Centile nomograms for body weight and length of multiple-birth infants

<p> <b>K.R. Bondarenko<sup>1</sup>, P.A. Kuznetsov<sup>1–3</sup>, L.S. Dzhokhadze<sup>1</sup>, V.V. Lyan<sup>1</sup>, A.V. Kriger<sup>1</sup>, E.S. Eletnova<sup>1</sup></b><br> </p> <p> <...

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Main Authors: K.R. Bondarenko, P.A. Kuznetsov, L.S. Dzhokhadze, V.V. Lyan, A.V. Kriger, E.S. Eletnova
Format: Article
Language:Russian
Published: LCC «Medicine-Inform» 2020-02-01
Series:РМЖ. Мать и дитя
Online Access:http://wchjournal.com/upload/iblock/7a1/7a1bbb61631aae07aaa5cddc404e11af.pdf
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author K.R. Bondarenko
P.A. Kuznetsov
L.S. Dzhokhadze
V.V. Lyan
A.V. Kriger
E.S. Eletnova
author_facet K.R. Bondarenko
P.A. Kuznetsov
L.S. Dzhokhadze
V.V. Lyan
A.V. Kriger
E.S. Eletnova
author_sort K.R. Bondarenko
collection DOAJ
description <p> <b>K.R. Bondarenko<sup>1</sup>, P.A. Kuznetsov<sup>1–3</sup>, L.S. Dzhokhadze<sup>1</sup>, V.V. Lyan<sup>1</sup>, A.V. Kriger<sup>1</sup>, E.S. Eletnova<sup>1</sup></b><br> </p> <p> <b><sup>1</sup>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b> </p> <p> <b><sup>2</sup>City Clinical Hospital No. 24, Moscow, Russian Federation</b> </p> <p> <b><sup>3</sup>Research Institute of Public Health Organization and Medical Management, Moscow, Russian Federation</b> </p> <p> <i>Anthropometric screening of body weight and length is one of the first steps of infant’s health assessment. However, nomograms for multiple-birth infants are badly regulated and were not reviewed for a long time.</i> </p> <p> <i><b>Aim</b>: to develop body weight and length nomograms for twin infants.</i> </p> <p> <i><b>Patients and Methods:</b> the study was performed in three obstetrical inpatient departments located in various Moscow districts. Data on <br> 52 357 infants born in 2015–2017 (50 555 singleton-birth infants and 1802 multiple-birth infants) were analyzed. Study group included 1802 infants (901 twins) born at 22–40 weeks of gestation. These infants were divided into 2 subgroups. Subgroup I included 158 monochorionic twins and subgroup II included 743 dichorionic twins. Control group included 50.555 singleton-birth infants born at 22–42 weeks of gestation.</i> </p> <p> <i><b>Results</b>: body weight and length of twin infants are similar to these of singleton-birth infants up to 30 weeks of gestation. After 30 weeks of gestation, this difference progressively increases both in boys and girls. Twin growth discordance (weight difference &gt;20%) is of particular interest. Dissociation of twin development is associated with higher rate of complications. However, it’s only&nbsp; fair when smaller twin growth is restricted.</i> </p> <p> <i><b>Conclusions</b>: anthropometric parameters of multiple-birth and singleton-birth infants are different. Fetal weight less than 10<sup>th</sup> percentile for a certain term by adjusted nomograms for twins is the criterion for fetal growth restriction. Therefore, nomograms for multiple-birth children should be regulated and approved. Diagnostic criteria for fetal growth restriction in multiple pregnancy should be reviewed according to our nomograms for twins to prevent overdiagnosis of this obstetrical complication.</i> </p> <p> <i><b>Keywords</b>: multiple pregnancy, twins, nomograms, dissociation, fetal growth restriction.</i> </p> <p> <i><b>For citation:</b> Bondarenko K.R., Kuznetsov P.A., Dzhokhadze L.S. et al. Centile nomograms for body weight and length of multiple-birth infants. Russian Journal of Woman and Child Health. 2020;3(1):–25. DOI: 10.32364/2618-8430-2020-3-1-20-25.</i> </p> <i><br> </i><br>
