Twin Pregnancies—A Continuing Perinatal Challenge
A 5-year retrospective analysis of the management of 177 twin pregnancies was undertaken. Despite increased use of bed rest and ultrasonography as currently recommended, the perinatal mortality among twins (13.2%) remained almost 10 times that for singleton births. Although elective hospitalization...
Gespeichert in:
| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1982-04, Vol.59 (4), p.463-466 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 466 |
|---|---|
| container_issue | 4 |
| container_start_page | 463 |
| container_title | Obstetrics and gynecology (New York. 1953) |
| container_volume | 59 |
| creator | HAWRYLYSHYN, P A BARKIN, M BERNSTEIN, A PAPSIN, F R |
| description | A 5-year retrospective analysis of the management of 177 twin pregnancies was undertaken. Despite increased use of bed rest and ultrasonography as currently recommended, the perinatal mortality among twins (13.2%) remained almost 10 times that for singleton births. Although elective hospitalization for bed rest prolonged the pregnancy, it did not decrease the perinatal mortality. The authors believe this was attributable to bed rest being instituted too late, as 70% of perinatal mortality occurred before the 30th week of gestation, which was also the period of greatest neonatal morbidity. Suggested recommendations for improving management of twin pregnancies are discussed. |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_74107411</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>74107411</sourcerecordid><originalsourceid>FETCH-LOGICAL-p2801-2795dcc3ad207d7d0252d15056f920f45d50018c52652896e288323bde8c62ad3</originalsourceid><addsrcrecordid>eNo9kN9KwzAUxoMoc04fQeiFeFc4OWma5FKK_2DgLiZ4V7Im3apZOpOW4Z0P4RP6JHaseHH4OHw_Duf7TsiUSsFSZOztlEwBUKVCZtk5uYjxHQBortiETAQIKZWaErbcNz5ZBLv22leNjb_fP3dJ0fqu8X3j18nChsbrTruk2GjnrF_bS3JWaxft1agz8vpwvyye0vnL43NxN093KIGmKBQ3VcW0QRBGGECOhnLgea0Q6owbPvwjK445R6lyi1IyZCtjZZWjNmxGbo93d6H97G3sym0TK-uc9rbtYykyCsPQAbwewX61tabchWarw1c5phz8m9HXsdKuDoeo8R9TjHFK5YBlR2zfus6G-OH6vQ3lxmrXbcqhPMiRQ0qVRMiGLT30SdkfozBp-Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>74107411</pqid></control><display><type>article</type><title>Twin Pregnancies—A Continuing Perinatal Challenge</title><source>MEDLINE</source><source>Journals@Ovid Ovid Autoload</source><creator>HAWRYLYSHYN, P A ; BARKIN, M ; BERNSTEIN, A ; PAPSIN, F R</creator><creatorcontrib>HAWRYLYSHYN, P A ; BARKIN, M ; BERNSTEIN, A ; PAPSIN, F R</creatorcontrib><description>A 5-year retrospective analysis of the management of 177 twin pregnancies was undertaken. Despite increased use of bed rest and ultrasonography as currently recommended, the perinatal mortality among twins (13.2%) remained almost 10 times that for singleton births. Although elective hospitalization for bed rest prolonged the pregnancy, it did not decrease the perinatal mortality. The authors believe this was attributable to bed rest being instituted too late, as 70% of perinatal mortality occurred before the 30th week of gestation, which was also the period of greatest neonatal morbidity. Suggested recommendations for improving management of twin pregnancies are discussed.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 7078899</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: The American College of Obstetricians and Gynecologists</publisher><subject>Bed Rest ; Biological and medical sciences ; Female ; Fetal Death - etiology ; Gynecology. Andrology. Obstetrics ; Hospitalization ; Humans ; Management. Prenatal diagnosis ; Medical sciences ; Pregnancy ; Pregnancy, Multiple ; Pregnancy. Fetus. Placenta ; Prenatal Care ; Twins ; Ultrasonography</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1982-04, Vol.59 (4), p.463-466</ispartof><rights>1982 The American College of Obstetricians and Gynecologists</rights><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9335118$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7078899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HAWRYLYSHYN, P A</creatorcontrib><creatorcontrib>BARKIN, M</creatorcontrib><creatorcontrib>BERNSTEIN, A</creatorcontrib><creatorcontrib>PAPSIN, F R</creatorcontrib><title>Twin Pregnancies—A Continuing Perinatal Challenge</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>A 5-year retrospective analysis of the management of 177 twin pregnancies was undertaken. Despite increased use of bed rest and ultrasonography as currently recommended, the perinatal mortality among twins (13.2%) remained almost 10 times that for singleton births. Although elective hospitalization for bed rest prolonged the pregnancy, it did not decrease the perinatal mortality. The authors believe this was attributable to bed rest being instituted too late, as 70% of perinatal mortality occurred before the 30th week of gestation, which was also the period of greatest neonatal morbidity. Suggested recommendations for improving management of twin pregnancies are discussed.