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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Assessment of peri-neonatal mortality and morbidity risk in twin pregnancy
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1
Department of Obstetrics and Gynecology -University of Pavia (Italy)
2
Division of Neonatal Intensive Care -I.R.C.C.S. Policlinico S. Matteo, Pavia (Italy)
Clin. Exp. Obstet. Gynecol. 1986, 13(1-2), 18–25;
Published: 10 March 1986
Abstract
A case control study on peri-neonatal mortality and morbidity rates in 154 twin pregnancies has been performed. The mortality rates along with main neonatal morbidity factors were evaluated in relation to the birth weight and gestational age. The risk of death in peri-neonatal period was 17 times greater (relative risk 17.30) (p less than 0.00005) in newborns weighing less than 2000 g and about 15 times (r.r. 14.53) (p less than 0.00005) in twins born before 34th week of gestational age with respect to the controls. The Apgar score of the 2nd twin was lower than that of the 1st, both at 1' (p less than .05) and 5' (p less than .025). The development of HMD was strongly influenced by the gestational age when less than 34th week (r.r. 15.89) (p less than .00005). No difference in incidence was found between the newborns with gestational age between 34-37 weeks and those at term. The potential implications of these findings on obstetric and neonatologic treatment of LBW and VLBW twins was discussed.