Perinatal Asphyxia in Monochorionic versus Dichorionic Twins: Incidence, Risk Factors and Outcome

被引：9
|
作者：
van Steenis, A. [1 ]
Kromhout, H. E. [1 ]
Steggerda, S. J. [1 ]
Sueters, M. [2 ]
Rijken, M. [1 ]
Oepkes, D. [2 ]
Lopriore, E. [1 ]
机构：
[1] Leiden Univ, Med Ctr, Dept Pediat, Div Neonatol, NL-2333 ZA Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Dept Obstet, Div Fetal Med, NL-2333 ZA Leiden, Netherlands
来源：
FETAL DIAGNOSIS AND THERAPY | 2014年 / 35卷 / 02期
关键词：
Monochorionic twin; Perinatal outcome; Twin-twin transfusion syndrome; Perinatal asphyxia; MORTALITY; MORBIDITY; PREGNANCIES; COTWIN; FETAL;
D O I：
10.1159/000356433
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objective: To estimate the incidence, risk factors, severity and outcome after perinatal asphyxia in monochorionic (MC) versus dichorionic (DC) twins. Methods: We included all consecutive near-term MC and DC twins with perinatal asphyxia admitted to our neonatal ward between 2004 and 2013 and compared the perinatal characteristics and neonatal outcome between both groups. Results:The incidence of perinatal asphyxia in MC and DC twin infants was 4.0(11/272) and 4.0% (8/200; p = 1.00). In contrast to DC twins, asphyxia in MC twins was strongly associated with acute exsanguination and anemia at birth; 64% (7/11) in MC twins and 0% (0/8) in DC twins (p < 0.01). Median hemoglobin level at birth in the MC and DC groups was 11.5 and 18.6 g/dl, respectively (p < 0.01). Conclusions: Perinatal asphyxia in MC twins is often associated with severe anemia at birth due to acute hemorrhage through the placental vascular anastomoses. (C) 2014 S. Karger AG, Basel
引用
收藏
页码：87 / 91
页数：5
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