Le monde des jumeaux : aspects épidémiologiques et génétiques, enjeux obstétricaux, risques spécifiques et devenir

Tauzin, M.; Felix, Andreza Aparecida; Michot, C.; Dedieu, Cinzia; Aoust, Laura; Fortas, F.; Guillier, Christelle; Ngo, Janet; Wachter, P.Y.; Petermann, L.; Kermorvant‐Duchemin, Elsa

doi:10.1016/j.arcped.2017.09.023

Cited by 5 publications

(4 citation statements)

References 46 publications

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“…The incidence of twin pregnancies has increased steadily for the last 40 years due to assisted reproductive technology and increased maternal childbearing age [36]. While there are still few studies on the early postnatal growth of late preterm twin infants.…”

Section: Discussionmentioning

confidence: 99%

Postnatal length and weight growth velocities according to Fenton reference and their associated perinatal factors in healthy late preterm infants during birth to term-corrected age: an observational study

Zhang

Liang

et al. 2019

Ital J Pediatr

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BackgroundOptimum early postnatal growth is critical for early and later health of preterm infants. Postnatal length and weight growth velocities and their associated perinatal factors in healthy late preterm infants without restriction of neonatal complications and nutritional problems have not been widely studied.MethodsAs part of ongoing longitudinal follow-up study of growth and development of preterm infants in Shandong Qianfoshan Hospital in China, 599 healthy late preterm infants without neonatal complications and nutritional problems were sampled from 795 preterm infants born in January 2014 to April 2017. Perinatal factors, growth parameters, growth velocities(ΔLengthZ and ΔWeightZ: Z-score changes of length and weight) during birth and term-corrected age were documented. Associated variables of growth velocities were analyzed by bivariate and multivariate regression analyses. Adjusted ΔLengthZ and ΔWeightZ were compared between/among subgroups of associated variables using analysis of covariance. Catch-up growth were defined as ΔLengthZ or ΔWeightZ > 0.67.ResultsThe mean ΔLengthZ and ΔWeightZ were 0.28, 0.65, respectively. Catch-up growth of length and weight was ubiquitous(30.7, 46.2%, respectively). Faster length growth velocity was associated with male, larger postmenstrual age(PMA) at birth, younger mother and larger PMA at visit; Faster weight growth velocity was associated with male, unfavorable intrauterine growth status defined by birth weight percentile(Small-for-Gestational-Age(P90)), twin and larger PMA at visit. When adjusted for associated co-variables, weight catch-up growth existed in subgroups of 36 weeks PMA at birth, male, twin and SGA, while AGA almost reached this standard with mean adjusted ΔWeightZ as 0.66. Although none of these subgroups got length catch-up growth standard, infants of 36 weeks PMA at birth had statistically rapider length growth velocity than 34 and 35 weeks PMA at birth subgroups(mean adjusted ΔLengthZs of 34, 35 and 36 weeks subgroups: 0.10, 0.22, 0.38, respectively).ConclusionsPostnatal length and weight growth velocities of healthy late preterm infants from birth to term-corrected age were much superior than that of Fenton reference, especially for weight, with ubiquitous catch-up growth. Different associated factors for length and weight growth signified the necessity of constructing more detailed growth standards by specific stratification for associated factors.

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Section: Discussionmentioning

confidence: 99%

Postnatal length and weight growth velocities according to Fenton reference and their associated perinatal factors in healthy late preterm infants during birth to term-corrected age: an observational study

Zhang

Liang

et al. 2019

Ital J Pediatr

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“…We recorded 3 maternal deaths, i.e., a case fatality of 1.2%: 2 deaths were consecutive to postpartum hemorrhage and the third linked to an eclampsic coma. Data from the literature [19,20] are inanimate that maternal mortality after twin childbirth is mainly due to the increased risk of pregnancy-induced hypertension (5 to 10% of single pregnancies compared to 10 to 20% of multiple pregnancies) and increased bleeding of the breast. Postpartum due to uterine overdistension which can cause either uterine rupture or atony.…”

Section: Prognosis Maternal Prognosismentioning

confidence: 99%

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2021

HRMGO

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Introduction: Twin childbirth is a high-risk childbirth especially for the 2 nd Twin, whose perinatal mortality was increased by (102.8%₀). The aim of this study was to describe the outcome of twin pregnancies in an African setting at the maternity ward of the Ignace Deen National Hospital.Methodology: This was a prospective study of a descriptive and analytical type lasting twelve (12) months from January 1 to December 31, 2020 carried out at the obstetric gynecology department of the Ignace Deen National Hospital. Results:The frequency of twin pregnancies (GG) was 4.62% of deliveries. Pregnant women aged 25 to 29 were in the majority (81.74%). The socio-demographic profile of the woman who gave birth to twins was that of a housewife (32.8%), unschooled (42.4%), married (96%) and pauciparous (35.6%). The delivery was at term in 51.38% of cases and the anatomical type most frequently encountered was dizygous (90.51%) and premature in 48.62%. The early neonatal prognosis was good in 59.09% of cases for D1 and 66.4% for D2. We noted respiratory distress in 24.51% of cases for D1 and 37.55% for D2 and perinatal mortality of 79.1%₀ for D1 and 102.8%₀for J2. The factors of the poor neonatal prognosis were prematurity, low birth weight and vaginal delivery for the 2nd twin. The immediate maternal prognosis was good in 227 patients and marked by postpartum hemorrhage in 26 patients, including three (3) maternal deaths. Conclusion:The improvement of the neonatal prognosis in the event of twin pregnancy would require an early ultrasound between 12 -15 weeks old, systematic corticosteroid therapy in the event of a threat of premature birth (PAD) before 34 weeks old and the performance of an ultrasound in the ward.

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“…Quando comparadas às gestações únicas, a gravidez múltipla é classificada como de alto risco, tanto para mãe como para os fetos, com altas taxas de morbimortalidade materna e perinatal (TAUZIN et al, 2017). Do ponto de vista materno, muitas complicações ocorrem em decorrência das transformações fisiológicas maternas mais intensas provocadas pela gestação, pelo maior volume de tecido placentário e pelas distocias de parto (CHANG; STREITMAN, 2012).…”

Section: Intercorrências Perinataisunclassified

“…A duração média da gestação gemelar é de 35 semanas (LEE, 2012;RODE;TABOR, 2014). O PPT ocorre em 30 a 50% dos casos e, devido a essa elevada frequência, a prematuridade é o principal fator determinante das altas taxas de morbimortalidade nessa condição (TAUZIN et al, 2017;MARLEEN et al, 2018). De capital importância são as complicações neonatais relacionadas à prematuridade como hemorragia intracraniana, enterocolite necrosante, broncodisplasia pulmonar, retinopatia, infecções e morte (PINBORG, 2005;LEE, 2012;SANTANA et al, 2018).…”

Section: Intercorrências Perinataisunclassified

Farmacocinética e análise da distribuição placentária da betametasona em gestações gemelares

Rodrigues¹

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Le monde des jumeaux : aspects épidémiologiques et génétiques, enjeux obstétricaux, risques spécifiques et devenir

Cited by 5 publications

References 46 publications

Postnatal length and weight growth velocities according to Fenton reference and their associated perinatal factors in healthy late preterm infants during birth to term-corrected age: an observational study

Postnatal length and weight growth velocities according to Fenton reference and their associated perinatal factors in healthy late preterm infants during birth to term-corrected age: an observational study

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Farmacocinética e análise da distribuição placentária da betametasona em gestações gemelares

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