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spelling doaj.art-d65a6267fb5647b9bbc56de1a2d097832024-02-26T10:13:32ZrusLCC «Medicine-Inform»РМЖ. Мать и дитя2618-84302686-71842020-02-013132891Centile nomograms for body weight and length of multiple-birth infantsK.R. Bondarenko0P.A. Kuznetsov1L.S. Dzhokhadze2V.V. Lyan3A.V. Kriger4E.S. Eletnova5Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Woman and Child Health, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399<p> <b>K.R. Bondarenko<sup>1</sup>, P.A. Kuznetsov<sup>1–3</sup>, L.S. Dzhokhadze<sup>1</sup>, V.V. Lyan<sup>1</sup>, A.V. Kriger<sup>1</sup>, E.S. Eletnova<sup>1</sup></b><br> </p> <p> <b><sup>1</sup>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b> </p> <p> <b><sup>2</sup>City Clinical Hospital No. 24, Moscow, Russian Federation</b> </p> <p> <b><sup>3</sup>Research Institute of Public Health Organization and Medical Management, Moscow, Russian Federation</b> </p> <p> <i>Anthropometric screening of body weight and length is one of the first steps of infant’s health assessment. However, nomograms for multiple-birth infants are badly regulated and were not reviewed for a long time.</i> </p> <p> <i><b>Aim</b>: to develop body weight and length nomograms for twin infants.</i> </p> <p> <i><b>Patients and Methods:</b> the study was performed in three obstetrical inpatient departments located in various Moscow districts. Data on <br> 52 357 infants born in 2015–2017 (50 555 singleton-birth infants and 1802 multiple-birth infants) were analyzed. Study group included 1802 infants (901 twins) born at 22–40 weeks of gestation. These infants were divided into 2 subgroups. Subgroup I included 158 monochorionic twins and subgroup II included 743 dichorionic twins. Control group included 50.555 singleton-birth infants born at 22–42 weeks of gestation.</i> </p> <p> <i><b>Results</b>: body weight and length of twin infants are similar to these of singleton-birth infants up to 30 weeks of gestation. After 30 weeks of gestation, this difference progressively increases both in boys and girls. Twin growth discordance (weight difference &gt;20%) is of particular interest. Dissociation of twin development is associated with higher rate of complications. However, it’s only&nbsp; fair when smaller twin growth is restricted.</i> </p> <p> <i><b>Conclusions</b>: anthropometric parameters of multiple-birth and singleton-birth infants are different. Fetal weight less than 10<sup>th</sup> percentile for a certain term by adjusted nomograms for twins is the criterion for fetal growth restriction. Therefore, nomograms for multiple-birth children should be regulated and approved. Diagnostic criteria for fetal growth restriction in multiple pregnancy should be reviewed according to our nomograms for twins to prevent overdiagnosis of this obstetrical complication.</i> </p> <p> <i><b>Keywords</b>: multiple pregnancy, twins, nomograms, dissociation, fetal growth restriction.</i> </p> <p> <i><b>For citation:</b> Bondarenko K.R., Kuznetsov P.A., Dzhokhadze L.S. et al. Centile nomograms for body weight and length of multiple-birth infants. Russian Journal of Woman and Child Health. 2020;3(1):–25. DOI: 10.32364/2618-8430-2020-3-1-20-25.</i> </p> <i><br> </i><br>http://wchjournal.com/upload/iblock/7a1/7a1bbb61631aae07aaa5cddc404e11af.pdf
spellingShingle K.R. Bondarenko
P.A. Kuznetsov
L.S. Dzhokhadze
V.V. Lyan
A.V. Kriger
E.S. Eletnova
Centile nomograms for body weight and length of multiple-birth infants
РМЖ. Мать и дитя
title Centile nomograms for body weight and length of multiple-birth infants
title_full Centile nomograms for body weight and length of multiple-birth infants
title_fullStr Centile nomograms for body weight and length of multiple-birth infants
title_full_unstemmed Centile nomograms for body weight and length of multiple-birth infants
title_short Centile nomograms for body weight and length of multiple-birth infants
title_sort centile nomograms for body weight and length of multiple birth infants
url http://wchjournal.com/upload/iblock/7a1/7a1bbb61631aae07aaa5cddc404e11af.pdf
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AT vvlyan centilenomogramsforbodyweightandlengthofmultiplebirthinfants
AT avkriger centilenomogramsforbodyweightandlengthofmultiplebirthinfants
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