Influence of platelet counts on postpartum hemorrhage in elective cesarean section for Japanese twins

Abstract

We examined the relationship between admission platelet count and postpartum hemorrhage (PPH) in prelabor near-term cesarean section (CS) for twin pregnancy. Methods: The total population of women with twin pregnancy who underwent scheduled pre-labor CS at 36-37 weeks of gestation between April 2018 and November 2020 was reviewed. Results: Seventy-two patients met the conditions of this study. Six of the 72 patients (8.3%) had PPH requiring transfusion. We found no significant influence of preoperative platelet counts on the incidence of PPH (P = 0.08). Conclusion:As the relationship between the preoperative platelet count and PPH has not been clarified, further studies are needed.

Complications of Multiple Pregnancy: Conception to Delivery

“…The occurrence of severe maternal morbidity and maternal death is significantly higher among twin compared to singleton pregnancies [50]. Twin delivery has a negative impact on perinatal health indicators, since the mortality is higher, especially due to higher preterm births.…”