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Discordant Twins: Acid-Base Status

Published online by Cambridge University Press:  01 August 2014

S.A. Ordorica*
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University Medical Center, New York, USA
F.J. Frieden
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University Medical Center, New York, USA
I.A. Hoskins
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University Medical Center, New York, USA
B.K. Young
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University Medical Center, New York, USA
*
New York University Medical Center, 530 First Avenue, Suite 5F, New York, NY 10016, USA

Abstract

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A prospective study was undertaken to determine the effect of twin birth-weight discordancy on Apgar scores and umbilical blood acid-base parameters. Using the paired t-test, small but statistically significant differences were seen in these parameters favoring the heavier twin over its lighter sibling. These differences were also affected by birth order, with the first-born being favored.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1991

References

REFERENCES

1. Antoine, C, Young, BK (1982): Fetal lactic acidosis with epidural anesthesia. Am J Obstet Gynecol 142:55.CrossRefGoogle ScholarPubMed
2. Babson, SG, Kangos, J, Young, N, Bramhall, JL. Growth and development of twins of dissimilar size at birth (1964): Pediatrics 33:327333.Google Scholar
3. Blickstein, I, Shoham-Schwartz, Z, Lancet, M, Borenstein, R (1987): Characterization of the growth-discordant twin. Obstet Gynecol 70:1115.Google Scholar
4. Churchill, JA (1965): The relationships between intelligence and birth weights in twins. Neurology 4:341347.Google Scholar
5. Corey, LA, Nance, WE, Kang, KW, Christian, JC (1979): Effects of type of placentation on birth weight and its variability in monozygotic and dizygotic twins. Acta Genet Med Gemellol 28:4150.Google Scholar
6. Erkkola, R, Ala-Melleo, S, Puroinen, O, Kero, P, Sillanpaa, M (1985): Growth discordancy in twin pregnancies: A risk factor not detected by measurements of biparietal diameter. Obstet Gynecol 66:203206.Google Scholar
7. Fakeye, O (1986): Twin birth weight discordancy in Nigeria. Int J Gynecol Obstet 24:235238.Google Scholar
8. Gruenwald, P (1970): Environmental influences on twins apparent at birth. Biol Neonate 15:79.CrossRefGoogle ScholarPubMed
9. Kaelber, CT, Pugh, TF (1969): Influence of intrauterine relations on the intelligence of twins. N Engl J Med 280:10301034.CrossRefGoogle ScholarPubMed
10. Matheny, AP, Brown, AM (1971): Effects of birth weight and birth sequence. Child Dev 42:251257.Google Scholar
11. O'Brien, WF, Knuppel, RA, Scerbo, JC, Ratan, PK (1986): Birth weight in twins: Analysis of discordancy and growth retardation. Obstet Gynecol 67:483486.Google ScholarPubMed
12. Ogata, ES, Kittermnan, JA, Kleinberg, F (1977): Effect of cord clamping and maternal blood pressure on placental transfusion with cesarean section. Am J Obstet Gynecol 128:197.Google Scholar
13. Ordorica, SA, Hoskins, IA, Young, BK. Acid Base Differences in Preterm and Term Pregnancy. Acta Genet Med Gemellol 40:361372.Google Scholar
14. Philips, AG (1981): Term twins with discordant birth weights: Observations at birth and one year. Acta Genet Med Gemellol 30:203212.Google Scholar
15. Reisner, SH, Forbes, AE, Cornblath, M (1965): The smaller of twins and hypoglycemia. Lancet 542:524526.CrossRefGoogle Scholar
16. Young, BK, Suidan, J, Antoine, C, Silverman, F, Lustig, I, Wasserman, J (1985): Difference in twins: The importance of birth order. Am J Obstet Gynecol 151:915921.Google Scholar