Analysis of hospital stay for Multiple Birth in 2018-2021, in Chile.

Authors

  • Fernanda Velásquez Blasquez 1. Facultad de Medicina, Universidad de Santiago de Chile. Santiago, Región Metropolitana, Chile.
  • Isidora Romero Cea 2. Facultad de Medicina, Universidad de La Frontera. Temuco, Región de La Araucanía, Chile.
  • Constanza Contreras Moreno Facultad de Medicina, Universidad Mayor. Temuco, Región de La Araucanía, Chile.
  • Javiera Arias Mansilla Facultad de Medicina, Universidad San Sebastián. Puerto Montt, Región de Los Lagos, Chile.

DOI:

https://doi.org/10.56754/2810-6571.2024.3320

Keywords:

Twin birth, Hospitalization, Epidemiology, Cesarean section, Multiple pregnancy, Maternal age

Abstract

Introduction: Twin birth (TB) is the most important cause of perinatal morbidity and mortality, and which incidence is increasing. It has been decided to carry out an analysis of hospital discharge by TB in the period 2018-2021 in Chile. Methods: A descriptive, cross-sectional study was conducted on hospitalizations due to TB in the period 2018-2021 in Chile (N=2,151), in a population older than 15 years old, according to days of hospital stay and delivery route. Descriptive statistics were applied. Data from ‘’Departamento de Estadística e Información en Salud’’ (DEIS) were used; it did not require ethical approval. Results:When analyzing the period between 2018-2021, it was evidenced that the percentage of TB corresponds to 0.4% of hospital discharges. The age group with the highest discharges was 20-44 years old, with 96.3% of the total.The highest hospitalization average of 5.0 days was obtained for the 15-19 age group (95% CI from 4.60 to 5.46). The predominant delivery method for TB at any age was cesarean section, accounting for 90.1% of cases. Discussion:This study provides a nationally representative epidemiological update regarding the number of twin births, mode of delivery, and hospital stay in Chile between 2018-2021. Conclusions: A decrease was observed between the years 2018 to 2021 in the total number of hospital admissions due to childbirth, regardless of the type of gestation; however, the ratio of Twin Births with respect to Single Births is maintained. It can be concluded from the analysis of each period that patients hospitalized for TB have on average a longer hospital stay than those with singleton pregnancies, in particular, those patients who underwent cesarean section compared to those who had vaginal deliveries.



Downloads

Download data is not yet available.

References

Fernández Niklitschek C, Poblete Lizana JA. Prevención de Parto Prematuro en Gemelar: ¿Qué hay de nuevo?. Rev Chil Obstet Ginecol. 2017;82(1):70–6.

American College of Obstetricians and Gynecologists Committee on Practice Bulletins-Obstetrics, Society for Maternal-Fetal Medicine. Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies. Obstetrics & Gynecology. ACOG. 2021; 231: 145-62.

Ponce J, Bennasar M, Muñoz M, Palacio M, Crovetto, Boguña JM, et al. Protocolo: Asistencia al embarazo y parto de gestaciones múltiples. Protocols Medicina Maternofetal. Hospital Sant Joan de Déu. Barcelona. 2021; pp. 2-4.

Chen Wu X. Gestación múltiple. Rev Medica Sinerg. 2018;3(5):14–9.

Carvajal J & Barriga M. Manual de Obstetricia y Ginecología. Pontificia Universidad Católica de Chile. 2020; 15: pp. 86.

Resnik R, Lockwood C, Moore T, Greene M, Copel J & Silver R. Gestación múltiple: biología de la gemelaridad. Medicina materno-fetal : principios y práctica. Elsevier, Barcelona. 2020; pp 68.

Cruz-Martínez R, Villalobos-Gómez R, Gil-Pugliese S, Gámez-Varela A, López-Briones H, Martínez-Rodríguez M, et al. Management of atypical cases of twin-to-twin transfusion syndrome. Best Pract Res Clin Obstet Gynaecol. 2022;84:155–65.

Gill P, Lende M & Van Hook JW. Twin Births. StatPearls Publishing. 2018. PMID: 29630252.

Reyna E & Rondón M. Muerte fetal intrauterina de uno de los gemelos. Rev Peru Ginecol Obstet. 2018; 64, 77-83.

INE. Boletín de Estadísticas Vitales. Cifras Provisionales 2020. Subdepartamento de demografía. Departamento de Estadísticas Demográficas y Sociales. Subdirección Técnica. 2020: pp. 2.

Campbell OMR, Cegolon L, Macleod D & Benova L. Length of Stay After Childbirth in 92 Countries and Associated Factors in 30 Low- and MiddleIncome Countries: Compilation of Reported Data and a Cross-sectional Analysis from Nationally Representative Surveys. PLoS Med. 2016; 13, 6-19.

Puchi A, Espinoza N, Montes A, Apablaza N, Palazzi M, Sothers K. Estudiantes universitarias nuligestas en edad fértil y su postura acerca de posibles vías del parto. Rev Chil Obstet Ginecol. 2022;87(4).

Cegolon, L., Mastrangelo, G., Maso, G. et al. Determinants of length of stay after cesarean sections in the Friuli Venezia Giulia Region (North-Eastern Italy), 2005–2015. Sci Rep. 2020; 10, 19238.

Santana DS, Surita FG, Cecatti JG. Multiple pregnancy: Epidemiology and association with maternal and perinatal morbidity. Rev Bras Ginecol Obstet. 2018;40(09):554–62.

Tanigaki S, Takemori S, Osaka M, Watanabe M, Kitamura A, Ueyama S, et al. Caesarean section of multifetal pregnancy. Surg J. 2020; 6: 92–7.

Subsecretaría de redes asistenciales. (2020). Informe glosa 04: Primer trimestre 2020. Ministerio de Salud. Gobierno de Chile, pp. 5-19.

Barrera-Barrera G, Cucoch-Petraello-Rojas C, Martínez-Vera I, Neira-Pérez M, Órdenes-Osorio S, Sandoval-Rubilar S, et al. Percepción de las vías del parto de mujeres en edad reproductiva: una revisión de la literatura. Rev Chil Obstet Ginecol. 2022; 87(2): 122-136.

De Elejalde R, Giolito E. Altas tasas de Cesáreas en Clínicas Privadas: ¿Una relación causal? Ob Econ. 2019;(135):4–5.

McLennan AS, Gyamfi-Bannerman C, Ananth CV, Wright JD, Siddiq Z, D’Alton ME, et al. The role of maternal age in twin pregnancy outcomes. Am J Obstet Gynecol. 2017;217(1):80.e1-80.e8.

Bendezú G, Espinoza D, Torres J & Huamán R. Características y riesgos de gestantes adolescentes. Rev Peru Ginecol Obstet. 2016; 62, 13-18.

DeMarco N, Twynstra J, Ospina MB, Darrington M, Whippey C, Seabrook JA. Prevalence of low birth weight, premature birth, and stillbirth among pregnant adolescents in Canada: A systematic review and meta-analysis. J Pediatr Adolesc Gynecol. 2021;34(4):530–7.

Published

2024-05-13

How to Cite

1.
Velásquez Blasquez F, Romero Cea I, Contreras Moreno C, Arias Mansilla J. Analysis of hospital stay for Multiple Birth in 2018-2021, in Chile. Rev. Cir. Urgenc. Trauma Estud. Med. [Internet]. 2024 May 13 [cited 2025 Nov. 29];1(1). Available from: https://acutem.ufro.cl/index.php/acutem/article/view/3320

Similar Articles

You may also start an advanced similarity search for this article.