[Weight discordance of the second twin: effect on perinatal morbidity and mortality. An 8-year analysis of 213 twin deliveries].
In this retrospective eight-years-study we examine factors to be considered responsible for higher perinatal mortality in twins, especially in twins with discordant body weight. As a main risk factor for this we find vaginal delivery, i.e. from a non-vertex position. Other additional reasons for the higher perinatal mortality of twins are prematurity (less than 34 weeks of gestation) and birthweight lower than 1500 grams. Early hospitalisation has a positive influence on that risk. The perinatal mortality in the second twin (6.7%) is twice as high as in the first twin. The highest perinatal mortality (17.6%), however, is in twins with discordant growth whereas the second twin had a higher birthweight at delivery (15% more than the first twin). In twins with discordant body weight cesarean section gives advantage to the second twin versus vaginal delivery from breech presentation.
Graf
H
H
Klinik für Frauenheilkunde und Geburtsmedizin, Klinikum Suhl.
Retzke
U
U
Dabor
A
A
Ketscher
K D
KD
Schmoll
K
K
Schneeberger
J
J
D001034:Apgar Score; D001724:Birth Weight; D002423:Cause of Death; D002585:Cesarean Section; D004200:Diseases in Twins; D005260:Female; D005858:Germany / Q000453:epidemiology; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000401:mortality*; D007746:Labor Presentation; D008297:Male; D010343:Patient Admission; D011247:Pregnancy; D011272:Pregnancy, Multiple; D012189:Retrospective Studies