Maternal and neonatal complications in spontaneous twin pregnancy versus IVF twin pregnancy

Abstract

Introduction. The aim of this study was to identify the maternal and neonatal complications in the twin preg­nan­cy obtained spontaneously versus the twin pregnancy ob­tained through the assisted reproduction techniques (IVF). The study included 40 patients with twin pregnancy, respectively 80 newborns, who were diagnosed and treated at the “Elias” University Emergency Hospital, Bucharest. Results. The incidence of the twin pregnancy obtained through IVF was identified at the 36-40 years old group. 47.5% of the patients who obtained the pregnancy through IVF pre­sen­ted complications, compared to 22.5% of the patients with pregnancy obtained spontaneously who developed com­pli­cations. The results showed that the highest incidence of complications was in the group of patients who obtained the pregnancy through IVF. As far as the newborns are con­cerned, 8.75% of the IVF ones de­veloped breathing com­pli­ca­tions and 3.75% developed other complications which required admission in the Neo­na­tal Intensive Care Unit (NICU), without significant dif­fe­ren­ces between twin I and twin II. Conclusions. The neonatal and twin pregnant wo­man management should in­clude the awareness of the problems that may appear more frequently in this preg­nan­cy category, respectively the new­borns.