Influencing Factors of Adverse Pregnancy Outcomes in Puerpera with Twin Pregnancy and the Predictive Value of Related Factors
Objective:To study the influencing factors of adverse pregnancy outcomes in puerpera with twin pregnancy,and the predictive value of cervical canal length,serum albumin and weight increase in the adverse pregnancy outcomes of puerpera with twin pregnancy.Method:A total of 102 puerpera with twin pregnancy were selected from Ruijin Maternal and Child Health Hospital from March 2021 to February 2023.The clinical data,cervical canal length and serum albumin level of the two groups were compared,and they were divided into adverse pregnancy outcomes group(n=50)and normal group(n=52)according to pregnancy outcomes.logistic regression analysis was used to analyze the influencing factors of adverse pregnancy outcomes in puerpera with twin pregnancy,and receiver operating characteristics(ROC)curve were drawn to analyze the efficacy of cervical canal length combined with serum albumin and weight increase in predicting adverse pregnancy outcomes in twin pregnancy.Result:A total of 50 of 102 subjects had adverse pregnancy outcomes,with an incidence of 49.02%.There were significant differences in age,weight increase,serum albumin and cervical canal length between the two groups(P<0.05).logistic regression analysis showed that age was a risk factor for adverse pregnancy outcomes in puerpera with twin pregnancy,while weight increase,serum albumin and cervical canal length were protective factors for adverse pregnancy outcomes in puerpera with twin pregnancy(P<0.05).ROC curve showed that the AUC of cervical canal length combined with serum albumin and weight increase increase in predicting adverse pregnancy outcomes of puerpera with twin pregnancy was 0.916.Conclusion:Cervical canal length,serum albumin and weight increase are protective factors for adverse pregnancy outcomes in puerpera with twin pregnancy,and the combined detection of the three factors is more effective in predicting adverse pregnancy outcomes in puerpera with twin pregnancy.
Puerpera with twin pregnancyAdverse pregnancy outcomesCervical canal lengthAlbumin level
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