Perinatal outcomes in Finnish twins: a retrospective study

被引:14
|
作者
Rissanen, Annu-Riikka Susanna [1 ,2 ]
Jernman, Riina Maria [3 ,4 ]
Gissler, Mika [5 ,6 ]
Nupponen, Irmeli Katriina [7 ,8 ]
Nuutila, Mika Erkki [3 ,4 ]
机构
[1] Univ Helsinki, Dept Obstet & Gynecol, Keskussairaalankatu 7, Lahti 15850, Finland
[2] Welf Dist Paijat Name, Keskussairaalankatu 7, Lahti 15850, Finland
[3] Univ Helsinki, Obstet & Gynecol, Haartmaninkatu 2, Hus Helsinki 00029, Finland
[4] Helsinki Univ Hosp, Haartmaninkatu 2, Hus Helsinki 00029, Finland
[5] Finnish Inst Hlth & Welf, Mannerheimintie 166,PL 30, Helsinki 00271, Finland
[6] Karolinska Inst, Stockholm, Sweden
[7] Univ Helsinki, Childrens Hosp, Stenbackinkatu 9,PL 347, Hus Helsinki 00029, Finland
[8] Helsinki Univ Hosp, Stenbackinkatu 9,PL 347, Hus Helsinki 00029, Finland
关键词
Twins; Perinatal mortality; Pregnancy; multiple pregnancy; high-risk; Neonatal mortality; PRETERM BIRTH; MULTIPLE PREGNANCY; DELIVERY; MORTALITY; MORBIDITY; RATES;
D O I
10.1186/s12884-019-2670-3
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background To establish the changes in perinatal morbidity and mortality in twin pregnancies in Finland, a retrospective register research was conducted. Our extensive data from a 28-year study period provide important information on the outcome of twin pregnancies in Finland that has previously not been reported to this extent. Methods All 23,498 twin pregnancies with 46,996 children born in Finland during 1987-2014 were included in the study. Data were gathered from the Medical Birth Register and the Hospital Discharge Register (Finnish Institute for Health and Welfare, Finland) regarding perinatal mortality (PNM) and morbidity. For statistical analysis, binomial regression analysis and crosstabs were performed. The results are expressed in means, percentages and ranges with comparison to singletons when appropriate. Odds ratios from binomial regression analysis are reported. A p-value Results There were 46,363 liveborn and 633 stillborn twins in Finland during 1987-2014. Perinatal mortality decreased markedly, from 45.1 to 6.5 per 1000 for twin A and from 54.1 to 11.9 per 1000 for twin B during the study period. Yet, the PNM difference between twin A and B remained. Early neonatal mortality did not differ between twins, but has decreased in both. Asphyxia, respiratory distress syndrome, need for antibiotics and Neonatal Intensive Care Unit (NICU) stay were markedly more common in twin B. Conclusions In Finland, PNM and early neonatal mortality in twins decreased significantly during 1987-2014 and are nowadays very low. However, twin B still faces more complications. The outline provided may be used to further improve the monitoring and thus perinatal outcome of twins, especially twin B.
引用
收藏
页数:8
相关论文
共 50 条
  • [21] Routine cervical length in twins and perinatal outcomes
    Gyamfi, Cynthia
    Lerner, Veronica
    Holzman, Ian
    Stone, Joanne L.
    AMERICAN JOURNAL OF PERINATOLOGY, 2007, 24 (01) : 65 - 69
  • [22] The association between a history of induced abortion for nonmedical reasons and maternal and neonatal perinatal outcomes: a retrospective cohort study
    Zhang, Siqi
    Lu, Chunxia
    Zhao, Qing
    Xiang, Yuxin
    He, Weichong
    Qu, Yong
    Zhang, Yujiao
    Dong, Wenbin
    Lei, Xiaoping
    JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2025, 38 (01):
  • [23] Pregnancy outcomes before and after institution of a specialised twins clinic: a retrospective cohort study
    Henry, Amanda
    Lees, Nicole
    Bein, Kendall J.
    Hall, Beverley
    Lim, Veronica
    Chen, Katie Qiao
    Welsh, Alec W.
    Hui, Lisa
    Shand, Antonia W.
    BMC PREGNANCY AND CHILDBIRTH, 2015, 15
  • [24] Perinatal outcome of singleton versus twin late preterm infants: do twins mature faster than singletons?
    Ribicic, Rebeka
    Kranjcec, Izabela
    Borosak, Jesenka
    Tumbri, Jasna
    Prajz, Lorita Mihovilovic
    Ribicic, Tomislav
    JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2016, 29 (09): : 1520 - 1524
  • [25] Maternal and perinatal outcomes of multiple pregnancy following IVF-ET
    Makhseed, M
    Al-Sharhan, M
    Egbase, P
    Al-Essa, M
    Grudzinskas, JG
    INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 1998, 61 (02) : 155 - 163
  • [26] Risk of adverse perinatal outcomes among women with pharmacologically treated and untreated depression during pregnancy: A retrospective cohort study
    Adhikari, Kamala
    Patten, Scott B.
    Lee, Sangmin
    Metcalfe, Amy
    PAEDIATRIC AND PERINATAL EPIDEMIOLOGY, 2019, 33 (05) : 323 - 331
  • [27] Adverse perinatal outcomes among practical nurses: The Finnish Medical Birth Register Study
    Kwegyir-Afful, Emma
    Lamminpaa, Reeta
    Rasanen, Kimmo
    Vehvilainen-Julkunen, Katri
    Selander, Tuomas
    Gissler, Mika
    EUROPEAN JOURNAL OF MIDWIFERY, 2021, 5
  • [28] Mode of delivery, perinatal outcome and neurodevelopment in uncomplicated monochorionic diamniotic twins: a single-center retrospective cohort study
    Chimenea, Angel
    Garcia-Diaz, Lutgardo
    Antinolo, Guillermo
    BMC PREGNANCY AND CHILDBIRTH, 2022, 22 (01)
  • [29] Adverse perinatal and neonatal outcomes and their determinants in rural Vietnam 1999-2005
    Graner, Sophie
    Klingberg-Allvin, Marie
    Phuc, Ho Dang
    Huong, Dao Lan
    Krantz, Gunilla
    Mogren, Ingrid
    PAEDIATRIC AND PERINATAL EPIDEMIOLOGY, 2010, 24 (06) : 535 - 545
  • [30] Effects of the COVID-19 pandemic on perinatal outcomes: a retrospective cohort study from Turkey
    Yalcin, Siddika Songul
    Boran, Perran
    Tezel, Basak
    Sahlar, Tuba Esra
    Ozdemir, Pinar
    Keskinkilic, Bekir
    Kara, Fatih
    BMC PREGNANCY AND CHILDBIRTH, 2022, 22 (01)