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The effect of chorionicity and twin-to-twin delivery time interval on short-term outcome of the second twin.
MedLine Citation:
PMID:  23634709     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objectives: To investigate the effect of chorionicity and twin-to-twin delivery time interval on short-term outcome in the second twin. Additionally, to investigate predictors of adverse outcome in both twins. Methods: Data included vaginally delivered twins (≥ 36 weeks) from Copenhagen University Hospitals (2001-09). The association between delivery interval and adverse outcome parameters were compared for monochorionic (MC) and dichorionic (DC) twins by multiple linear regression. Predictors were studied by logistic regression. Results: There were 554 twin pairs: 57 MC and 485 DC. We found no difference in the decrease of pH (p = 0.912) and Apgar (p = 0.609) in relation to increasing time interval. Neonatal unit (NICU) admissions did not differ (p = 0.167). Apgar ≤ 7 (p < 0.001) and pH ≤ 7.20 (p = 0.002) increased first twin, whereas first (p = 0.001) or second (p < 0.001) twin Apgar ≤ 7 and second twin pH ≤ 7.00 (p = 0.003) increased second twin risk of NICU admission. Conclusions: Increasing delivery interval was associated with a significant decrease in pH and Apgar, but there was no difference between MC and DC twins. Low Apgar of the first twin increased the risk of second twin NICU admission.
Authors:
Sofie Hjortø; Carsten Nickelsen; Janne Petersen; Niels Jørgen Secher
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-5-2
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-5-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Roskilde Hospital, Obstetrics and Gynecology, Køgevej 7-13, Roskilde, 4000 Denmark.
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