislava, 1.13% of births were multiple pregnancies. After statistical data processing, primiparity appeared statistically significant as a risk of acute caesarean section (C-section); multiparous women had a higher probability to give birth vaginally. Since 2017, the clinic has had a decreasing trend in the number of caesarean sections. Women with an acute caesarean section, in turn had on average a lower pH of both fetuses compared to vaginal delivery. However, the incidence of asphyxia in fetuses was not statistically significantly different. We found no risk factor increasing the likelihood of acute caesarean section for fetus B in twins.
CONCLUSIONS: Multiple pregnancy has a higher morbidity not only for the woman but also for the fetuses. The incidence of multiple pregnancies is influenced by assisted reproduction. Delivery method depends on various factors such as chorionicity, fetal presentation, and history of a previous caesarean section.
METHODS: Retrospective analysis of selected parameters in women with multiple pregnancies who gave birth at the 2nd Clinic of Gynecology and Obstetrics of the Faculty of Medicine (FM), Comenius University (CU) and University Hospital (UH) Bratislava in the years 2010-2022.
RESULTS: Between 2010 and 2022, at the 2nd Clinic of Gynecology and Obstetrics of the FM CU and UH in Bratislava, 1.13% of births were multiple pregnancies. After statistical data processing, primiparity appeared statistically significant as a risk of acute caesarean section (C-section); multiparous women had a higher probability to give birth vaginally. Since 2017, the clinic has had a decreasing trend in the number of caesarean sections. Women with an acute caesarean section, in turn had on average a lower pH of both fetuses compared to vaginal delivery. However, the incidence of asphyxia in fetuses was not statistically significantly different. We found no risk factor increasing the likelihood of acute caesarean section for fetus B in twins.
CONCLUSIONS: Multiple pregnancy has a higher morbidity not only for the woman but also for the fetuses. The incidence of multiple pregnancies is influenced by assisted reproduction. Delivery method depends on various factors such as chorionicity, fetal presentation, and history of a previous caesarean section.
摘要：
目的：本文旨在分析可能影响多胎妊娠妇女分娩方式的因素。
方法：回顾性分析在医学院（FM）第二妇产科诊所分娩的多胎妊娠妇女的选定参数，2010-2022年夸美纽斯大学（CU）和布拉迪斯拉发大学医院（UH）。
结果：在2010年至2022年之间，在布拉迪斯拉发的FMCU和UH的第二妇产科诊所，1.13%的新生儿是多胎妊娠。经过统计数据处理,初产妇作为急性剖腹产(剖腹产)的风险具有统计学意义;经产妇女阴道分娩的可能性更高。自2017年以来，该诊所的剖腹产数量呈下降趋势。急性剖腹产的妇女，与阴道分娩相比,两个胎儿的平均pH值均较低.然而,胎儿窒息的发生率差异无统计学意义。我们没有发现增加双胞胎胎儿B急性剖腹产可能性的危险因素。
结论：多胎妊娠不仅对女性而且对胎儿都有较高的发病率。多胎妊娠的发生率受辅助生殖的影响。递送方法取决于各种因素，如绒毛膜，胎儿表现,有剖腹产史.
方法：回顾性分析在医学院（FM）第二妇产科诊所分娩的多胎妊娠妇女的选定参数，2010-2022年夸美纽斯大学（CU）和布拉迪斯拉发大学医院（UH）。
结果：在2010年至2022年之间，在布拉迪斯拉发的FMCU和UH的第二妇产科诊所，1.13%的新生儿是多胎妊娠。经过统计数据处理,初产妇作为急性剖腹产(剖腹产)的风险具有统计学意义;经产妇女阴道分娩的可能性更高。自2017年以来，该诊所的剖腹产数量呈下降趋势。急性剖腹产的妇女，与阴道分娩相比,两个胎儿的平均pH值均较低.然而,胎儿窒息的发生率差异无统计学意义。我们没有发现增加双胞胎胎儿B急性剖腹产可能性的危险因素。
结论：多胎妊娠不仅对女性而且对胎儿都有较高的发病率。多胎妊娠的发生率受辅助生殖的影响。递送方法取决于各种因素，如绒毛膜，胎儿表现,有剖腹产史.
