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Preterm birth in twin pregnancies: Clinical outcomes and predictive parameters
OBJECTIVE: To document the neonatal outcomes of preterm birth in twin pregnancies and to investigate whether perinatal and obstetric parameters are associated with clinical outcomes. METHODS: This retrospective trial was conducted on data gathered from 176 preterm twins delivered in the obstetrics a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017103/ https://www.ncbi.nlm.nih.gov/pubmed/27648040 http://dx.doi.org/10.12669/pjms.324.10409 |
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author | Dolgun, Zehra Nihal Inan, Cihan Altintas, Ahmet Salih Okten, Sabri Berkem Sayin, Niyazi Cenk |
author_facet | Dolgun, Zehra Nihal Inan, Cihan Altintas, Ahmet Salih Okten, Sabri Berkem Sayin, Niyazi Cenk |
author_sort | Dolgun, Zehra Nihal |
collection | PubMed |
description | OBJECTIVE: To document the neonatal outcomes of preterm birth in twin pregnancies and to investigate whether perinatal and obstetric parameters are associated with clinical outcomes. METHODS: This retrospective trial was conducted on data gathered from 176 preterm twins delivered in the obstetrics and gynecology department of our tertiary care center. Data extracted from medical files of 88 pregnant women who gave preterm birth (at 26(0/7) to 36(6/7) gestational weeks) to twins were analyzed. Maternal/fetal descriptive and obstetric parameters, sonographic data, route of delivery, indication for cesarean section, birth weight, Apgar scores, head circumference, umbilical cord length and placental weight were noted. RESULTS: The average age of the pregnant women was 28.8±6.4 years and ultrasonographic gestational age was 31.9±2.6 weeks. Apgar scores at 1(st) minute were affected significantly by fetal body weight (p=0.001), gestational age (p=0.001), height (p=0.004) and head circumference (p=0.011). None of these variables exhibited a noteworthy effect on Apgar scores at 5(th) minute. CONCLUSION: Efforts must be made to achieve advancement of gestational age until delivery in the follow-up preterm of twins. A well-established algorithm with special emphasis to risk factors is necessary to standardize and popularize the appropriate management strategy. |
format | Online Article Text |
id | pubmed-5017103 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Professional Medical Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-50171032016-09-19 Preterm birth in twin pregnancies: Clinical outcomes and predictive parameters Dolgun, Zehra Nihal Inan, Cihan Altintas, Ahmet Salih Okten, Sabri Berkem Sayin, Niyazi Cenk Pak J Med Sci Original Article OBJECTIVE: To document the neonatal outcomes of preterm birth in twin pregnancies and to investigate whether perinatal and obstetric parameters are associated with clinical outcomes. METHODS: This retrospective trial was conducted on data gathered from 176 preterm twins delivered in the obstetrics and gynecology department of our tertiary care center. Data extracted from medical files of 88 pregnant women who gave preterm birth (at 26(0/7) to 36(6/7) gestational weeks) to twins were analyzed. Maternal/fetal descriptive and obstetric parameters, sonographic data, route of delivery, indication for cesarean section, birth weight, Apgar scores, head circumference, umbilical cord length and placental weight were noted. RESULTS: The average age of the pregnant women was 28.8±6.4 years and ultrasonographic gestational age was 31.9±2.6 weeks. Apgar scores at 1(st) minute were affected significantly by fetal body weight (p=0.001), gestational age (p=0.001), height (p=0.004) and head circumference (p=0.011). None of these variables exhibited a noteworthy effect on Apgar scores at 5(th) minute. CONCLUSION: Efforts must be made to achieve advancement of gestational age until delivery in the follow-up preterm of twins. A well-established algorithm with special emphasis to risk factors is necessary to standardize and popularize the appropriate management strategy. Professional Medical Publications 2016 /pmc/articles/PMC5017103/ /pubmed/27648040 http://dx.doi.org/10.12669/pjms.324.10409 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Dolgun, Zehra Nihal Inan, Cihan Altintas, Ahmet Salih Okten, Sabri Berkem Sayin, Niyazi Cenk Preterm birth in twin pregnancies: Clinical outcomes and predictive parameters |
title | Preterm birth in twin pregnancies: Clinical outcomes and predictive parameters |
title_full | Preterm birth in twin pregnancies: Clinical outcomes and predictive parameters |
title_fullStr | Preterm birth in twin pregnancies: Clinical outcomes and predictive parameters |
title_full_unstemmed | Preterm birth in twin pregnancies: Clinical outcomes and predictive parameters |
title_short | Preterm birth in twin pregnancies: Clinical outcomes and predictive parameters |
title_sort | preterm birth in twin pregnancies: clinical outcomes and predictive parameters |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017103/ https://www.ncbi.nlm.nih.gov/pubmed/27648040 http://dx.doi.org/10.12669/pjms.324.10409 |
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