A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience
The aim was to determine whether discordant twin growth has an impact on preterm birth in dichorionic pregnancies. This retrospective study included dichorionic twin pregnancies in the period from January 1, 2013 to December 31, 2015. The following variables were investigated: maternal age (years),...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2017-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/288085 |
| _version_ | 1827282938298892288 |
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| author | Marko Vulić Lara Lalić Luka Vulić Damir Roje Zdeslav Benzon Zoran Meštrović |
| author_facet | Marko Vulić Lara Lalić Luka Vulić Damir Roje Zdeslav Benzon Zoran Meštrović |
| author_sort | Marko Vulić |
| collection | DOAJ |
| description | The aim was to determine whether discordant twin growth has an impact on preterm birth in dichorionic pregnancies. This retrospective study included dichorionic twin pregnancies in the period from January 1, 2013 to December 31, 2015. The following variables were investigated: maternal age (years), parity, body mass index (kg/m2), week (≤366/7 and ≥37) and mode of delivery (vaginal and cesarean section), birth weight (grams) and Apgar score (≤7, 8-10). Discordant twin growth in dichorionic pregnancies was found to be associated with preterm birth (χ2=4.74; p=0.03) but had no impact on the mode of delivery (χ2=0.119; p=0.73). There was a statistically significant difference in the rate of small for gestational age (SGA) neonates (χ2=16.4556; p=0.000267) and Apgar score (χ2=7.9931; p<0.05) between the study groups. Mode of conception in dichorionic pregnancies was not a risk factor for preterm delivery (χ2=1.417; p=0.23). In conclusion, discordant twin growth in dichorionic pregnancies is a risk factor for preterm delivery and has no impact on the mode of delivery but has an impact on the rate of SGA and Apgar score. |
| first_indexed | 2024-04-24T09:27:29Z |
| format | Article |
| id | doaj.art-18f04f117a6a472abd7c8ab6fb61215f |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:27:29Z |
| publishDate | 2017-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-18f04f117a6a472abd7c8ab6fb61215f2024-04-15T14:39:21ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512017-01-0156.4.64064410.20471/acc.2017.56.04.09A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year ExperienceMarko Vulić0Lara Lalić1Luka Vulić2Damir Roje3Zdeslav Benzon4Zoran Meštrović5Department of Gynecology and Obstetrics, Split University Hospital Centre, School of Medicine, University of Split, Split, CroatiaSplit University Hospital Centre, Split, CroatiaSchool of Medicine, University of Split, Split, CroatiaDepartment of Gynecology and Obstetrics, Split University Hospital Centre, School of Medicine, University of Split, Split, CroatiaDepartment of Gynecology and Obstetrics, Split University Hospital Centre, School of Medicine, University of Split, Split, CroatiaDepartment of Gynecology and Obstetrics, Split University Hospital Centre, School of Medicine, University of Split, Split, CroatiaThe aim was to determine whether discordant twin growth has an impact on preterm birth in dichorionic pregnancies. This retrospective study included dichorionic twin pregnancies in the period from January 1, 2013 to December 31, 2015. The following variables were investigated: maternal age (years), parity, body mass index (kg/m2), week (≤366/7 and ≥37) and mode of delivery (vaginal and cesarean section), birth weight (grams) and Apgar score (≤7, 8-10). Discordant twin growth in dichorionic pregnancies was found to be associated with preterm birth (χ2=4.74; p=0.03) but had no impact on the mode of delivery (χ2=0.119; p=0.73). There was a statistically significant difference in the rate of small for gestational age (SGA) neonates (χ2=16.4556; p=0.000267) and Apgar score (χ2=7.9931; p<0.05) between the study groups. Mode of conception in dichorionic pregnancies was not a risk factor for preterm delivery (χ2=1.417; p=0.23). In conclusion, discordant twin growth in dichorionic pregnancies is a risk factor for preterm delivery and has no impact on the mode of delivery but has an impact on the rate of SGA and Apgar score.https://hrcak.srce.hr/file/288085Premature birthPregnancyRetrospective studiesTwins, dizygoticCroatia |
| spellingShingle | Marko Vulić Lara Lalić Luka Vulić Damir Roje Zdeslav Benzon Zoran Meštrović A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience Acta Clinica Croatica Premature birth Pregnancy Retrospective studies Twins, dizygotic Croatia |
| title | A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience |
| title_full | A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience |
| title_fullStr | A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience |
| title_full_unstemmed | A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience |
| title_short | A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience |
| title_sort | retrospective study of discordant twin growth in dichorionic twin pregnancies and risk of preterm delivery at split university hospital centre three year experience |
| topic | Premature birth Pregnancy Retrospective studies Twins, dizygotic Croatia |
| url | https://hrcak.srce.hr/file/288085 |
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