scholarly journals Isolated Single Umbilical Artery in Twin Pregnancies and its Adverse Pregnancy Outcomes - A Case Report and Review of Literature

2015 ◽  
Author(s):  
Showkathali Iqbal
Keyword(s):  
Case Report ◽  
Pregnancy Outcomes ◽  
Umbilical Artery ◽  
Adverse Pregnancy Outcomes ◽  
Review Of Literature ◽  
Single Umbilical Artery ◽  
Adverse Pregnancy ◽  
Twin Pregnancies

scholarly journals The incidence of isolated single umbilical artery in twins and adverse pregnancy outcomes

2013 ◽  
Vol 33 (3) ◽  
pp. 269-272 ◽  
Author(s):  
Molly J. Stout ◽  
Anthony O. Odibo ◽  
Ryan Longman ◽  
Anthony L. Shanks ◽  
Alison G. Cahill
Keyword(s):  
Pregnancy Outcomes ◽  
Umbilical Artery ◽  
Adverse Pregnancy Outcomes ◽  
Single Umbilical Artery ◽  
Adverse Pregnancy

462: Subchorionic hematomas and adverse pregnancy outcomes among twin pregnancies

2018 ◽  
Vol 218 (1) ◽  
pp. S278-S279
Author(s):  
Mariam Naqvi ◽  
Munira Ali ◽  
Amalia G. Namath ◽  
Nathan S. Fox
Keyword(s):  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Adverse Pregnancy ◽  
Twin Pregnancies

scholarly journals 2080799 Adverse Pregnancy Outcomes in Twin Pregnancies Reduced to Singleton Pregnancies and Ongoing Twin Pregnancies

2015 ◽  
Vol 41 (4) ◽  
pp. S39 ◽  
Author(s):  
Simi Gupta ◽  
Nathan Fox ◽  
Jessica Feinberg ◽  
Chad Klauser ◽  
Andrei Rebarber
Keyword(s):  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Adverse Pregnancy ◽  
Twin Pregnancies ◽  
Singleton Pregnancies

873: Adverse pregnancy outcomes in twin pregnancies reduced to singleton pregnancies and ongoing twin pregnancies

2015 ◽  
Vol 212 (1) ◽  
pp. S416-S417
Author(s):  
Simi Gupta ◽  
Jessica Feinberg ◽  
Nathan Fox ◽  
Chad Klauser ◽  
Andrei Rebarber
Keyword(s):  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Adverse Pregnancy ◽  
Twin Pregnancies ◽  
Singleton Pregnancies

Subchorionic Hematomas and Adverse Pregnancy Outcomes among Twin Pregnancies

2019 ◽  
Author(s):  
Mariam Naqvi ◽  
Mackenzie N. Naert ◽  
Hanaa Khadraoui ◽  
Alberto M. Rodriguez ◽  
Amalia G. Namath ◽  
...  
Keyword(s):  
Gestational Age ◽  
Pregnancy Outcomes ◽  
Vaginal Bleeding ◽  
Low Birthweight ◽  
Univariate Analysis ◽  
First Trimester ◽  
Adverse Pregnancy Outcomes ◽  
Spontaneous Reduction ◽  
Adverse Pregnancy ◽  
Twin Pregnancies

Abstract Objective This study estimates the association of a first trimester finding of subchorionic hematoma (SCH) with third trimester adverse pregnancy outcomes in women with twin pregnancies. Study Design Retrospective cohort study of twin pregnancies prior to 14 weeks at a single institution from 2005 to 2019, all of whom had a first trimester ultrasound. We excluded monoamniotic twins, fetal anomalies, history of fetal reduction or spontaneous reduction, and twin-to-twin transfusion syndrome. Ultrasound data were reviewed, and we compared pregnancy outcomes after 24 weeks in women with and without a SCH at their initial ultrasound 60/7 to 136/7 weeks. Regression analysis was used to control for any differences in baseline characteristics. Results A total of 760 women with twin pregnancies met inclusion criteria for the study, 68 (8.9%) of whom had a SCH. Women with SCH were more likely to have vaginal bleeding and had their initial ultrasound at earlier gestational ages. On univariate analysis, SCH was not significantly associated with gestational age at delivery, preterm birth, birthweight of either twin, low birthweight percentiles of either twin, fetal demise, or preeclampsia. SCH was associated with placental abruption on univariate analysis, but not after controlling for vaginal bleeding and gestational age at the time of the initial ultrasound (adjusted odds ratio: 2.00, 95% confidence interval: 0.63–6.42). Among women with SCH, SCH size was not associated with adverse pregnancy outcomes. Conclusion In women with twin pregnancies, the finding of a first trimester SCH is not associated with adverse pregnancy outcomes >24 weeks.

scholarly journals The Association between Glucose Levels and Adverse Pregnancy Outcomes in Nondiabetic Twin Pregnancies

2020 ◽  
Vol 10 (03) ◽  
pp. e217-e223
Author(s):  
Kevin Cheung ◽  
Nathan S. Fox
Keyword(s):  
Cesarean Delivery ◽  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Adverse Outcomes ◽  
Neonatal Hypoglycemia ◽  
Glucose Levels ◽  
Increased Risk ◽  
Adverse Pregnancy ◽  
Maternal Glucose Levels ◽  
Twin Pregnancies

Abstract Objective The aim of this study is to determine if hyperglycemia in twin pregnancies without gestational diabetes mellitus (GDM) is associated with an increased risk of adverse pregnancy outcomes. Study Design Retrospective cohort study of twin pregnancies in a single Maternal–Fetal Medicine practice between 2005 and 2019 who underwent two-step GDM screening at 24 to 28 weeks. We excluded women with pregestational or gestational diabetes. We examined the association between maternal glycemia and adverse pregnancy outcomes. Glycemia was defined as the 1-hour GCT in all women, and each of the four values of the 3-hour OGTT in women who failed the GCT (≥130 mg/dL). Primary outcomes were preeclampsia, cesarean delivery, and neonatal hypoglycemia in either twin. Statistical tests used included Pearson's correlation, Student's t-test, Mann–Whitney U test, Chi-square test for trend, and logistic regression. Results A total of 847 women underwent a GCT and 246 women underwent an OGTT. Increasing maternal glucose levels had no positive association with adverse outcomes. Women with preeclampsia, cesarean delivery, and neonatal hypoglycemia did not have higher mean GCT or OGTT values than women without these outcomes. There was no increased risk of adverse outcomes with increasing quartiles of the GCT or OGTT values. Conclusion In women with twin pregnancies without GDM, elevated maternal glucose levels are not associated with preeclampsia, cesarean delivery, or neonatal hypoglycemia. The altered physiology of twin gestations may modify the effect of maternal hyperglycemia on perinatal outcomes as compared with singleton pregnancies. Current approaches to screening for and treating GDM during pregnancy might not adequately account for these unique considerations among twins.

Obesity and adverse pregnancy outcomes in twin pregnancies

2013 ◽  
Vol 27 (4) ◽  
pp. 355-359 ◽  
Author(s):  
Nathan S. Fox ◽  
Ashley S. Roman ◽  
Daniel H. Saltzman ◽  
Chad K. Klauser ◽  
Andrei Rebarber
Keyword(s):  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcomes ◽  
Adverse Pregnancy ◽  
Twin Pregnancies
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