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Comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies

OBJECTIVE: To determine whether late preterm twin neonates have a more favorable perinatal outcome than singleton late preterm neonates. METHODS: We studied 401 late preterm births between 34+0 and 36+6 weeks of gestation, from January 2011 to December 2014 in our institution. We compared the matern...

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Autores principales: Yoo, Eun-Hye, Chun, Dasom, Kim, Mi Ju, Cha, Hyun-Hwa, Seong, Won Joon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5621070/
https://www.ncbi.nlm.nih.gov/pubmed/28989917
http://dx.doi.org/10.5468/ogs.2017.60.5.421
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author Yoo, Eun-Hye
Chun, Dasom
Kim, Mi Ju
Cha, Hyun-Hwa
Seong, Won Joon
author_facet Yoo, Eun-Hye
Chun, Dasom
Kim, Mi Ju
Cha, Hyun-Hwa
Seong, Won Joon
author_sort Yoo, Eun-Hye
collection PubMed
description OBJECTIVE: To determine whether late preterm twin neonates have a more favorable perinatal outcome than singleton late preterm neonates. METHODS: We studied 401 late preterm births between 34+0 and 36+6 weeks of gestation, from January 2011 to December 2014 in our institution. We compared the maternal and neonatal characteristics and perinatal outcomes between singleton and twin pregnancies. Perinatal outcomes included Apgar score, admission to the neonatal intensive care unit (NICU) or special care nursery, duration of NICU stay, and the rate of composite morbidity (antibiotic use, hypoglycemia, hypocalcemia, hyperbilirubinemia requiring phototherapy, respiratory support, and respiratory distress syndrome). RESULTS: A total of 289 neonates were in the singleton group and 112 in the twin group. The twin group showed smaller mean birth weight despite of longer gestational age at delivery. In addition, there were significant differences in the indication of delivery and cesarean section rate between the 2 groups. Overall, the risk of composite morbidity was similar between 2 groups (odds ratio, 1.4; 95% confidence interval, 0.8 to 2.4). CONCLUSION: Our findings suggest that late preterm twins do not show a more favorable outcome than singleton late preterm births.
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spelling pubmed-56210702017-10-06 Comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies Yoo, Eun-Hye Chun, Dasom Kim, Mi Ju Cha, Hyun-Hwa Seong, Won Joon Obstet Gynecol Sci Original Article OBJECTIVE: To determine whether late preterm twin neonates have a more favorable perinatal outcome than singleton late preterm neonates. METHODS: We studied 401 late preterm births between 34+0 and 36+6 weeks of gestation, from January 2011 to December 2014 in our institution. We compared the maternal and neonatal characteristics and perinatal outcomes between singleton and twin pregnancies. Perinatal outcomes included Apgar score, admission to the neonatal intensive care unit (NICU) or special care nursery, duration of NICU stay, and the rate of composite morbidity (antibiotic use, hypoglycemia, hypocalcemia, hyperbilirubinemia requiring phototherapy, respiratory support, and respiratory distress syndrome). RESULTS: A total of 289 neonates were in the singleton group and 112 in the twin group. The twin group showed smaller mean birth weight despite of longer gestational age at delivery. In addition, there were significant differences in the indication of delivery and cesarean section rate between the 2 groups. Overall, the risk of composite morbidity was similar between 2 groups (odds ratio, 1.4; 95% confidence interval, 0.8 to 2.4). CONCLUSION: Our findings suggest that late preterm twins do not show a more favorable outcome than singleton late preterm births. Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2017-09 2017-09-18 /pmc/articles/PMC5621070/ /pubmed/28989917 http://dx.doi.org/10.5468/ogs.2017.60.5.421 Text en Copyright © 2017 Korean Society of Obstetrics and Gynecology http://creativecommons.org/licenses/by-nc/3.0/ Articles published in Obstet Gynecol Sci are open-access, distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yoo, Eun-Hye
Chun, Dasom
Kim, Mi Ju
Cha, Hyun-Hwa
Seong, Won Joon
Comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies
title Comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies
title_full Comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies
title_fullStr Comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies
title_full_unstemmed Comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies
title_short Comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies
title_sort comparison of perinatal outcomes in late preterm birth between singleton and twin pregnancies
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5621070/
https://www.ncbi.nlm.nih.gov/pubmed/28989917
http://dx.doi.org/10.5468/ogs.2017.60.5.421
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