Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/109304 https://doi.org/10.1590/SO100-720320150005272 |
Resumo: | PURPOSE: To compare obstetric outcomes of induced preterm twin births (under 32 weeks gestation) with those spontaneously conceived. METHODS: Prospective study of twin pregnancies (25 induced and 157 spontaneously conceived) developed over a period of 16 years in a tertiary obstetric center. Demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immediate newborn outcome were compared. RESULTS: The analysis of obstetrical complications concerning urinary or other infections, hypertensive disorders of pregnancy, gestational diabetes, fetal malformations, intrauterine fetal death, intrauterine growth restriction and intrauterine discordant growth reveal no significant statistical differences between the two groups. First trimester bleeding was higher in the induced group (24 versus 8.3%, p=0.029). The cesarean delivery rate was 52.2% in spontaneous gestations and 64% in induced gestations. Gestational age at delivery, birth weight, Apgar scores at first and fifth minutes, admissions to Neonatal Intensive Care Unit and puerperal complications show no statistically significant differences between the two groups. These results were independent of chorionicity and induction method. CONCLUSION: The mode of conception did not influence obstetric and neonatal outcomes. Although induced pregnancies have higher risk of first trimester bleeding, significant differences were not observed regarding other obstetric and puerperal complications and neonatal results. |
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Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestationGestações gemelares induzidas modificam o resultado obstétrico e perinatal de partos antes da 32ª semana? Comparação com gestações espontâneasTwinsInduced reproductionPregnancy outcomeGêmeosReprodução assistidaResultado da gravidezFemaleGestational AgeHumansInfant, NewbornMultiple Birth OffspringPregnancyPregnancy ComplicationsPregnancy Trimester, ThirdPregnancy, TwinProspective StudiesPregnancy OutcomeReproductive Techniques, AssistedPURPOSE: To compare obstetric outcomes of induced preterm twin births (under 32 weeks gestation) with those spontaneously conceived. METHODS: Prospective study of twin pregnancies (25 induced and 157 spontaneously conceived) developed over a period of 16 years in a tertiary obstetric center. Demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immediate newborn outcome were compared. RESULTS: The analysis of obstetrical complications concerning urinary or other infections, hypertensive disorders of pregnancy, gestational diabetes, fetal malformations, intrauterine fetal death, intrauterine growth restriction and intrauterine discordant growth reveal no significant statistical differences between the two groups. First trimester bleeding was higher in the induced group (24 versus 8.3%, p=0.029). The cesarean delivery rate was 52.2% in spontaneous gestations and 64% in induced gestations. Gestational age at delivery, birth weight, Apgar scores at first and fifth minutes, admissions to Neonatal Intensive Care Unit and puerperal complications show no statistically significant differences between the two groups. These results were independent of chorionicity and induction method. CONCLUSION: The mode of conception did not influence obstetric and neonatal outcomes. Although induced pregnancies have higher risk of first trimester bleeding, significant differences were not observed regarding other obstetric and puerperal complications and neonatal results.OBJETIVO: Comparar os resultados obstétricos de gestações gemelares induzidas com as concebidas espontaneamente, em partos ocorridos antes da 32ª semana de idade gestacional. MÉTODOS: Estudo prospectivo de gestações gemelares (25 induzidas e 157 concebidas espontaneamente) desenvolvido durante um período de 16 anos num centro terciário de Obstetrícia. Foram comparados fatores demográficos, complicações obstétricas, idade gestacional no parto, tipo de parto, peso ao nascer e o outcome imediato do recém-nascido. RESULTADOS: A análise das seguintes complicações obstétricas: infecções urinárias ou outras, distúrbios hipertensivos da gravidez, diabetes gestacional, malformações fetais, morte fetal intrauterina, restrição de crescimento intrauterino e crescimento intrauterino discordante não revelou diferenças estatísticas significativas entre os dois grupos. No grupo das gestações induzidas, observou-se maior taxa de metrorragias do 1º trimestre (24 versus 8,3%, p=0,029). A taxa de cesariana foi de 52,2% nas gestações espontâneas e 64% nas gestações induzidas. Idade gestacional no parto, peso ao nascer, índice de Apgar no primeiro e quinto minutos, internamento em unidade de cuidados intensivos neonatal e complicações puerperais não apresentam diferenças estatisticamente significantes entre os dois grupos. Esses resultados foram independentes do tipo de placentação e método de indução. CONCLUSÃO: O modo de concepção não