OBJECTIVE: To assess outcome in twin pregnancies according to chorionicity. METHODS: A cohort was retrieved from local ultrasound databases at 14 obstetric departments in Denmark, comprising all twin pregnancies with two live fetuses scanned between weeks 11 and 14 in the period 1 January 2004 to 31 December 2006. Outcome data were retrieved from the National Board of Health. RESULTS: Among 2038 twin pregnancies, 1757 (86.2%) were dichorionic (DC) and 281 (13.8%) were monochorionic diamniotic (MC). In MC pregnancies, the rate of spontaneous fetal loss in both second and third trimesters was more than threefold higher than the comparable rate in DC pregnancies: 6.0% vs. 1.9% for at least one fetus in the second trimester (P < 0.001) and 2.1% vs. 0.7% in the third trimester (P = 0.03). In 98.4% of DC pregnancies and in 91.1% of MC pregnancies, at least one infant was liveborn. Amongst pregnancies with two live fetuses at 24 weeks, the proportion with two live infants at 28 days after delivery was 97.5% and 95.1%, respectively. CONCLUSIONS: The increased incidence of fetal loss in MC pregnancies compared with DC pregnancies predominantly occurs before 24 weeks' gestation. After this stage, although the risk of intrauterine fetal death is still higher in MC than in DC pregnancies, if both fetuses are alive at 24 weeks, the chance of a woman having two live infants 1 month after delivery is similar in MC and DC pregnancies.
OBJECTIVE: To assess outcome in twin pregnancies according to chorionicity. METHODS: A cohort was retrieved from local ultrasound databases at 14 obstetric departments in Denmark, comprising all twin pregnancies with two live fetuses scanned between weeks 11 and 14 in the period 1 January 2004 to 31 December 2006. Outcome data were retrieved from the National Board of Health. RESULTS: Among 2038 twin pregnancies, 1757 (86.2%) were dichorionic (DC) and 281 (13.8%) were monochorionic diamniotic (MC). In MC pregnancies, the rate of spontaneous fetal loss in both second and third trimesters was more than threefold higher than the comparable rate in DC pregnancies: 6.0% vs. 1.9% for at least one fetus in the second trimester (P < 0.001) and 2.1% vs. 0.7% in the third trimester (P = 0.03). In 98.4% of DC pregnancies and in 91.1% of MC pregnancies, at least one infant was liveborn. Amongst pregnancies with two live fetuses at 24 weeks, the proportion with two live infants at 28 days after delivery was 97.5% and 95.1%, respectively. CONCLUSIONS: The increased incidence of fetal loss in MC pregnancies compared with DC pregnancies predominantly occurs before 24 weeks' gestation. After this stage, although the risk of intrauterine fetal death is still higher in MC than in DC pregnancies, if both fetuses are alive at 24 weeks, the chance of a woman having two live infants 1 month after delivery is similar in MC and DC pregnancies.
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Authors: Linda Juel Ahrenfeldt; Lisbeth Aagaard Larsen; Rune Lindahl-Jacobsen; Axel Skytthe; Jacob V B Hjelmborg; Sören Möller; Kaare Christensen Journal: Ann Epidemiol Date: 2016-12-09 Impact factor: 3.797
Authors: Karri Silventoinen; Aline Jelenkovic; Antti Latvala; Reijo Sund; Yoshie Yokoyama; Vilhelmina Ullemar; Catarina Almqvist; Catherine A Derom; Robert F Vlietinck; Ruth J F Loos; Christian Kandler; Chika Honda; Fujio Inui; Yoshinori Iwatani; Mikio Watanabe; Esther Rebato; Maria A Stazi; Corrado Fagnani; Sonia Brescianini; Yoon-Mi Hur; Hoe-Uk Jeong; Tessa L Cutler; John L Hopper; Andreas Busjahn; Kimberly J Saudino; Fuling Ji; Feng Ning; Zengchang Pang; Richard J Rose; Markku Koskenvuo; Kauko Heikkilä; Wendy Cozen; Amie E Hwang; Thomas M Mack; Sisira H Siribaddana; Matthew Hotopf; Athula Sumathipala; Fruhling Rijsdijk; Joohon Sung; Jina Kim; Jooyeon Lee; Sooji Lee; Tracy L Nelson; Keith E Whitfield; Qihua Tan; Dongfeng Zhang; Clare H Llewellyn; Abigail Fisher; S Alexandra Burt; Kelly L Klump; Ariel Knafo-Noam; David Mankuta; Lior Abramson; Sarah E Medland; Nicholas G Martin; Grant W Montgomery; Patrik K E Magnusson; Nancy L Pedersen; Anna K Dahl Aslan; Robin P Corley; Brooke M Huibregtse; Sevgi Y Öncel; Fazil Aliev; Robert F Krueger; Matt McGue; Shandell Pahlen; Gonneke Willemsen; Meike Bartels; Catharina E M van Beijsterveldt; Judy L Silberg; Lindon J Eaves; Hermine H Maes; Jennifer R Harris; Ingunn Brandt; Thomas S Nilsen; Finn Rasmussen; Per Tynelius; Laura A Baker; Catherine Tuvblad; Juan R Ordoñana; Juan F Sánchez-Romera; Lucia Colodro-Conde; Margaret Gatz; David A Butler; Paul Lichtenstein; Jack H Goldberg; K Paige Harden; Elliot M Tucker-Drob; Glen E Duncan; Dedra Buchwald; Adam D Tarnoki; David L Tarnoki; Carol E Franz; William S Kremen; Michael J Lyons; José A Maia; Duarte L Freitas; Eric Turkheimer; Thorkild I A Sørensen; Dorret I Boomsma; Jaakko Kaprio Journal: Twin Res Hum Genet Date: 2017-10 Impact factor: 1.587
Authors: Amira S Egic; Donka V Mojovic; Zagorka M Milovanovic; Aleksandar B Jurisic; Ljubomir P Srbinovic; Suzana P Krsmanovic; Natasa T Karadzov-Orlic Journal: Obstet Gynecol Int Date: 2014-07-07
Authors: Lena Wandel; Harald Abele; Jan Pauluschke-Fröhlich; Karl Oliver Kagan; Sara Brucker; Katharina Rall Journal: BMC Pregnancy Childbirth Date: 2022-03-17 Impact factor: 3.007