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Acta clinica Croatica, Vol. 56. No. 4., 2017.

Original scientific paper

https://doi.org/10.20471/acc.2017.56.04.09

A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience

Marko Vulić orcid id orcid.org/0000-0002-3198-4976 ; Department of Gynecology and Obstetrics, Split University Hospital Centre, School of Medicine, University of Split, Split, Croatia
Lara Lalić ; Split University Hospital Centre, Split, Croatia
Luka Vulić orcid id orcid.org/0000-0001-5877-519X ; School of Medicine, University of Split, Split, Croatia
Damir Roje ; Department of Gynecology and Obstetrics, Split University Hospital Centre, School of Medicine, University of Split, Split, Croatia
Zdeslav Benzon ; Department of Gynecology and Obstetrics, Split University Hospital Centre, School of Medicine, University of Split, Split, Croatia
Zoran Meštrović orcid id orcid.org/0000-0002-6121-5721 ; Department of Gynecology and Obstetrics, Split University Hospital Centre, School of Medicine, University of Split, Split, Croatia

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Abstract

The aim was to determine whether discordant twin growth has an impact on preterm birth in dichorionic pregnancies. This retrospective study included dichorionic twin pregnancies in the period from January 1, 2013 to December 31, 2015. The following variables were investigated: maternal age (years), parity, body mass index (kg/m2), week (≤366/7 and ≥37) and mode of delivery (vaginal and cesarean section), birth weight (grams) and Apgar score (≤7, 8-10). Discordant twin growth in dichorionic pregnancies was found to be associated with preterm birth (χ2=4.74; p=0.03) but had no impact on the mode of delivery (χ2=0.119; p=0.73). There was a statistically significant difference in the rate of small for gestational age (SGA) neonates (χ2=16.4556; p=0.000267) and Apgar score (χ2=7.9931; p<0.05) between the study groups. Mode of conception in dichorionic pregnancies was not a risk factor for preterm delivery (χ2=1.417; p=0.23). In conclusion, discordant twin growth in dichorionic pregnancies is a risk factor for preterm delivery and has no impact on the mode of delivery but has an impact on the rate of SGA and Apgar score.

Keywords

Premature birth; Pregnancy; Retrospective studies; Twins, dizygotic; Croatia

Hrčak ID:

195429

URI

https://hrcak.srce.hr/195429

Publication date:

15.12.2017.

Article data in other languages: croatian

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