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• W2070499142 abstract "Valoración de los resultados perinatales en un estudio retrospectivo del manejo del parto del segundo gemelo, cuando se ha producido un parto vaginal del primer gemelo, en los partos gemelares asistidos por vía vaginal en el Hospital Universitario Materno Infantil de Canarias (HUMIC), durante el período comprendido desde el 1 de enero de 1998 al 31 de diciembre de 2002. Análisis de 455 partos gemelares, sobre un total de 37.803 partos, desde el 1-01-1998 al 31-12-2002. Se revisaron de forma retrospectiva todos los partos gemelares por vía vaginal atendidos en dicho período. Se excluyeron los partos triples y los gemelos asistidos mediante cesárea. Se evaluaron los siguientes parámetros: número total de partos gemelares, total de recién nacidos (RN) vivos, número de partos gemelares por vía vaginal, edad materna, paridad, edad gestacional, tipo de parto, tipo de parto del segundo gemelo, peso, sexo del RN, test de Apgar, pH arterial menor de 7,10, ingreso en la unidad de cuidados intensivos neonatales (UCIN) y mortalidad. El número de partos gemelares atendidos en dicho período fue de 454, con 902 RN vivos. El número de partos gemelares por vía vaginal fue de 262. La edad materna fue de 77,9% entre 17–34 años. La mayoría primíparas, con 135 casos (51,5%). La edad gestacional en el momento del parto fue del 39,3% de menos de 37 semanas. En cuanto a la forma del parto del segundo gemelo, 134 (51,1%) fueron eutócicos, 60 (22,9%) de versión interna y gran extracción podálica, 41 (15,6%) podálicos vía vaginal y 27 (10,3%) mediante fórceps. En cuanto a los recién nacidos, la mayoría fueron varones (133 casos), y 141 (54,6%) presentaron un peso inferior a 2.500 g. Los resultados perinatales fueron buenos, con el 96,4% de los gemelos con test de Apgar a los 5 minutos superior a 7, pH arterial mayor de 7,10 en el 79,07%, y el 26,7% ingresó en el servicio de neonatología. To evaluate perinatal results in a retrospective analysis of the management of second twin delivery after first twin vaginal birth, among all M.A. Barber twin vaginal deliveries at the Obstetrics and Gynecology Unit of the University Maternity Hospital of Las Palmas from January 1, 1998 to December 31, 2002. Of 37,803 deliveries, 455 twin deliveries that took place during the study period were analyzed. All twin vaginal deliveries were retrospectively analyzed. Triplet gestations and twin births by cesarean section were excluded. The following variables were also analyzed: total number of twin deliveries, total number of live births, twin vaginal deliveries, maternal age, parity, gestational age, type of delivery and type of delivery of the second twin. Weight, sex, Apgar score, neonatal arterial pH lower than 7.10, admission to the neonatal intensive care unit (NICU), and mortality were also determined. There were 454 twin deliveries during the study period with 902 live newborns. There were 262 vaginal twin deliveries. Maternal age was between 17 and 34 years in 77.9% of the parturient women. One hundred thirty-five women were primigravidas (51.5%). Gestational age at delivery was less 37 weeks in 39.3%. Regarding the management of second twin delivery, delivery was normal in 134 (51.1%), internal podalic version was performed in 60 (22.9%), vaginal breech delivery was performed in 41 (15.6%) and forceps delivery was carried out in 27 (10.3%). One hundred thirtythree newborns were male. One hundred forty-one newborns weighed less than 2,500 g (54.6%). Perinatal results were good. Apgar score at 5 minutes was more than 7 in 96.4% of the twins, pH was greater than 7.10 in 79.07%, and admission to the NICU was required in 26.7%." @default.
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• W2070499142 date "2004-01-01" @default.
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• W2070499142 title "Manejo del parto del segundo gemelo" @default.
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