| Pregnancy with stillbirth of both twins. | |
| | |
MedLine Citation:
|
PMID: 8608094 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To identify and evaluate clinical characteristics in pregnancy leading to stillbirth of both twins. MATERIAL AND METHODS: All 68 twin deliveries in Sweden from 1973 to 1989 inclusive, where both twins were dead at birth, were identified by extracting information filed at the Medical Birth Registry (MBR), the National Board of Health and Welfare, Stockholm. Information in the MBR was used for analysis. A questionnaire was also distributed to each delivery unit to obtain information on ultrasound scan made before either or both twins died, and type of placentation. RESULTS: The relative risk for like-sexed (n=66) vis-a-vis unlike-sexed fetuses (n=2) to suffer intrauterine death was 12.6 (95% confidence limits 4.3, 37.5). The rate of like-sexed twins was 97.1% versus 72.2% for the general twin population; monochorionic placentation was identified in 50.0% of these pregnancies. In only seven was there a cause of death evident, including five pregnancies with lethal malformation. The median gestational duration was 33 weeks (range 26 to 41). For the smaller twin in the pair there was an obvious trend toward low birthweight and 16.l% were by definition small for gestational age, whereas the larger twins seemed to have a normal birthweight distribution. The proportion of pregnancies with both twins stillborn increased significantly with increasing discordance in weight (linear trend X2=4.5; P=0.03). The interval between ultrasound examination showing two living fetuses and delivery was nine days or less in half the cases. CONCLUSION: The major risk factor for fetal deaths seems to be a like-sexed pregnancy with a monochorionic placenta. About half of pregnancies with available information had no more than nine days between an ultrasound examination, confirming two living fetuses, and birth. The great majority of these twins did not show evidence of growth retardation, but birthweight discordance may be a risk factor for fetal deaths. |
| | |
Authors:
|
H Rydhstroem |
Related Documents
:
|
19801144 - Amniotic fluid markers of fetal cardiac dysfunction in twin-to-twin transfusion syndrome. 15343224 - Selective fetocide reverses preeclampsia in discordant twins. 10493044 - Acardiac acephalus: a case report and implications on expectant management. 15085494 - Co-occurrence of coarctation of the aorta and hypospadias in smaller twins in monochori... 10854934 - Simulated effects on dairy cattle health of extending the voluntary waiting period with... 21039234 - Pregnancy and mental health among women veterans returning from iraq and afghanistan. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: British journal of obstetrics and gynaecology Volume: 103 ISSN: 0306-5456 ISO Abbreviation: Br J Obstet Gynaecol Publication Date: 1996 Jan |
Date Detail:
|
Created Date: 1996-05-30 Completed Date: 1996-05-30 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7503752 Medline TA: Br J Obstet Gynaecol Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 25-32 Citation Subset: AIM; IM |
Affiliation:
|
Department of Obstetrics and Gynaecology, University Hospital, Lund, Sweden. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Birth Weight Embryonic and Fetal Development Female Fetal Death* Humans Infant, Newborn Pregnancy Pregnancy, Multiple* Risk Factors Sex Factors Sweden Twins* Twins, Monozygotic |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Platelet sensitivity to prostaglandin E1 inhibition is reduced in pre-eclampsia but not in nonprotei...
Next Document: Cyclic guanosine 3',5' monophosphate concentrations in pre-eclampsia: effects of hydralazine.