Hostname: page-component-84b7d79bbc-rnpqb Total loading time: 0 Render date: 2024-07-28T05:30:47.990Z Has data issue: false hasContentIssue false
  • English
  • Français

Characteristics of Adaptation Period for Extrauterine Life of Neonates from Multiple Pregnancies

Published online by Cambridge University Press:  01 August 2014

M. Mikulska  and
B. Wolnicka
M. Mikulska*
Affiliation:
Chair of Obstetrics and Gynaecology, Silesian Medical Academy, Bytom, Poland
B. Wolnicka
Affiliation:
Chair of Obstetrics and Gynaecology, Silesian Medical Academy, Bytom, Poland
*
Chair of Obstetrics and Gynaecology, Silesian Medical Academy 15, Batorego St., Bytom, Poland

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Multiple pregnancies pose numerous threats both for foetuses and neonates. The following disorders are encountered among the most important perinatal disturbances: EPH – gestosis, immature labour and premature rupture of foetal membranes. Also during the labour, particularly the second one and the following ones, various lesions that may cause increased incidence of diseases and mortality in this group of neonates [5, 6, 10, 18, 21, 22, 25]. Complications encountered in neonates from multiple pregnancies, resulting both from abnormal conditions of intrauterine development and from perinatal pathology, require still wider studies, particularly within the context of intensified obstetrical care of women with multiple pregnancies [7, 11, 13, 16, 24].

In the years 1996-1998, out of 3883 neonates born in the Chair of Obstetrics and Gynaecology of the Silesian Medical Academy, 152 (3,9%) came from multiple pregnancies. This period included one case of quadruplets, eight cases of triplets and 62 twin pregnancies. Pregnant women were directed to our Chair within the program of multidisciplinary care of women with complicated pregnancies and they also came from the Department of Pathology of Pregnancy in our Chair. In 18 women, treated for infertility, the pregnancy was accomplished as a result of application of various techniques of assisted procreation. In one case – 4 foetuses were indicated, in five cases – three foetuses and in 12 cases – two foetuses.

Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 47 , Issue 3-4 , October 1998 , pp. 219 - 226
Copyright
Copyright © The International Society for Twin Studies 1998

