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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Neonatal morbidity and mortality among growth-discordant dichorionic twins, classified according to birth weight of the smaller twin: a population-based cohort study
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Neonatal morbidity and mortality among growth-discordant dichorionic twins, classified according to birth weight of the smaller twin: a population-based cohort study

机译：生长间的新生儿发病率和死亡率不间断的二思素双胞胎，根据较小双胞胎的出生体重分类：基于人群的队列研究

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Objective:To examine the outcomes among discordant dichorionic (DC) twins, where the smaller twin is small for gestational age (SGA) or non-SGA. Materials and methods:We used the national perinatal registry to compare the relationship between selected maternal characteristics (age, parity, body mass index, gestational diabetes, hypertensive disorders, and gestational age at delivery) and neonatal outcomes in discordant >25% DC twins. Chorionicity was established by standard ultrasound criteria and confirmed postpartum. The smaller of the twins was further classified as SGA or non-SGA. The neonatal outcomes included 5-min Apgar score 25% born during the 15 years study period, 270 (71.6%) of which included an SGA smaller twin and 107 (28.4%) were non-SGA smaller twin. Maternal characteristics and neonatal morbidities were unrelated to the smaller discordant twin being SGA. A significantly increased incidence of stillbirth was found in the SGA group. Early neonatal deaths were only found in the SGA group. Conclusion:When the smaller twin is SGA, the growth discordant DC twin pair is associated with increased incidence of perinatal deaths. These appear unrelated to maternal characteristics and neonatal morbidity.
机译：目的：检查不间断的二核（DC）双胞胎的结果，其中较小的双胞胎为胎龄（SGA）或非SGA小。材料和方法：我们利用国家围产期登记处比较所选孕产妇特征（年龄，平价，体重指数，妊娠期糖尿病，高血压障碍和胎龄在交付中的妊娠期）之间的关系）和45％DC双胞胎的新生儿结果。通过标准超声标准建立了绒毛膜性并确认产后。较小的双胞胎进一步分类为SGA或非SGA。新生儿成果包括5分钟的奥普尔得分25％，在15年的研究期间出生，其中270（71.6％）包括SGA较小的双胞胎，107（28.4％）是非SGA较小的双胞胎。母体特征和新生儿病症与较小的不和谐双胞胎是SGA无关。在SGA组中发现了死产的显着增加的发病率。早期新生儿死亡仅在SGA组中发现。结论：当较小的双胞胎是SGA时，增长不全的DC双对与围产期发生率增加有关。这些与母体特征和新生儿发病率无关。

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