Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country

Detalhes bibliográficos
Autor(a) principal: Aquino, Carolina
Data de Publicação: 2021
Outros Autores: Baião, Ana Elisa Rodrigues, Carvalho, Paulo Roberto Nassar de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/46957
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil / Clinica Perinatal. Rio de Janeiro, RJ, Brasil.
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spelling Aquino, CarolinaBaião, Ana Elisa RodriguesCarvalho, Paulo Roberto Nassar de2021-04-28T18:01:48Z2021-04-28T18:01:48Z2021AQUINO, Carolina; BAIÃO, Ana Elisa Rodrigues; CARVALHO, Paulo Roberto Nassar de. Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country. Twin Research and Human Genetics, v. 24, n. 1, p. 37-41, Feb. 2021.1832-4274https://www.arca.fiocruz.br/handle/icict/4695710.1017/thg.2021.7engAustralian Academic Press [Associate Organisation], International Society for Twin Studies (ISTS) [Associate Organisation], Cambridge University Press [Commercial Publisher]Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Countryinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil / Clinica Perinatal. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil / Clinica Perinatal. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil / Clinica Perinatal. Rio de Janeiro, RJ, Brasil.Selective intrauterine growth restriction (sIUGR) in monochorionic twin pregnancies is associated with greater morbidity and mortality for both fetuses when compared to singleton and dichorionic pregnancies. This retrospective cohort study aimed to assess the perinatal outcomes of monochorionic twin pregnancies affected by this disorder and conducted expectantly, by analyzing the results according to the end-diastolic flow in the umbilical artery Doppler of the smaller twin (type I: persistently forward/type II: persistently absent or reversed/type III: intermittently absent or reversed). Seventy-five monochorionic diamniotic twin pregnancies with sIUGR were included in this study. sIUGR was defined by estimated fetal weight below the 3rd centile for gestational age, or below the 10th centile, when associated with at least one of the following three criteria: abdominal circumference below the 10th percentile, umbilical artery pulsatility index of the smaller twin above the 95th percentile, or estimated fetal weight discordance of 25% or more. Perinatal outcomes were analyzed from the prenatal period to hospital discharge and included perinatal death, neurological injury, retinopathy of prematurity (ROP), bronchopulmonary dysplasia (BPD), necrotizing enterocolitis (NEC), and sepsis. The mortality rate was 1.33% in this cohort. The overall morbidity rate was lower in type I twin pregnancies. In conclusion, this study shows that sIUGR type I has lower morbidity than types II and III in expectant management.Monochorionic twinsNeonatal morbidity.Perinatal outcomeUmbilical artery DopplerSelective intrauterine growth restrictionTwin pregnancyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83134https://www.arca.fiocruz.br/bitstream/icict/46957/1/license.txt0ab46789d568c4ba27c7b5d29a9fe9c4MD51ORIGINALAquino_Carolina_etal_IFF_2021.pdfAquino_Carolina_etal_IFF_2021.pdfapplication/pdf148724https://www.arca.fiocruz.br/bitstream/icict/46957/2/Aquino_Carolina_etal_IFF_2021.pdf72b6eeca8a45956d5a5cac5a8479011aMD52TEXTAquino_Carolina_etal_IFF_2021.pdf.txtAquino_Carolina_etal_IFF_2021.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country
title Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country
spellingShingle Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country
Aquino, Carolina
Monochorionic twins
Neonatal morbidity.
Perinatal outcome
Umbilical artery Doppler
Selective intrauterine growth restriction
Twin pregnancy
title_short Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country
title_full Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country
title_fullStr Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country
title_full_unstemmed Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country
title_sort Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country
author Aquino, Carolina
author_facet Aquino, Carolina
Baião, Ana Elisa Rodrigues
Carvalho, Paulo Roberto Nassar de
author_role author
author2 Baião, Ana Elisa Rodrigues
Carvalho, Paulo Roberto Nassar de
author2_role author
author
dc.contributor.author.fl_str_mv Aquino, Carolina
Baião, Ana Elisa Rodrigues
Carvalho, Paulo Roberto Nassar de
dc.subject.en.pt_BR.fl_str_mv Monochorionic twins
Neonatal morbidity.
Perinatal outcome
Umbilical artery Doppler
Selective intrauterine growth restriction
Twin pregnancy
topic Monochorionic twins
Neonatal morbidity.
Perinatal outcome
Umbilical artery Doppler
Selective intrauterine growth restriction
Twin pregnancy
description Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil / Clinica Perinatal. Rio de Janeiro, RJ, Brasil.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-04-28T18:01:48Z
dc.date.available.fl_str_mv 2021-04-28T18:01:48Z
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
status_str publishedVersion
dc.identifier.citation.fl_str_mv AQUINO, Carolina; BAIÃO, Ana Elisa Rodrigues; CARVALHO, Paulo Roberto Nassar de. Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country. Twin Research and Human Genetics, v. 24, n. 1, p. 37-41, Feb. 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/46957
dc.identifier.issn.pt_BR.fl_str_mv 1832-4274
dc.identifier.doi.none.fl_str_mv 10.1017/thg.2021.7
identifier_str_mv AQUINO, Carolina; BAIÃO, Ana Elisa Rodrigues; CARVALHO, Paulo Roberto Nassar de. Perinatal Outcome of Selective Intrauterine Growth Restriction in Monochorionic Twins: Evaluation of a Retrospective Cohort in a Developing Country. Twin Research and Human Genetics, v. 24, n. 1, p. 37-41, Feb. 2021.
1832-4274
10.1017/thg.2021.7
url https://www.arca.fiocruz.br/handle/icict/46957
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Australian Academic Press [Associate Organisation], International Society for Twin Studies (ISTS) [Associate Organisation], Cambridge University Press [Commercial Publisher]
publisher.none.fl_str_mv Australian Academic Press [Associate Organisation], International Society for Twin Studies (ISTS) [Associate Organisation], Cambridge University Press [Commercial Publisher]
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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https://www.arca.fiocruz.br/bitstream/icict/46957/2/Aquino_Carolina_etal_IFF_2021.pdf
https://www.arca.fiocruz.br/bitstream/icict/46957/3/Aquino_Carolina_etal_IFF_2021.pdf.txt
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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