influenciou os resultados obstétricos e neonatais. Embora as gestações induzidas tenham maior risco de metrorragias do primeiro trimestre, não foram observadas diferenças significativas em relação a outras complicações obstétricas, complicações puerperais e em relação aos resultados neonatais.Thieme2015-05info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/109304http://hdl.handle.net/10316/109304https://doi.org/10.1590/SO100-720320150005272eng1806-9339Dinis, Sofia RaposoDomingues, Ana PatríciaBelo, AdrianaCouto, DanielaFonseca, EtelvinaMoura, Pauloinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-09T11:32:00Zoai:estudogeral.uc.pt:10316/109304Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:25:30.719918Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation Gestações gemelares induzidas modificam o resultado obstétrico e perinatal de partos antes da 32ª semana? Comparação com gestações espontâneas |
title |
Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation |
spellingShingle |
Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation Dinis, Sofia Raposo Twins Induced reproduction Pregnancy outcome Gêmeos Reprodução assistida Resultado da gravidez Female Gestational Age Humans Infant, Newborn Multiple Birth Offspring Pregnancy Pregnancy Complications Pregnancy Trimester, Third Pregnancy, Twin Prospective Studies Pregnancy Outcome Reproductive Techniques, Assisted |
title_short |
Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation |
title_full |
Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation |
title_fullStr |
Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation |
title_full_unstemmed |
Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation |
title_sort |
Do induced twin pregnancies influence the obstetric and neonatal results of multiple births born before 32 weeks? Comparison to spontaneous gestation |
author |
Dinis, Sofia Raposo |
author_facet |
Dinis, Sofia Raposo Domingues, Ana Patrícia Belo, Adriana Couto, Daniela Fonseca, Etelvina Moura, Paulo |
author_role |
author |
author2 |
Domingues, Ana Patrícia Belo, Adriana Couto, Daniela Fonseca, Etelvina Moura, Paulo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Dinis, Sofia Raposo Domingues, Ana Patrícia Belo, Adriana Couto, Daniela Fonseca, Etelvina Moura, Paulo |
dc.subject.por.fl_str_mv |
Twins Induced reproduction Pregnancy outcome Gêmeos Reprodução assistida Resultado da gravidez Female Gestational Age Humans Infant, Newborn Multiple Birth Offspring Pregnancy Pregnancy Complications Pregnancy Trimester, Third Pregnancy, Twin Prospective Studies Pregnancy Outcome Reproductive Techniques, Assisted |
topic |
Twins Induced reproduction Pregnancy outcome Gêmeos Reprodução assistida Resultado da gravidez Female Gestational Age Humans Infant, Newborn Multiple Birth Offspring Pregnancy Pregnancy Complications Pregnancy Trimester, Third Pregnancy, Twin Prospective Studies Pregnancy Outcome Reproductive Techniques, Assisted |
description |
PURPOSE: To compare obstetric outcomes of induced preterm twin births (under 32 weeks gestation) with those spontaneously conceived. METHODS: Prospective study of twin pregnancies (25 induced and 157 spontaneously conceived) developed over a period of 16 years in a tertiary obstetric center. Demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immediate newborn outcome were compared. RESULTS: The analysis of obstetrical complications concerning urinary or other infections, hypertensive disorders of pregnancy, gestational diabetes, fetal malformations, intrauterine fetal death, intrauterine growth restriction and intrauterine discordant growth reveal no significant statistical differences between the two groups. First trimester bleeding was higher in the induced group (24 versus 8.3%, p=0.029). The cesarean delivery rate was 52.2% in spontaneous gestations and 64% in induced gestations. Gestational age at delivery, birth weight, Apgar scores at first and fifth minutes, admissions to Neonatal Intensive Care Unit and puerperal complications show no statistically significant differences between the two groups. These results were independent of chorionicity and induction method. CONCLUSION: The mode of conception did not influence obstetric and neonatal outcomes. Although induced pregnancies have higher risk of first trimester bleeding, significant differences were not observed regarding other obstetric and puerperal complications and neonatal results. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-05 |
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.uri.fl_str_mv |
http://hdl.handle.net/10316/109304 http://hdl.handle.net/10316/109304 https://doi.org/10.1590/SO100-720320150005272 |
url |
http://hdl.handle.net/10316/109304 https://doi.org/10.1590/SO100-720320150005272 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1806-9339 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Thieme |
publisher.none.fl_str_mv |
Thieme |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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