Article
Nutrition & Dietetics
Regina Ewa Wierzejska
Summary: This review examines the current knowledge about the energy and nutrient demands in twin pregnancies, highlighting the higher energy demand and lack of specific recommendations for nutrient intake. There is also a lack of research on vitamins and minerals, particularly vitamin D, in twin pregnancies. More studies are needed to establish the nutritional demands and supplementation strategies for mothers of multiple pregnancies.
Article
Nutrition & Dietetics
Rebecca K. Campbell, Catalin S. Buhimschi, Guomao Zhao, Cielo Dela Rosa, Bethany T. Stetson, Carl H. Backes, Irina A. Buhimschi
Summary: Iron deficiency in utero and infancy can cause irreversible neurocognitive damage, but the burden of neonatal iron deficiency in the United States is unknown. Infants born from twin pregnancies may be at higher risk of inadequate nutrient endowment at birth. This study compared the burden of neonatal iron deficiency in cord blood serum samples from twin and singleton pregnancies.
Article
Obstetrics & Gynecology
Sarah Louise Killeen, Shauna L. Callaghan, Sharleen L. O'Reilly, Fionnuala M. McAuliffe
Summary: The objective of this study was to develop a core outcome set for pregnancy nutrition. Candidate outcomes were identified from a systematic review and additional data were collected through interviews with women with pregnancy experience. A modified Delphi survey and consensus meeting were conducted to finalize the core outcome set. The set includes critical outcomes for both pregnant women and newborns, providing important guidance for researchers and healthcare professionals.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Acoustics
H. Miremberg, H. Rosen, B. Weisz, D. Tirosh, R. Hershkovitz, S. Stern, S. Porat, B. Beloshevski, Y. Melcer, Y. Goldberg, N. Boms Yonai, M. Awawdeh, Z. Leibovitz, J. Shalev, L. Gindes
Summary: This study aimed to evaluate the impact of the position of the abnormal fetus on pregnancy complications and outcomes in selective termination of discordant twin pregnancy. The study found that terminating the presenting twin resulted in a higher rate of complications and adverse pregnancy outcomes.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Acoustics
C. Briffa, C. Di Fabrizio, E. Kalafat, V. Giorgione, R. Bhate, C. Huddy, J. Richards, S. Shetty, A. Khalil
Summary: This study aimed to compare the impact of using twin-specific and singleton growth charts on the diagnosis of small-for-gestational age (SGA) and its association with adverse neonatal outcomes. The results showed that infants classified as SGA using twin-specific charts had a significantly higher risk of adverse neonatal outcomes compared to those classified using singleton charts.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Nazila Mesbah, Vajiheh Marsousi, Laleh Eslamian, Hadi Montazerlotfelahi, Alireza A. Shamshirsaz, Kamran Hessami, Ashraf Jamal, Maryam Noorzadeh, Mahsa Naemi, Marjan Ghaemi
Summary: This study evaluated the neurodevelopmental outcomes at 12 months of age among infants with TTTS undergoing FLP. The results showed that 10.2% of the infants had minor or major neurodevelopmental impairment. This information is useful for counseling couples before undergoing the procedure.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Obstetrics & Gynecology
Vedran Stefanovic, Irmeli Nupponen, Riina Maria Jernman
Summary: This study aimed to evaluate the perinatal and neonatal outcomes of monoamniotic twin pregnancies in the largest tertiary hospital in Finland. The results showed that monoamniotic twin pregnancies carry risks, but with timely diagnosis, close monitoring, and elective delivery, the outcomes for both the mother and the neonates are usually excellent.
JOURNAL OF PERINATAL MEDICINE
(2022)
Article
Medicine, General & Internal
Guodong Ding, Angela Vinturache, Jing Yu, Min Lu, Yu Pang, Ying Tian, Jun Zhang
Summary: A retrospective study of twin pregnancies delivered between 34 and 40 weeks of gestation in the United States from 1995 to 2000 showed that the risks of adverse neonatal outcomes and mortality decreased from 34 to 38 weeks of gestation, and increased thereafter. The optimal timing for twin delivery appears to be at 38 weeks of gestation.
