Journal article
Twins 27 weeks gestation have significantly higher risk of intraventricular hemorrhage and neonatal death compared to singletons
American journal of obstetrics and gynecology, Vol.195(6), pp.S43-S43
12/2006
DOI: 10.1016/j.ajog.2006.10.117
Abstract
Objective
The objective of the current study is to compare neonatal survival and occurrence of intraventricular hemorrhage in singletons and twins born between 23-26 6/7 weeks gestational age, and to evaluate the neonatal benefits of antenatal steroids given prior to 28 weeks gestation.
Study design
We reviewed all maternal and neonatal charts for babies born between 23-26 6/7 weeks gestational age at UIHC between January 1, 2000 and October 31, 2005. Live born singleton and twin pregnancies that delivered at UIHC were included. All babies with major congenital defects or diseases, or who were stillborn were excluded from the study. Neonatal outcomes were studied. Intraventricular hemorrhage (IVH) was diagnosed by head ultrasound and graded according to the classification by Papile et al.
Results
216 babies delivered between 23-26 6/7 weeks gestation were considered for the study. 166 were singletons and 50 were twins that delivered between gestational weeks 23 and 26. Neonatal death occurred in 47/216 (21.8%) fetuses and IVH occurred in 56/216 (26.5%). Both occurred more frequently in twins. Of 24 patients between 23-23 6/7 weeks gestation, 15/24(62.5%) of neonates died compared to 11/62(17.7%) of those delivered between 24-24 6/7 weeks (p < 0.001). 41/195 (21.0%) of those that received antenatal steroids died. 6/2(28.6%) babies that did not receive antenatal steroids died.
Conclusion
More twins delivered before 27 weeks gestation suffered neonatal death and IVH. This should be considered during patient counselling.
Details
- Title: Subtitle
- Twins 27 weeks gestation have significantly higher risk of intraventricular hemorrhage and neonatal death compared to singletons
- Creators
- Ravi Bhatia - University of Iowa, Engineering - Administration, Iowa City, IowaBrie Romines - University of Iowa, Obstetrics and Gynecology, Iowa City, IowaAsha Rijhsinghani - University of Iowa, Obstetrics and Gynecology
- Resource Type
- Journal article
- Publication Details
- American journal of obstetrics and gynecology, Vol.195(6), pp.S43-S43
- DOI
- 10.1016/j.ajog.2006.10.117
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Publisher
- Mosby, Inc
- Language
- English
- Date published
- 12/2006
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983557575102771
Metrics
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