References

REFERENCES

1. Agustsson, T, Geirsson, RT, Mires, G (1997): Obstetric outcome of natural and assisted conception twin pregnancies is similar. Acta Obstet Gynecol Scand 76 (1), 45–9.CrossRefGoogle ScholarPubMed
2. Aytoz, A, De Catte, L, Camus, M, Bonduelle, M, Van Assche, E, Liebaers, L, Van Steirteghem, A, Devroey, P (1998): Obstetric outcome after prenatal diagnosis in pregnancies obtained after intracytoplasmic sperm injection. Hum Reprod 13 (10), 2958–61.Google Scholar
3. Bernasko, J, Lynch, L, Lapinski, R, Berkowitz, RL (1997): Twin pregnancies conceived by assisted reproductive techniques: maternal and neonatal outcomes. Obstet Gynecol 89 (3), 368–72.CrossRefGoogle ScholarPubMed
4. Biancuzzo, M (1994): Breastfeeding preterm twins: a case report. Birth 21 (2), 96–100.Google Scholar
5. Chen, SJ, Vohr, BR, Oh, W (1993): Effects of birth order, gender, and intrauterine growth retardation on the outcome of very low birth weight in twins. J Pediatr 123 (1), 132–6.Google Scholar
6. Cheung, VY, Booking, AD, Dasilva, OP (1995): Preterm discordant twins: what birth weight difference is significant? Am J Obstet Gynecol 172 (3), 955–9.Google Scholar
7. Ciechanowska, B (1992): Rozwój fizyczny i psychomotoryczny w pierwszym roku życia dzieci urodzonych z ciążmnogich (Physical and psychomotor development in the first year of life of children born after multiple pregnancies). Zdr Pub 103 (8), 399–405.Google Scholar
8. Dhont, M, De-Neubourg, F, Van-der-Elst, J, De-Sutter, P (1997): Perinatal outcome of pregnancies after assisted reproduction: a case-control study. J Assist Reprod Genet 14 (10), 575–80.Google Scholar
9. Donovan, EF, Ehrenkranz, RA, Shankaran, S, Stevenson, DK, Wright, LL, Younes, N, Fanaroff, AA, Korones, SB, Stoll, BJ, Tyson, JE, Bauer, CR, Lemons, JA, Oh, W, Papile, LA (1998): Outcomes of very low birth weight twins cared for in the National Institute of Child Health and Human Development Neonatal Research Network's intensive care units. Am J Obstet Gynecol 179 (3 Pt 1), 742–9.Google Scholar
10. D'Souza, SW, Rivlin, E, Cadman, J, Richards, B, Buck, P, Lieberman, BA (1997): Children conceived by in vitro fertilisation after fresh embryo transfer. Arch Dis Child Fetal Neonatal Ed 76 (2), 70–4.Google Scholar
11. Dunn, A, Macfarlane, A (1996): Recent trends in the incidence of multiple births and associated mortality in England and Wales. Arch Dis Child Fetal Neonatal Ed 75 (1), 10–9.CrossRefGoogle ScholarPubMed
12. von During, V, Maltau, JM, Forsdahl, F, Abyholm, T, Kolvik, R, Ertzeid, G, Steier, A, Baste, V, Irgens, LM (1995): Pregnancy, births and infants after in-vitro-fertilization in Norway, 1988-1991. Tidsskr Nor Laegeforen 115 (17), 2054–60.Google ScholarPubMed
13. Ellings, JM, Newman, RB, Hulsey, TC, Bivins, HA Jr, Keenan, A (1993): Reduction in very low birth weight deliveries and perinatal mortality in a specialized, multidisciplinary twin clinic. Obstet Gynecol 81 (3), 387–91.Google Scholar
14. Florjański, J, Zalewski, J, Woytoń, J (1993): Ultrasonograficzna ocena wielkości plodów bliźniaczych w populacji wrocławskiej (Ultrasonographical evaluation of the growth in bigeminal pregnancies in the population of Wrocław). Ginek Pol 64 (3), 123–128.Google Scholar
15. Friedman, SA, Schiff, E, Kao, L, Kuint, J, Sibai, BM (1997): Do twins mature earlier than singletons? Results from a matched cohort study. Am J Obstet Gynecol 176 (6), 1193–6, discussion 1196–9.Google Scholar
16. Leonard, CH, Piecuch, RE, Ballard, RA, Cooper, BA (1994): Outcome of very low birth weight infants: multiple gestation versus singletons. Pediatrics 93 (4), 611–5.CrossRefGoogle ScholarPubMed
17. Liang, R, Gunn, AJ, Gunn, TR (1997): Can preterm twins breast feed successfully? NZ Med J 110 (1045), 209–12.Google Scholar
18. Luke, B, Keith, L, Lopez-Zeno, JA, Witter, FR, Saquil, E (1993): A case-control study of maternal gestational weight gain and newborn birthweight and birthlength in twin pregnancies complicated by preeclampsia. Acta Genet Med Gemellol 42 (1), 7–15.Google ScholarPubMed
19. Makhseed, M, Al-Sharhan, M, Egbase, P, Al-Essa, M, Grudzinskas, JG (1998): Maternal and perinatal outcomes of multiple pregnancy, following IVF-ET. Int J Gynaecol Obstet 61 (2), 155–63.CrossRefGoogle ScholarPubMed
20. Perlman, JM, Broyles, RS, Rogers, CG (1997): Neonatal neurologic characteristics of preterm twin infants < 1,250 gm birth weight. Pediatr Neurol 17 (4), 322–6.Google Scholar
21. Petersen, K, Hornnes, PJ, Ellingsen, S, Jensen, F, Brocks, V, Starup, J, Jacobsen, JR, Andersen, AN (1995): Perinatal outcome after in vitro fertilisation. Acta Obstet Gynecol Scand 74 (2), 129–31.CrossRefGoogle ScholarPubMed
22. Piekarski, P, Czajkowski, K, Maj, K, Milewczyk, P (1997): Stan noworodka a polożenie płodów i metoda porodu w ciaży bliźniaczej (The neonatal outcome depending on mode of the delivery and fetal presentation in twin gestation). Ginek Pol 68 (4), 187–192.Google Scholar
23. Riese, ML (1993): Size for gestational age and neonatal sleep variables: behavioral indices of risk in fullterm twins. Acta Genet Med Gemellol 42 (1), 23–33.Google Scholar
24. Riese, ML (1998): Predicting infant temperament from neonatal reactivity for AGA/SGA twin pairs. Twin Res 1 (2), 65–70.Google Scholar
25. Sipiński, A, Poręba, R Dudkiewicz, D, Ciszek, V, Gałuszka, L, Szulakowski, P (1996): Analiza przebiegu porodów i stanu urodzeniowego noworodków z ciąży bliźniaczej (The analysis of thin pregnancies, deliveries and newborns state). Klin Perinatol Ginek 13, 321–325.Google Scholar
26. Tallo, CP, Vohr, B, Oh, W, Rubin, LP, Seifer, DB, Haning, RV Jr (1995): Maternal and neonatal morbidity associated with in vitro fertilization. J Pediatr 127 (5), 794–800.CrossRefGoogle ScholarPubMed
27. Wennerholm, UB, Albertsson-Wikland, K, Bergh, C, Hamberger, L, Niklasson, A, Nilsson, L, Thiringer, K, Wennergren, M, Wikland, M, Borres, MP (1998): Postnatal growth and health in children born after cryopreservation as embryos. Lancet 351 (9109), 1085–90.Google Scholar