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE
(2021)
Article
Obstetrics & Gynecology
Ingrid Soderhult, Eleonor Tiblad, Lotta Herling
Summary: This retrospective study investigated the perinatal outcome of monoamniotic twin pregnancies managed at Karolinska University Hospital in Sweden over a 10-year period. The results showed a high live birth rate and perinatal survival, consistent with previous studies.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Steffen Ernesto Kristensen, Charlotte Kvist Ekelund, Puk Sandager, Finn Stener Jorgensen, Eva Hoseth, Lene Sperling, Sedrah Butt Balaganeshan, Tina Duelund Hjortshoj, Kasper Gadsboll, Alan Wright, David Wright, Andrew McLennan, Karin Sundberg, Olav Bjorn Petersen
Summary: This retrospective study examined the outcomes of all dichorionic twin pregnancies in Denmark and compared the risks of adverse pregnancy outcomes between reduced and nonreduced twins as well as singletons. The findings showed that early fetal reduction can reduce the risk of adverse pregnancy outcomes and preterm delivery.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Jie Zhu, Ping An, Huanqiang Zhao, Ying Zhao, Jizi Zhou, Qiongjie Zhou, Xiaotian Li, Yu Xiong
Summary: This study explored the relationship between growth discordance and the risk of preeclampsia in twin pregnancies. A retrospective cohort study was conducted, and it was found that there was a nonlinear upward trend of preeclampsia with intertwin birthweight difference (BWD), with a threshold of 15% for the initial rise. After adjusting for confounders, only the group with BWD >= 25% was significantly associated with an increased risk of preeclampsia. Subgroup analysis showed that monochorionic and small for gestational age twins were more likely to develop preeclampsia. Therefore, a growth discordance of 15% during pregnancy may serve as a preventive point, while 25% may be the intervention threshold for preeclampsia.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Acoustics
T. Schmitz, D. Korb, E. Azria, C. Garabedian, P. Rozenberg, M. Senat, L. Sentilhes, C. Vayssiere, N. Winer, F. Goffinet
Summary: This study assessed the perinatal outcome of twin pregnancies with planned vaginal delivery according to chorionicity, and found that uncomplicated monochorionic twin pregnancies did not have a higher rate of composite intrapartum mortality and neonatal morbidity and mortality compared to dichorionic twin pregnancies.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Minling Wei, Yang Yang, Xiaoying Jin, Jingyan Yang, Dong Huang, Songying Zhang
Summary: The pregnancy outcome of emergency cerclage appears to have a better prognosis in singleton pregnancies than in twin pregnancies, and twin pregnancy is a risk factor for preterm delivery.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2021)
Article
Endocrinology & Metabolism
Jiarong Li, Jingyu Li, Yiyuan Zhang, Kuona Hu, Na Chen, Jie Gao, Jingmei Hu, Linlin Cui, Zi-Jiang Chen
Summary: The vanishing twin has an impact on the perinatal outcomes of the surviving singleton, with a greater impact when the twin vanishes later in gestation. Close monitoring during the perinatal period is recommended for these neonates, and elective single embryo transfer should be considered.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Obstetrics & Gynecology
Teresa Harper, Wendy Kuohung, Lauren Sayres, Mary D. Willis, Lauren A. Wise
Summary: There is growing evidence that optimal preconception health is associated with better reproductive, perinatal, and pediatric outcomes. Preconception care is recommended for all individuals planning pregnancy, providing an opportunity for medical providers and public health practitioners to improve health outcomes. Understanding the determinants of preconception health is important for all healthcare professionals and policymakers, and further research is needed to identify factors associated with positive health outcomes and ensure timely interventions. This article primarily focuses on clinical care, but recognizes the importance of population-health interventions considering larger social systems, structures, and policies in optimizing preconception health for individuals at risk of pregnancy.
FERTILITY AND STERILITY
(2023)