</description><subject>Bed Rest</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Fetal Death - etiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Management. Prenatal diagnosis</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy, Multiple</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Prenatal Care</subject><subject>Twins</subject><subject>Ultrasonography</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kN9KwzAUxoMoc04fQeiFeFc4OWma5FKK_2DgLiZ4V7Im3apZOpOW4Z0P4RP6JHaseHH4OHw_Duf7TsiUSsFSZOztlEwBUKVCZtk5uYjxHQBortiETAQIKZWaErbcNz5ZBLv22leNjb_fP3dJ0fqu8X3j18nChsbrTruk2GjnrF_bS3JWaxft1agz8vpwvyye0vnL43NxN093KIGmKBQ3VcW0QRBGGECOhnLgea0Q6owbPvwjK445R6lyi1IyZCtjZZWjNmxGbo93d6H97G3sym0TK-uc9rbtYykyCsPQAbwewX61tabchWarw1c5phz8m9HXsdKuDoeo8R9TjHFK5YBlR2zfus6G-OH6vQ3lxmrXbcqhPMiRQ0qVRMiGLT30SdkfozBp-Q</recordid><startdate>198204</startdate><enddate>198204</enddate><creator>HAWRYLYSHYN, P A</creator><creator>BARKIN, M</creator><creator>BERNSTEIN, A</creator><creator>PAPSIN, F R</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198204</creationdate><title>Twin Pregnancies—A Continuing Perinatal Challenge</title><author>HAWRYLYSHYN, P A ; BARKIN, M ; BERNSTEIN, A ; PAPSIN, F R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2801-2795dcc3ad207d7d0252d15056f920f45d50018c52652896e288323bde8c62ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Bed Rest</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Fetal Death - etiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Management. Prenatal diagnosis</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy, Multiple</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Prenatal Care</topic><topic>Twins</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HAWRYLYSHYN, P A</creatorcontrib><creatorcontrib>BARKIN, M</creatorcontrib><creatorcontrib>BERNSTEIN, A</creatorcontrib><creatorcontrib>PAPSIN, F R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HAWRYLYSHYN, P A</au><au>BARKIN, M</au><au>BERNSTEIN, A</au><au>PAPSIN, F R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Twin Pregnancies—A Continuing Perinatal Challenge</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1982-04</date><risdate>1982</risdate><volume>59</volume><issue>4</issue><spage>463</spage><epage>466</epage><pages>463-466</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>A 5-year retrospective analysis of the management of 177 twin pregnancies was undertaken. Despite increased use of bed rest and ultrasonography as currently recommended, the perinatal mortality among twins (13.2%) remained almost 10 times that for singleton births. Although elective hospitalization for bed rest prolonged the pregnancy, it did not decrease the perinatal mortality. The authors believe this was attributable to bed rest being instituted too late, as 70% of perinatal mortality occurred before the 30th week of gestation, which was also the period of greatest neonatal morbidity. Suggested recommendations for improving management of twin pregnancies are discussed.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>7078899</pmid><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1982-04, Vol.59 (4), p.463-466 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74107411 |
| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Bed Rest Biological and medical sciences Female Fetal Death - etiology Gynecology. Andrology. Obstetrics Hospitalization Humans Management. Prenatal diagnosis Medical sciences Pregnancy Pregnancy, Multiple Pregnancy. Fetus. Placenta Prenatal Care Twins Ultrasonography |
| title | Twin Pregnancies—A Continuing Perinatal Challenge |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T19%3A11%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Twin%20Pregnancies%E2%80%94A%20Continuing%20Perinatal%20Challenge&rft.jtitle=Obstetrics%20and%20gynecology%20(New%20York.%201953)&rft.au=HAWRYLYSHYN,%20P%20A&rft.date=1982-04&rft.volume=59&rft.issue=4&rft.spage=463&rft.epage=466&rft.pages=463-466&rft.issn=0029-7844&rft.eissn=1873-233X&rft.coden=OBGNAS&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E74107411%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=74107411&rft_id=info:pmid/7078899&rfr_iscdi=true |