Further Development of Children from Multiple Pregnancy

1972 ◽  
Vol 22 (S1) ◽  
pp. 109-112 ◽  
Author(s):  
Z. Ochabska
Keyword(s):  
Body Weight ◽  
Neonatal Period ◽  
Multiple Pregnancy ◽  
Full Term ◽  
Psychomotor Development ◽  
Premature Births ◽  
Multiple Pregnancies ◽  
Complicated Course ◽  
Further Development

This study has aimed at assessing the psychomotor development of children from multiple pregnancy after full-term and premature births. A total of 166 children aged 6 months to 12 years were examined, including 70 pairs of twins, 2 sets of triplets, and 20 more children from multiple pregnancies of which only one child had survived.A body weight below 10 percentiles was in 17%, and stature deficiency in 23% of children. The psychomotor development was arrested in 13%. Most of the children (18 out of 23) with arrested psychomotor development had a low body weight at birth and a complicated course of the neonatal period, as well as serious general illnesses in the infantile period.

scholarly journals Prognosis for the Newborn from Multiple Pregnancy

1972 ◽  
Vol 22 (S1) ◽  
pp. 10-14
Author(s):  
R. Osuch-Jaczewska ◽  
O. Lempart ◽  
Z. Ochabska
Keyword(s):  
Neonatal Period ◽  
Multiple Pregnancy ◽  
Full Term ◽  
Cns Injury ◽  
Cerebral Lesion ◽  
Multiple Pregnancies ◽  
Apgar Scores ◽  
Developmental Defects

A total of 669 newborns from multiple pregnancies, including 15 triplets, have been examined. Full-term fetuses were 19.3% premature ones 60.7%, and dystrophic ones 20%. Of these, 58.4% were born in good conditions, 25.1% in average conditions (4-7 Apgar scores), and 16.4% in bad conditions (1-3 Apgar scores). Complications in the neonatal period were reported in 38.7% of cases (respiratory syndrome 21.2%, CNS injury 4.8%, developmental defects 1.3%, other complications 9.3%).Twin mortality amounted to 10.5%, mainly due to hypoxemia (7.2%), cerebral lesion (2.4%), developmental defects (0.4%), and general edema (0.5%).

The course of pregnancy, labors and perinatal outcomes at the patients, the children who have travailed the normotrofycal at monochorial two at birth

2017 ◽  
pp. 94-97
Author(s):  
O.V. Melnik ◽  
Keyword(s):  
Body Weight ◽  
Clinical Research ◽  
Growth Inhibition ◽  
Pregnant Women ◽  
High Frequency ◽  
Multiple Pregnancy ◽  
Body Height ◽  
Perinatal Outcomes ◽  
Premature Births ◽  
Normal Body Weight

The objective: an assessment of a course of pregnancy, labors and perinatal outcomes of a delivery at multiple monochorial pregnancy at the birth of children with normal body weight. Patients and methods. Clinical research of a course of pregnancy, labors and perinatal outcomes at 45 patients at whom multiple, monochorial pregnancy came spontaneously was conducted and came to the end with the birth the normotrofycal of children. For comparison similar indicators at 45 with a byhorial two at birth were used. The complex of the conducted researches included clinical, ehografical, dopplerometrical, morphological and statistical methods. Results. The course of pregnancy at monochorial two at birth is characterized by the high frequency of development of a growth inhibition of fetus/fetuses (51.1%), preeclampsia (33.3%), abortion threats (64.1%) and premature births (66.7%) even for lack of specific complications of monochorial type of placentation that justifies high rates of an operational delivery (46.7%). Body height of fetuses at monochorial type of placentation is characterized authentically by lower fetometrical indicators in comparison with one-fetal pregnancy, since the second half of pregnancy. The growth inhibition of fetus/fetuses at monochorial two at birth is formed by 28-32 week of gestation, and at 20.6% of pregnant women the growth inhibition of both fetuses, at 30.4% – one develops. Conclusion. The received results needs to be considered when developing algorithm of diagnostic and treatment and prophylactic actions at multiple pregnancy. Key words: multiple pregnancy, labors, perinatal outcomes.

Cardiovascular System in Newborns from Multiple Pregnancy

1972 ◽  
Vol 22 (S1) ◽  
pp. 96-98
Author(s):  
Z. Rogoza
Keyword(s):  
Cardiovascular System ◽  
Multiple Pregnancy ◽  
Full Term ◽  
Multiple Pregnancies ◽  
Premature Newborns ◽  
T Wave ◽  
Clinical Observations ◽  
Second Twin

This work presents the results of clinical observations and ECG examinations in 45 newborns from multiple pregnancies, including 27 full-term and 13 premature newborns. In both groups cyanosis was observed, the second twin born prematurely being most often affected. Changes in ECG include bradycardia, which occurs in the first 24 hours of life and chiefly in children born with asphyxia. The same newborns showed a delayed evolution of T wave. The similarity of ECG was noticed in 5 MZ pairs.

