Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study'
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/46341 |
Resumo: | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. |
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Esteves-Pereira, Ana PaulaCunha, Antônio José Ledo Alves daNakamura-Pereira, MarcosMoreira, Maria ElisabethDomingues, Rosa Maria Soares MadeiraViellas, Elaine FernandesLeal, Maria do CarmoGama, Silvana Granado Nogueira da2021-03-11T16:11:23Z2021-03-11T16:11:23Z2021ESTEVES-PEREIRA, Ana Paula et al. Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study'. PloS one, v. 16, n. 1, p. 1-13, 20211932-6203https://www.arca.fiocruz.br/handle/icict/4634110.1371/journal.pone.0245152engPublic Library of ScienceTwin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study'info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Faculdade de Medicina . Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, Criança e Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, Criança e Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Background: Twin pregnancies account for 0.5-2.0% of all gestations worldwide. They have a negative impact on perinatal health indicators, mainly owing to the increased risk for preterm birth. However, population-based data from low/middle income countries are limited. The current paper aims to understand the health risks of twins, compared to singletons, amongst late preterms and early terms. Methods: Data is from "Birth in Brazil", a national inquiry into childbirth care conducted in 2011/2012 in 266 maternity hospitals. We included women with a live birth or a stillborn, and excluded births of triplets or more, totalling 23,746 singletons and 554 twins. We used multiple logistic regressions and adjusted for potential confounders. Results: Twins accounted for 1.2% of gestations and 2.3% of newborns. They had higher prevalence of low birth weight and intrauterine growth restriction, when compared to singletons, in all gestational age groups, except in the very premature ones (<34 weeks). Amongst late preterm's, twins had higher odds of jaundice (OR 2.7, 95% CI 1.8-4.2) and antibiotic use (OR 1.8, 95% CI 1.1-3.2). Amongst early-terms, twins had higher odds of oxygen therapy (OR 2.7, 95% CI 1.3-5.9), admission to neonatal intensive care unit (OR 3.1, 95% CI 1.5-6.5), transient tachypnoea (OR 3.7, 95% CI 1.5-9.2), jaundice (OR 2.8, 95% CI 1.3-5.9) and antibiotic use (OR 2.2, 95% CI 1.14.9). In relation to birth order, the second-born infant had an elevated likelihood of jaundice, antibiotic use and oxygen therapy, than the first-born infant. Conclusion: Although strongly mediated by gestational age, an independent risk remains for twins for most neonatal morbidities, when compared to singletons. These disadvantages seem to be more prominent in early-term newborns than in the late preterm ones.Twin pregnancyNeonatesPerinatalNeonatal morbidityinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/46341/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALTwin_Rosa_Domingues_etal_INI_2021.pdfTwin_Rosa_Domingues_etal_INI_2021.pdfapplication/pdf498898https://www.arca.fiocruz.br/bitstream/icict/46341/2/Twin_Rosa_Domingues_etal_INI_2021.pdf81e1dd495f46ce4b4b7b28f06177cbb6MD52TEXTTwin_Rosa_Domingues_etal_INI_2021.pdf.txtTwin_Rosa_Domingues_etal_INI_2021.pdf.txtExtracted texttext/plain48524https://www.arca.fiocruz.br/bitstream/icict/46341/3/Twin_Rosa_Domingues_etal_INI_2021.pdf.txt6358c92a987054ffea4bf5f6b4fe83a6MD53icict/463412021-03-12 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dc.title.pt_BR.fl_str_mv |
Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study' |
title |
Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study' |
spellingShingle |
Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study' Esteves-Pereira, Ana Paula Twin pregnancy Neonates Perinatal Neonatal morbidity |
title_short |
Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study' |
title_full |
Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study' |
title_fullStr |
Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study' |
title_full_unstemmed |
Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study' |
title_sort |
Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study' |
author |
Esteves-Pereira, Ana Paula |
author_facet |
Esteves-Pereira, Ana Paula Cunha, Antônio José Ledo Alves da Nakamura-Pereira, Marcos Moreira, Maria Elisabeth Domingues, Rosa Maria Soares Madeira Viellas, Elaine Fernandes Leal, Maria do Carmo Gama, Silvana Granado Nogueira da |
author_role |
author |
author2 |
Cunha, Antônio José Ledo Alves da Nakamura-Pereira, Marcos Moreira, Maria Elisabeth Domingues, Rosa Maria Soares Madeira Viellas, Elaine Fernandes Leal, Maria do Carmo Gama, Silvana Granado Nogueira da |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Esteves-Pereira, Ana Paula Cunha, Antônio José Ledo Alves da Nakamura-Pereira, Marcos Moreira, Maria Elisabeth Domingues, Rosa Maria Soares Madeira Viellas, Elaine Fernandes Leal, Maria do Carmo Gama, Silvana Granado Nogueira da |
dc.subject.en.pt_BR.fl_str_mv |
Twin pregnancy Neonates Perinatal Neonatal morbidity |
topic |
Twin pregnancy Neonates Perinatal Neonatal morbidity |
description |
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. |
publishDate |
2021 |
dc.date.accessioned.fl_str_mv |
2021-03-11T16:11:23Z |
dc.date.available.fl_str_mv |
2021-03-11T16:11:23Z |
dc.date.issued.fl_str_mv |
2021 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
ESTEVES-PEREIRA, Ana Paula et al. Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study'. PloS one, v. 16, n. 1, p. 1-13, 2021 |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/46341 |
dc.identifier.issn.pt_BR.fl_str_mv |
1932-6203 |
dc.identifier.doi.none.fl_str_mv |
10.1371/journal.pone.0245152 |
identifier_str_mv |
ESTEVES-PEREIRA, Ana Paula et al. Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study'. PloS one, v. 16, n. 1, p. 1-13, 2021 1932-6203 10.1371/journal.pone.0245152 |
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https://www.arca.fiocruz.br/handle/icict/46341 |
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eng |
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Public Library of Science |
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Public Library of Science |
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