Twin pregnancies: incidence and outcome - Riyadh Armed Forces Hospital experience.

A retrospective study of twin births at the Armed Forces Hospital, Riyadh, from January 1987 to December 1996 was carried out. There were 62 739 deliveries and 598 sets of twins. The incidence of twins was one in 105 maternities.

Multiple pregnancy and preterm labor.

Objective: Multiple gestations are high risk pregnancies, which may be complicated by pre-maturity, low birth weight infants, pre-eclampsia, anemia, postpartum hemorrhage, intrauterine growth restriction, neonatal morbidity and high perinatal, neonatal and infant mortality. This study was carried out to determine the incidence and effect of multiple pregnancies on pre-term labor in tertiary care hospitals.

Methods: Retrospective case record analysis of 375 cases of multiple pregnancies that were reported at Armed Forces Hospital and King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, between January 2000 and December 2001.

Changing trends in perinatal deaths at the Armed Forces Hospital, Riyadh, Saudi Arabia.

A total of 104522 babies were delivered at the Riyadh Armed Forces Hospital between 1979 and 1998, including 807 stillbirths and 658 neonatal deaths. The 20-year period was divided into four 5-yearly intervals for comparative purposes. The overall Perinatal Mortality Rate (PMR) for infants weighing 500 grams or more ranged between 20.

Pregnancy outcome of patients with previous four or more caesarean sections.

Between 1994 and 1999, of the 44 357 mothers delivered at the Riyadh Armed Forces Hospital (RAFH), 255 patients had four or more previous caesarean sections (CS). This comprised 0.5% of the obstetric population.

Comparison of maternal and infant outcomes between vacuum extraction and forceps deliveries.

Objective: To analyze the instrumental deliveries carried out at the Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia during the year 2000 and compare the outcome of ventouse and forceps deliveries.

Methods: A retrospective case note review of all instrumental deliveries, carried out at the Armed Forces Hospital, Riyadh, during the year 2000.

Results: Three hundred and four vaginal deliveries, of whom 258 were ventouse and 46 were forceps deliveries, were assisted.

Teenage pregnancy.

Objective: To study the frequency of teenage pregnancy and its complications as compared to controls.

Methods: A retrospective case record analysis of 2522 pregnancies, aged below 25 years was carried out, in the Department of Obstetrics, Riyadh Armed Forces Hospital during the period 1 January 1999 to 31st December 1999.

Results: The incidence of teenage pregnancy for 1999 was 6%.

Cesarean section in the primigravid.

Objective: To review all cases of cesarean section in the primigravid mother delivered at the Riyadh Armed Forces Hospital between January 1996 and December 1997. To determine its incidence, describe the clinical indications, outcome and highlight areas of improvement in an attempt to reduce the rate of cesarean section.

Methods: Retrospective case record analysis.

Can the rate of cesarean section be reduced?

Objective: To look into all cases with previous one cesarean section who were cared for and delivered at Armed Forces Hospital, Riyadh, between January 1990 and December 1998, to determine its prevalence, final method of delivery, and outline measures of reducing its incidence.

Methods: Retrospective analysis of hospital records of all women with previous one cesarean section who had either a repeat cesarean section or delivered vaginally after cesarean section.

Results: Between 1990 and 1998, 61,060 mothers were delivered.

Cesarean delivery of the second twin after vaginal delivery of the first twin.

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Intrapartum rupture of the gravid uterus.

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Screening for gestational diabetes.

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Transabdominal cervicoisthmic cerclage.

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Transabdominal cervicoisthmic cerclage: the Riyadh Armed Forces Hospital experience.

Between 1985 and 1996, 17 transabdominal cervicoisthmic cerclage procedures were performed and followed up through 28 pregnancies at Riyadh Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia. Fourteen procedures were carried out during pregnancy and three preconceptionally. Twenty-four pregnancies continued beyond 36 weeks of gestation and three were premature deliveries.