Psychomotor Development and the Postnatal Fate of Children from Multiple Pregnancy

1972 ◽  
Vol 22 (S1) ◽  
pp. 113-119
Author(s):  
R. Osuch-Jaczewska
Keyword(s):  
Apgar Score ◽  
Multiple Pregnancy ◽  
Close Correlation ◽  
Psychomotor Development ◽  
Weight Group ◽  
Further Development

The psychomotor development of 130, one- to nine-year-old children was followed. Their development was not, as a rule, found to occur abnormally.The further development of twins was found to be in close correlation:(1) with the condition after birth (43% of complications in the further development of children having at birth a 1-7 Apgar score);(2) with the weight at birth (35.2% of complications in a weight group of 1001-1500 g): this is connected with dystrophy and prematurity;(3) with the order in which the twins were born.

scholarly journals Challenges and prospects of preterm birth prediction in multiple pregnancies

2018 ◽  
Vol 67 (4) ◽  
pp. 48-59 ◽  
Author(s):  
Olga V Kosyakova ◽  
Olesya N Bespalova
Keyword(s):  
Preterm Birth ◽  
Metabolic Disorders ◽  
Multiple Pregnancy ◽  
Perinatal Outcomes ◽  
High Rate ◽  
Premature Births ◽  
Multiple Pregnancies ◽  
Priority Task ◽  
Adverse Perinatal Outcomes ◽  
High Level

For today, twins make up about 1.5% of the population of our planet. It is more than one hundred million people, which in number corresponds to the population of two Frances. The number of twins born relative to the total number of newborns in different countries and on different continents is different, but the overall trend is that it continues to grow. In recent years, the percentage of multiple pregnancy has increased almost 2.5 times, which is associated with the widespread use of assisted reproductive technologies.At the same time, pregnancy in multiple births is an extremely important problem in modern obstetrics, as it is accompanied by a high level of complications for both the mother and the fetuses. Multiple pregnancy contributes significantly to the formation of adverse perinatal outcomes, which is primarily due to the high rate of preterm birth. Premature twins are at high risk of neurological and neuropsychiatric disorders, respiratory distress, endocrine and metabolic disorders, which subsequently become the cause of disability and social maladaptation of children. In this regard, the reduction in the number of premature births is today a priority task, the solution of which is possible only through timely and correct forecasting. The multifactority of pathogenic mechanisms determines the necessity of diagnostic search strategies that can identify markers of various pathogenetic ways of preterm birth. (For citation: Kosyakova OV, Bespalova ОN. Challenges and prospects of preterm birth prediction in multiple pregnancies. Journal of Obstetrics and Women’s Diseases. 2018;67(4):48-59. doi: 10.17816/JOWD67448-59).

scholarly journals Psychomotor Development of Children from Multiple Pregnancies. A Psychological Evaluation

1972 ◽  
Vol 22 (S1) ◽  
pp. 135-138
Author(s):  
M. Bogdanowicz
Keyword(s):  
Multiple Pregnancy ◽  
Health Condition ◽  
Individual Development ◽  
Psychomotor Development ◽  
Multiple Pregnancies ◽  
The Central Nervous System ◽  
The One ◽  
The Individual ◽  
Mz Twins ◽  
Made In

Psychological examinations were made in 56 children from quintuplet, quadruplet, and triplet pregnancies. The psychomotor development of these children from multiple pregnancies did not, as a rule, differ much from the one of singletons, although the multiple pregnancy was more inclined to cause lesions of the central nervous system. Out of the 56 children examined, 25 were found to develop properly.It is necessary to examine the development of each child separately, taking into consideration its health condition in the neonatal period and its specific environment which effect the individual development and may be the cause of disturbances, as well as of mental differences not only in children from the same pregnancy but even in MZ twins.

scholarly journals Physical, Perceptual, Socio-Relational, and Affective Skills of Five-Year-Old Children Born Preterm and Full-Term According to Their Body Mass Index

2021 ◽  
Vol 18 (7) ◽  
pp. 3769
Author(s):  
Pedro Gil-Madrona ◽  
Sonia J. Romero-Martínez ◽  
Carmen C. Roz-Faraco
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Motor Coordination ◽  
Body Schema ◽  
Full Term ◽  
Psychomotor Development ◽  
Dynamic Coordination ◽  
Ex Post ◽  
Ex Post Facto ◽  
Affective Skills

