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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Neonatal outcomes of preterm twins according to mode of birth and presentation
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Neonatal outcomes of preterm twins according to mode of birth and presentation

机译：根据出生方式和演示模式的新生儿结果

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Purpose: To compare neonatal outcomes of twins delivered <33 weeks' gestation in tertiary centers in Canada according to the mode of birth and presentation.Materials and methods: This retrospective cohort from the Canadian Neonatal Network database studied preterm twins born from 24+0 to 32+6 weeks' gestation between 2005 and 2012. Twins were grouped by the mode of birth: both vaginal, combined vaginal/cesarean section (CS), and both CS. Additionally, twins were grouped by the mode of presentation: both vertex, vertex/breech, breech/vertex, and both breech. The primary outcome was a composite of mortality or severe neonatal morbidity (severe neurological injury [intraventricular hemorrhage grade 3/4 or periventricular leukomalacia], bronchopulmonary dysplasia, retinopathy of prematurity, and necrotizing enterocolitis).Results: Of the 6636 twins, 1934 (29%) were delivered vaginally, 418 (6%) by combined vaginal birth/CS, and 4284 (65%) were born by CS. The composite did not differ between the groups. However, severe neurological injury was decreased (adjusted odds ratio [AOR], 0.77; 95% confidence interval [CI], 0.61-0.98) and respiratory distress syndrome (AOR, 1.34; 95%CI, 1.15-1.56) was increased when both the twins were delivered by CS.Conclusions: Preterm twin infants born via CS experienced less severe neurological injury when compared to those delivered vaginally, but had an increase in respiratory distress syndrome.
机译：目的：根据出生方式，比较双胞胎的新生儿成果<33周的妊娠，根据出生方式，根据出生方式。 2005年至2012年的妊娠32 + 6周的妊娠。双胞胎通过出生方式进行分组：阴道，组合阴道/剖宫产（CS）和CS。此外，双胞胎通过呈现方式进行分组：顶点，顶点/后膛，后膛/顶点和两个后膛。主要结果是死亡率或严重新生儿发病率的综合（严重神经损伤[脑室出血级3/4或脑室白血病，过早性患者和坏死性小肠结肠炎的视网膜病变）。结果：6636 TWINS，1934（29 ％）通过组合阴道出生/ Cs，418（6％）递送418（6％），4284（65％）由Cs出生。组合在组之间没有区别。然而，严重的神经损伤减少（调节的差距效率[AOR]，0.77; 95％置信区间[CI]，0.61-0.98）和呼吸窘迫综合征（AOR，1.34; 95％CI，1.15-1.56）增加双胞胎由Cs.cl递送：与阴道递送的人相比，通过CS出生的早产Twin婴儿经历了不太严重的神经系统损伤，但呼吸窘迫综合征有增加。

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