open access

Vol 86, No 2 (2015)
ARTICLES
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Twin pregnancy as the risk factor for neonatal intraventricular hemorrhage

Aleksandra I. Wieczorek, Grzegorz Krasomski
DOI: 10.17772/gp/2001
·
Ginekol Pol 2015;86(2).

open access

Vol 86, No 2 (2015)
ARTICLES

Abstract

Objectives: The aim of this study was to find the perinatal risk factors of intravenricular hemorrhage in twin neonates. Material and methods: A retrospective analysis of 203 twin pregnancies and deliveries between 2003 and 2009 was performed. Then data according birth state and neonatal complications in 406 twins were analyzed. Twin outcome was compared with the outcome of 105 singletons born at the same time and at the same gestational age as twins. Results: Intraventricular hemorrhage was diagnosed in 116/406 (29%) of twins. IVH was found two times more often in the analyzed group than in singletons born at the same gestational age (29% vs. 18%, p = 0,03). In 96% I and II grade hemorrhage was diagnosed and in 4% III and IV grade hemorrhage in the Papille scale was found. Conclusions: 1) Intraventricular hemorrhage is found more often in twins than in singleton neonates born at the same gestational age. 2) IVH in twins correlate with preterm birth and low birth weight. IVH occur more often in twins with birth weight discordance and with too small maternal weight gain.

Abstract

Objectives: The aim of this study was to find the perinatal risk factors of intravenricular hemorrhage in twin neonates. Material and methods: A retrospective analysis of 203 twin pregnancies and deliveries between 2003 and 2009 was performed. Then data according birth state and neonatal complications in 406 twins were analyzed. Twin outcome was compared with the outcome of 105 singletons born at the same time and at the same gestational age as twins. Results: Intraventricular hemorrhage was diagnosed in 116/406 (29%) of twins. IVH was found two times more often in the analyzed group than in singletons born at the same gestational age (29% vs. 18%, p = 0,03). In 96% I and II grade hemorrhage was diagnosed and in 4% III and IV grade hemorrhage in the Papille scale was found. Conclusions: 1) Intraventricular hemorrhage is found more often in twins than in singleton neonates born at the same gestational age. 2) IVH in twins correlate with preterm birth and low birth weight. IVH occur more often in twins with birth weight discordance and with too small maternal weight gain.
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Keywords

twin pregnancy / neonatal complications / intraventricular hemorrhage

About this article
Title

Twin pregnancy as the risk factor for neonatal intraventricular hemorrhage

Journal

Ginekologia Polska

Issue

Vol 86, No 2 (2015)

DOI

10.17772/gp/2001

Bibliographic record

Ginekol Pol 2015;86(2).

Keywords

twin pregnancy / neonatal complications / intraventricular hemorrhage

Authors

Aleksandra I. Wieczorek
Grzegorz Krasomski

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