The main purpose of this study was to compare the psychomotor development of five-year-old children born preterm and full term. The comparison included physical-motor, perceptual-motor, and socio-relational and affective skills. As low weight is one of the variables that most influences the psychomotor development of premature infants, a secondary aim was to analyze these skills according to their current body mass index (BMI). A prospective simple ex-post facto study was conducted. The sample consisted of 672 five-year-old children enrolled in the third year of early childhood education in the province of Albacete, Spain; 35 of them was born prematurely. Children were evaluated by their teachers using the Checklist of Psychomotor Activities (CPA). The results show that children born preterm had a lower development of their physical-motor skills. In the perceptual-motor field, premature children showed lower scores in the variables related to their body image and body schema, motor dissociation, and visual-motor coordination, as well as in socio-relational and affective aspects. However, the development in laterality, dynamic coordination, motor execution, tonic-postural control, and balance were not affected. These differences were not affected by the current weight, given that the analysis of the BMI indicated no differences in preterm children. This study demonstrated the need to establish protocols oriented to the prevention of the difficulties detected in children with psychomotor high-risk and the needs to reinforce the educational programs in this area to improve the integral development of children born preterm.

Preterm labour in multiple pregnancies

1993 ◽  
Vol 5 (2) ◽  
pp. 105-119 ◽  
Author(s):  
James P Neilson ◽  
Caroline A Crowther
Keyword(s):  
Perinatal Mortality ◽  
Preterm Labour ◽  
Multiple Pregnancy ◽  
High Rate ◽  
Fetal Malformation ◽  
Multiple Pregnancies ◽  
Neonatal Deaths ◽  
Late Abortion ◽  
Early Neonatal Deaths ◽  
Singleton Pregnancies

Multiple pregnancy is associated with a high rate of perinatal loss – mainly due to preterm labour but with important contributions from fetal malformation, intrauterine growth retardation and twin-twin transfusion syndrome. The overall perinatal mortality rate is consistently around six times that of singleton pregnancies but the rate rises progressively with the number of fetuses. Rates of 63,164,200,214 and 416 per 1000 births have been recently reported for twins, triplets, quadruplets, quintuplets and sextuplets respectively. In addition to these alarming figures, it should be emphasized that the restricted concept of perinatal mortality obscures the real extent of loss. If we include late abortion (after 20 weeks), late neonatal deaths and deaths in infancy from perinatal causes, as well as the usual indices of perinatal mortality (stillbirths and early neonatal deaths) we find that the total loss rate from twin pregnancy alone doubles and may be close to 10%. Although the rate of loss from multiple pregnancies is now substantially higher than that associated with the pregnancies of diabetic women, the challenge of multiple pregnancy has not been met with the same commitment or organisation of specialized perinatal services as has diabetes.

Round Table Discussion

PEDIATRICS ◽  
1951 ◽  
Vol 8 (3) ◽  
pp. 431-434
Author(s):  
HEYWORTH N. SANFORD ◽  
J. HAROLD ROOT ◽  
R. H. GRAHAM
Keyword(s):  
Premature Infant ◽  
Premature Infants ◽  
Death Rate ◽  
Round Table ◽  
Term Infant ◽  
Full Term ◽  
Round Table Discussion ◽  
Premature Births ◽  
Term Infants ◽  
Full Term Infant

Chairman Sanford: Dr. Herman N. Bundesen, Commissioner of Health of Chicago, organized 12 years ago the "Chicago Premature Plan." This consists in registering all premature infants with the City Health Department within a few hours after birth. The premature infant who is born at home, or in a hospital that does not have adequate premature care, is transported in an oxygenated incubator ambulance to a hospital which specializes in such care. From 1936 to 1947 premature infant deaths in Chicago have been lowered 6½%. The full term infant death rate during the same period has been lowered about 3%. Inasmuch as the premature death rate has been lowered about double that of the full term infant rate, we believe this procedure has been the cause of reduction. In 1936 there were 47,000 live births in Chicago. In 1947 there were 82,000, or an increase of 80%. In this number the full term infants increased from 45% to 60%, whereas the premature infants increased from 2000 to over 5000, or about 140% increase of premature infants born in Chicago during the last 10 years. This adds a considerable increase to the number of infants for our available premature infants beds. Where formerly we planned 5 premature births to each 100 full term births, we now find that prematures have increased to 8 per 100 full term infants. Causes of prematurity are multiple births, toxemia, heart disease, syphilis, tuberculosis, infections, accidents, premature separation of the placenta and abnormalities of the reproduction tract. It is generally understood that there is a tendency for more premature births among the Negro race than the white race.

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