We examined deliveries of twins to identify factors most strongly associated with an increased risk of transfusion. We reviewed the obstetric records of 511 twin deliveries at the Japanese Red Cross Katsushika Maternity Hospital from 2003 through 2007. After 18 (3.5%) of these deliveries, transfusions were required. Transfusion was significantly more likely after elective cesarean delivery at a gestational aged of 37 weeks or more (odds ratio, 4.85; 95% confidence interval, 1.87-12.61). Emergency cesarean delivery (at > or =37 weeks' gestation) was not associated with an increased risk of transfusion. The delivery mode of twins should be carefully considered because of the increased risk of transfusion after elective cesarean delivery at a gestational age of 37 weeks or more.

译文

我们检查了双胞胎的分娩,以确定与输血风险增加最密切相关的因素。我们在2007年2003年审查了日本红十字会葛藤妇产医院511例双胞胎分娩的产科记录。在这些递送中的18 (3.5%) 之后,需要输血。在妊娠37周或以上的择期剖宫产后,输血的可能性明显更高 (优势比,4.85; 95% 置信区间,1.87-12.61)。紧急剖宫产 (妊娠> 或 = 37周) 与输血风险增加无关。应仔细考虑双胞胎的分娩方式,因为在胎龄为37周或以上的选择性剖宫产后输血的风险增加。

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