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Perinatal Profile of Twin Pregnancies: A Retrospective Review of 11 Years (1969–1979) at Hôpital Notre-Dame, Montréal, Canada

Published online by Cambridge University Press:  01 August 2014

Marie-Françoise Desgranges ,
Xavier De Muylder ,
Jean-Marie Moutquin ,
Francisco Lazaro-Lopez  and
Bernard Leduc
Marie-Françoise Desgranges*
Affiliation:
Department of Neonatology, Department of Obstetrics and Gynecology, Hôpital Notre-Dame, University of Montréal
Xavier De Muylder
Affiliation:
Department of Neonatology, Department of Obstetrics and Gynecology, Hôpital Notre-Dame, University of Montréal
Jean-Marie Moutquin
Affiliation:
Department of Neonatology, Department of Obstetrics and Gynecology, Hôpital Notre-Dame, University of Montréal
Francisco Lazaro-Lopez
Affiliation:
Department of Neonatology, Department of Obstetrics and Gynecology, Hôpital Notre-Dame, University of Montréal
Bernard Leduc
Affiliation:
Department of Neonatology, Department of Obstetrics and Gynecology, Hôpital Notre-Dame, University of Montréal
*
Hôpital Notre-Dame, 1560 est, rue Sherbrooke, Montréal, Québec, Canada, H2L 4M1

Abstract

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Four hundred and thirty four twins occurring in 220 women were studied during a period of 11 years (1969–1979) at Notre-Dame Hospital.

Perinatal mortality (< 28 days) was compared before and after 1974, and the impact of ultrasound technique upon perinatal outcome was assessed during the second period (1974–1979). The main factor associated with perinatal mortality was low birth weight caused by either prematurity or intrauterine growth retardation.

While fetal mortality remained unchanged within the two study periods, neonatal mortality decreased from 68.2/1,000 to 28.9/1,000 mainly due to increased survival rate of twins below 1,500 g at birth.

With identical perinatal care during the same period, perinatal mortality and incidence of intrauterine growth-retarded twins remained unchanged despite early diagnosis by ultrasound.

Keywords

TwinsPerinatal mortalityFetal mortalityNeonatal mortalityPrematurityIntrauterine growth retardationRespiratory distress syndromeUltrasound
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 31 , Issue 3-4: Special Issue on Twin Pregnancies , July 1982 , pp. 157 - 163
Copyright
Copyright © The International Society for Twin Studies 1982

References

REFERENCES

1. De Muylder, X, Moutquin, JM, Desgranges, MF, Leduc, B, Lazaro-Lopez, F (1982): Obstetrical profile of twin pregnancies. Acta Genet Med Gemellol (in press).Google Scholar
2. Fabia, J (1979): Mortalité périnatale au Québec. II. Jumeaux. La Vie Médicale au Canada Français 8:28–35.Google Scholar
3. Liggins, GC, Howie, RN (1972): A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants. Pediatrics 50:515–525.Google Scholar
4. McKeown, T, Record, RG (1960): Malformations in a population observed for five years after birth. “Ciba Foundation Symposium on Congenital Malformations.” Wolstenholme, GEW, O'Conner, CM (eds). London: J&A Churchill, pp 2–21.Google Scholar
5. Medearis, AL, Jonas, HS, Stockbauer, JW, Domke, HR (1979): Perinatal deaths in twin pregnancy. A five-year analysis of statewide statistics in Missouri. Am J Obstet Gynecol 134:413–421.Google Scholar
6. O'Connor, MC, Murphy, H, Dalrymple, IJ (1979): Double blind trial of ritodrine and placebo in twin pregnancy. Br J Obstet Gynaecol 9:706–709.CrossRefGoogle Scholar
7. Persson, PH, Grennert, L, Gennser, G, Kullander, SE (1979): On improved outcome of twin pregnancies. Acta Obstet Gynecol Scand 58:3–7.CrossRefGoogle ScholarPubMed
8. Schinzel, A, Smith, D, Miller, JR (1979): Monozygotic twinning and structural defects. J Pediatr 95:921–930.Google Scholar
9. Swinscow, TDV (1980): “Statistics at Square One,” 6th Ed. London: British Medical Association.Google Scholar
10. Usher, R (1977): Changing mortality rates with perinatal intensive care and regionalization. Seminars in Perinatalogy 1:309–319.Google ScholarPubMed
11. Usher, R, McLean, F (1969): Intrauterine growth of live-born Caucasian infants at sea level: Standards obtained from measurements in seven dimensions of infants born between 25 and 44 weeks of gestation. J Pediatr 74:901–910.Google Scholar