Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Effects of placental chorionicity on outcome in twin pregnancies - A cohort study
Autore:
Minakami, H; Honma, Y; Matsubara, S; Uchida, A; Shiraishi, H; Sato, I;
Indirizzi:
Jichi Med Sch, Dept Obstet & Gynecol, Minami Kawachi, Tochigi 3290498, Japan Jichi Med Sch Minami Kawachi Tochigi Japan 3290498 Tochigi 3290498, Japan Jichi Med Sch, Dept Pediat, Minami Kawachi, Tochigi 3290498, Japan Jichi Med Sch Minami Kawachi Tochigi Japan 3290498 Tochigi 3290498, Japan
Titolo Testata:
JOURNAL OF REPRODUCTIVE MEDICINE
fascicolo: 7, volume: 44, anno: 1999,
pagine: 595 - 600
SICI:
0024-7758(199907)44:7<595:EOPCOO>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
SINGLE INTRAUTERINE DEATH; TRANSFUSION SYNDROME; CEREBRAL-PALSY; UNITED-STATES; MORTALITY; CRITERIA; BIRTHS;
Keywords:
chorion; placenta; twins; twin transfusion syndrome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Minakami, H Jichi Med Sch, Dept Obstet & Gynecol, Minami Kawachi, Tochigi 3290498, Japan Jichi Med Sch Minami Kawachi Tochigi Japan 3290498 498, Japan
Citazione:
H. Minakami et al., "Effects of placental chorionicity on outcome in twin pregnancies - A cohort study", J REPRO MED, 44(7), 1999, pp. 595-600

Abstract

OBJECTIVE: To examine the effects of the chorionicity of the placenta on infant outcome at 1 year of age in twin pregnancies. STUDY DESIGN: Cohort study and retrospective review of the medical recordsof 44 monochorionic (MC) and 164 dichorionic (DC) twin gestations that hadbeen followed at our institution since <20 weeks' gestation. Physical and neurologic status was assessed at 1 year of corrected age in infants born to these 208 women. RESULTS: Adverse infant outcomes, such as death, cerebral palsy and mentalretardation, occurred in 9 (10%) of 88 MC infants (4 deaths and 5 disabledinfants) as compared with 12 (3.7%) of 328 DC infants (6 deaths and 6 disabled infants) (P <.05). Although delivery occurred one week earlier in MC than in DC twins (34.7+/-2.8 vs. 35.7+/-2.3 weeks, P<.01), there was Mo significant difference in gestational age at birth or birth weight between the 9 MC and 12 DC infants with adverse outcomes. A presumptive antenatal diagnosis of twin-twin transfusion syndrome (TTTS) was made in 14 (32%) of the 44 MC twin gestations. TTTS was considered to be responsible for adverse outcome in 7 MC infants. All 9 MC infants with adverse outcomes and 4 (33%) of12 DC infants with adverse outcomes belonged to pairs that hack weight discordance greater than or equal to 25% (P <.01). CONCLUSION: MC twins had an increased risk of adverse outcomes as comparedwith DC twins, mainly because of TTTS. In both MC and DC twins, a birth weight discordance greater than or equal to 25% was associated with adverse infant outcomes. The number of infants with disabilities at 1 year of age was equal to the number of deaths.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 21:40:24