scholarly journals Newborn gender as a predictor of neonatal outcome in mixed gender twins born with very low birth weight

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Bernard Barzilay ◽  
Nina Shirman ◽  
Haim Bibi ◽  
Ibrahim Abu-Kishk

Abstract Background Most studies have revealed that the incidence of morbidity and mortality of preterm male infants is greater than that of preterm female infants. Recently, conflicting outcomes have been reported regarding mixed-gender twins. The aim of this study was to estimate the association between gender and outcome in newborn twins of different gender. Methods We conducted a retrospective review of mixed-gender twins weighing < 1500 g that were born at Shamir Medical Center (Assaf Harofeh) between the years 1995 and 2016 (158 newborns). The incidence of morbidity and mortality until discharge from the hospital were evaluated while looking at gender differences. Results No significant differences were found in neonatal mortality or morbidity between females and males from different-gender twins. Even after considering confounding variables (gestational age, birth weight & birth order) in linear and logistic regression models, no significant differences were found between the genders. Conclusions Our study suggests that there are no significant differences in neonatal mortality or morbidity among different-gender twins. Our results support the need for further studies.

Author(s):  
Ilan Arad ◽  
Mario Baras ◽  
Rosa Gofin ◽  
Benjamin Bar–Oz ◽  
Ofra Peleg

2016 ◽  
Vol 30 (9) ◽  
pp. 1057-1059 ◽  
Author(s):  
Deepak Sharma ◽  
Ankur Patel ◽  
Priyanka Soni ◽  
Sweta Shastri ◽  
Ravinder Singh

2009 ◽  
Vol 50 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Hsiao-Neng Chen ◽  
Meng-Luen Lee ◽  
Wai-Kit Yu ◽  
Yue-Wen Lin ◽  
Lon-Yen Tsao

2018 ◽  
Vol 14 (3) ◽  
pp. 269-273 ◽  
Author(s):  
Joseph B. Cantey ◽  
Kelsey R. Anderson ◽  
Ram R. Kalagiri ◽  
Lea H. Mallett

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Amélie Mugnier ◽  
Sylvie Chastant-Maillard ◽  
Hanna Mila ◽  
Faouzi Lyazrhi ◽  
Florine Guiraud ◽  
...  

Abstract Background Neonatal mortality (over the first three weeks of life) is a major concern in canine breeding facilities as an economic and welfare issue. Since low birth weight (LBW) dramatically increases the risk of neonatal death, the risk factors of occurrence need to be identified together with the chances and determinants of survival of newborns at-risk. Results Data from 4971 puppies from 10 breeds were analysed. Two birth weight thresholds regarding the risk of neonatal mortality were identified by breed, using respectively Receiver Operating Characteristics and Classification and Regression Tree method. Puppies were qualified as LBW and very low birth weight (VLBW) when their birth weight value was respectively between the two thresholds and lower than the two thresholds. Mortality rates were 4.2, 8.8 and 55.3%, in the normal, LBW and VLBW groups, accounting for 48.7, 47.9 and 3.4% of the included puppies, respectively. A separate binary logistic regression approach allowed to identify breed, gender and litter size as determinants of LBW. The increase in litter size and being a female were associated with a higher risk for LBW. Survival for LBW puppies was reduced in litters with at least one stillborn, compared to litters with no stillborn, and was also reduced when the dam was more than 6 years old. Concerning VLBW puppies, occurrence and survival were influenced by litter size. Surprisingly, the decrease in litter size was a risk factor for VLBW and also reduced their survival. The results of this study suggest that VLBW and LBW puppies are two distinct populations. Moreover, it indicates that events and factors affecting intrauterine growth (leading to birth weight reduction) also affect their ability to adapt to extrauterine life. Conclusion These findings could help veterinarians and breeders to improve the management of their facility and more specifically of LBW puppies. Possible recommendations would be to only select for reproduction dams of optimal age and to pay particular attention to LBW puppies born in small litters. Further studies are required to understand the origin of LBW in dogs.


2000 ◽  
Vol 32 (4) ◽  
pp. 487-493 ◽  
Author(s):  
FARID UDDIN AHMED ◽  
ENAMUL KARIM ◽  
SYEDA NURJAHAN BHUIYAN

In Bangladesh, like other developing countries, most births occur at home or in the community, so logistic problems and taboos prevent the weighing of every newborn child. This study was performed to see whether other simpler measurements could be substituted for weight to identify neonates of low birth weight. A total of 1676 live births at the Chittagong Medical College Hospital constituted the study sample, and this showed a high correlation between mid-arm circumference and birth weight (r=0.792, p<0·000). A mid-arm circumference of <9·0 cm had the best sensitivity and specificity for identifying newborns with a birth weight of less than 2500 g. These neonates were followed up to record neonatal deaths. Neonatal mortality showed an inverse relation with mid-arm circumference. A mid-arm circumference of <9·0 cm and a birth weight of <2500 g were equally useful in predicting neonatal outcome. Mid-arm circumference is a simple, quick and reliable indicator for predicting low birth weight and neonatal outcome, and can be easily measured by medical practitioners and traditional birth attendants (TBAs) in the community of developing countries like Bangladesh.


Sign in / Sign up

Export Citation Format

Share Document