Prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonography
Abstract This study aimed to determine the relationship between estimated fetal weight discordance by ultrasonography and maternal and neonatal outcomes in dichorionic diamniotic twin pregnancies. We conducted a retrospective review of the medical records of 106 twin pregnancies delivered at a singl...
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| Format: | Article |
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Nature Portfolio
2022-09-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-18864-8 |
| _version_ | 1798037345874739200 |
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| author | Hyun Mi Kim Hyun-Hwa Cha Won Joon Seong Hye Jin Lee Mi Ju Kim |
| author_facet | Hyun Mi Kim Hyun-Hwa Cha Won Joon Seong Hye Jin Lee Mi Ju Kim |
| author_sort | Hyun Mi Kim |
| collection | DOAJ |
| description | Abstract This study aimed to determine the relationship between estimated fetal weight discordance by ultrasonography and maternal and neonatal outcomes in dichorionic diamniotic twin pregnancies. We conducted a retrospective review of the medical records of 106 twin pregnancies delivered at a single tertiary center between January 2011 and February 2020. At 20–24 and 28–32 weeks of gestation, participants were divided into two groups: discordant twins with an estimated fetal weight difference of more than 20% and concordant twins with a weight difference of less than 20%. Maternal complications and neonatal outcomes were compared between the two groups. Although the incidences of preeclampsia and placenta previa were significantly higher in discordant twins measured between 20 and 24 weeks, no statistical significance was found in neonatal outcomes. Delivery times were earlier, and neonatal weights were lower in discordant twins measured between 28 and 32 weeks. Neonatal outcomes such as ventilator use and neurodevelopment were also significantly different. Discordance in estimated fetal weight measured using ultrasonography between 20 and 24 weeks can be a risk factor for maternal preeclampsia and placenta previa, whereas discordance at 28–32 weeks may predict poor neonatal outcomes. |
| first_indexed | 2024-04-11T21:25:19Z |
| format | Article |
| id | doaj.art-d929f5e963484e5fb041df23694f3981 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T21:25:19Z |
| publishDate | 2022-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-d929f5e963484e5fb041df23694f39812022-12-22T04:02:27ZengNature PortfolioScientific Reports2045-23222022-09-011211910.1038/s41598-022-18864-8Prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonographyHyun Mi Kim0Hyun-Hwa Cha1Won Joon Seong2Hye Jin Lee3Mi Ju Kim4Department of Obstetrics and Gynecology, Kyungpook National University Hospital, School of Medicine, Kyungpook National UniversityDepartment of Obstetrics and Gynecology, Kyungpook National University Hospital, School of Medicine, Kyungpook National UniversityDepartment of Obstetrics and Gynecology, Kyungpook National University Hospital, School of Medicine, Kyungpook National UniversityDepartment of Obstetrics and Gynecology, Kyungpook National University Hospital, School of Medicine, Kyungpook National UniversityDepartment of Obstetrics and Gynecology, Kyungpook National University Hospital, School of Medicine, Kyungpook National UniversityAbstract This study aimed to determine the relationship between estimated fetal weight discordance by ultrasonography and maternal and neonatal outcomes in dichorionic diamniotic twin pregnancies. We conducted a retrospective review of the medical records of 106 twin pregnancies delivered at a single tertiary center between January 2011 and February 2020. At 20–24 and 28–32 weeks of gestation, participants were divided into two groups: discordant twins with an estimated fetal weight difference of more than 20% and concordant twins with a weight difference of less than 20%. Maternal complications and neonatal outcomes were compared between the two groups. Although the incidences of preeclampsia and placenta previa were significantly higher in discordant twins measured between 20 and 24 weeks, no statistical significance was found in neonatal outcomes. Delivery times were earlier, and neonatal weights were lower in discordant twins measured between 28 and 32 weeks. Neonatal outcomes such as ventilator use and neurodevelopment were also significantly different. Discordance in estimated fetal weight measured using ultrasonography between 20 and 24 weeks can be a risk factor for maternal preeclampsia and placenta previa, whereas discordance at 28–32 weeks may predict poor neonatal outcomes.https://doi.org/10.1038/s41598-022-18864-8 |
| spellingShingle | Hyun Mi Kim Hyun-Hwa Cha Won Joon Seong Hye Jin Lee Mi Ju Kim Prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonography Scientific Reports |
| title | Prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonography |
| title_full | Prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonography |
| title_fullStr | Prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonography |
| title_full_unstemmed | Prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonography |
| title_short | Prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonography |
| title_sort | prediction of maternal complications and neonatal outcome in dichorionic diamniotic twins with fetal weight discordancy measured by ultrasonography |
| url | https://doi.org/10.1038/s41598-022-18864-8 |
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