scholarly journals Influence of chorionicity and gestational age at single fetal loss on risk of preterm birth in twin pregnancy: analysis of STORK multiple pregnancy cohort

2017 ◽  
Vol 50 (6) ◽  
pp. 723-727 ◽  
Author(s):  
F. D'Antonio ◽  
B. Thilaganathan ◽  
T. Dias ◽  
A. Khalil ◽  
Keyword(s):  
Preterm Birth ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
Multiple Pregnancy ◽  
Fetal Loss ◽  
Pregnancy Cohort

Preterm Birth or Small for Gestational Age in a Singleton Pregnancy and Risk of Recurrence in a Subsequent Twin Pregnancy

2015 ◽  
Vol 125 (4) ◽  
pp. 870-875 ◽  
Author(s):  
Nathan S. Fox ◽  
Erica Stern ◽  
Simi Gupta ◽  
Daniel H. Saltzman ◽  
Chad K. Klauser ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Twin Pregnancy ◽  
Singleton Pregnancy ◽  
Risk Of Recurrence

scholarly journals Obstetric and perinatal outcome of twin pregnancy: a prospective study in a tertiary care hospital in North India

2018 ◽  
Vol 7 (6) ◽  
pp. 2455
Author(s):  
Shivali Bhalla ◽  
Seema Grover Bhatti ◽  
Shalini Devgan
Keyword(s):  
Gestational Age ◽  
Perinatal Outcome ◽  
Twin Pregnancy ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Multiple Pregnancy ◽  
Perinatal Outcomes ◽  
North India ◽  
Care Hospital ◽  
Perinatal Morbidity

Background: Multiple pregnancy constitutes an important portion of high risk pregnancies and is a matter of grave concern to obstetricians and paediatricians owing to maternal and perinatal morbidity and mortality associated to it. Objective of present study was to evaluate maternal and perinatal outcome of twin pregnancy.Methods: This observational study included 50 women with twin pregnancy with gestational age of 26 weeks or more. Maternal and perinatal outcomes were studied.Results: The incidence of twin pregnancy was 2.8 % with maximum incidence in age group of 20 -29 years and in multigravida. Mean gestational age was 34.2 weeks. Vertex - vertex fetal presentation was most common presentation. Most frequent mode of delivery was ceserean section (54%). Preterm labour was most common maternal complication (74%), followed by anaemia (62%). Complications in perinatal period were birth hypoxia (58 %), intrauterine growth restriction (15 %), hyper-bilirubinemia (11%) and neonatal sepsis (10 %). 88% of the newborns were LBW. Perinatal mortality in our study was 17%.Conclusions: Twin pregnancies are associated with significant maternal and perinatal morbidity which is more so for second twin. Effective antenatal care planned delivery and good pediatric facilities help decrease the complications. Managment of twin pregnancy requires multidisciplinary approach and involvement of skilled obstetricians and paediatricians.

scholarly journals OC22.01: Embryonic growth discordance and early fetal loss in twins: the STORK multiple pregnancy cohort

2013 ◽  
Vol 42 (s1) ◽  
pp. 44-44
Author(s):  
F. D'Antonio ◽  
A. Khalil ◽  
E. Mantovani ◽  
B. Thilaganathan
Keyword(s):  
Multiple Pregnancy ◽  
Fetal Loss ◽  
Embryonic Growth ◽  
Pregnancy Cohort

scholarly journals Ultrasound estimation of birth weight in twin pregnancy: comparison of biometry algorithms in the STORK multiple pregnancy cohort

2014 ◽  
Vol 44 (2) ◽  
pp. 210-220 ◽  
Author(s):  
A. Khalil ◽  
F. D'Antonio ◽  
T. Dias ◽  
D. Cooper ◽  
B. Thilaganathan ◽  
...  
Keyword(s):  
Birth Weight ◽  
Twin Pregnancy ◽  
Multiple Pregnancy ◽  
Pregnancy Cohort

Accuracy of Predicting Fetal Loss in Twin Pregnancies Using Gestational Age-Dependent Weight Discordance Cut-Offs: Analysis of the STORK Multiple Pregnancy Cohort

2015 ◽  
Vol 38 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Francesco D'Antonio ◽  
Asma Khalil ◽  
Maddalena Morlando ◽  
Basky Thilaganathan ◽  
Keyword(s):  
Gestational Age ◽  
Characteristic Curve ◽  
Multiple Pregnancy ◽  
Fetal Loss ◽  
Area Under The Curve ◽  
Fetal Weight ◽  
Third Trimester ◽  
The Third ◽  
Age Dependent ◽  
Twin Pregnancies

Objectives: A third-trimester fetal weight discordance of 25% has been proposed as an independent predictor of fetal loss in twin pregnancies. As fetal weight gain at this stage of pregnancy increases exponentially, it is not entirely certain whether a single cut-off for inter-twin weight discordance is appropriate. The aim of this study was to investigate whether a single weight discordance cut-off can be used or whether different cut-offs should be adopted according to the gestational age at assessment. Methods: This was a retrospective study of all twin pregnancies of known chorionicity from a large regional cohort over a 10-year period. Receiver operating characteristic curve and logistic regression analyses were used to explore the relation between estimated fetal weight (EFW) discordance detected within 4 weeks from the occurrence of the outcome and single fetal loss at different gestational age windows. Results: 957 twin pregnancies (173 monochorionic and 784 dichorionic) were included in the analysis. EFW discordance was independently associated with the occurrence of single fetal loss in twin pregnancies in each gestational age window. Ultrasound EFW discordance had an area under the curve of 0.77 (95% CI: 0.67-0.87) for the prediction of single fetal loss in the third trimester of pregnancy, with an optimal cut-off of around 25% (23.2%). The optimal cut-offs of EFW discordance for the prediction of single fetal loss were different in each gestational age window. Conclusion: The accuracy of EFW discordance in predicting single fetal loss in twin pregnancies varies during the third trimester of pregnancy. The degree of fetal weight discordance associated with fetal loss decreases during the third trimester, suggesting that the weight discordance threshold for intervention should vary according to gestational age.

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