Clinical characteristics of fetal and neonatal outcomes in twin pregnancy with preeclampsia in a retrospective case–control study: A STROBE-compliant article
The aim of our study was to compare the clinical characteristics of fetal and neonatal outcomes in twin pregnancies between women with preeclampsia (PE) and those with normotension in a Chinese population.There were 143 preeclamptic women and 367 normotensive women with twin pregnancies included in...
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| Veröffentlicht in: | Medicine (Baltimore) 2016-10, Vol.95 (43), p.e5199-e5199 |
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| creator | Yuan, Ting Wang, Wei Li, Xue-Lan Li, Chun-Fang Li, Chao Gou, Wen-Li Han, Zhen |
| description | The aim of our study was to compare the clinical characteristics of fetal and neonatal outcomes in twin pregnancies between women with preeclampsia (PE) and those with normotension in a Chinese population.There were 143 preeclamptic women and 367 normotensive women with twin pregnancies included in this retrospective case-control study. The baseline characteristics and perinatal outcomes were collected and compared between the groups. Multiple logistic regression and linear regression were used to assess the correlations between PE and the outcomes.Significant increases were observed in the frequencies of preterm delivery (OR = 2.75, P |
| doi_str_mv | 10.1097/MD.0000000000005199 |
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The baseline characteristics and perinatal outcomes were collected and compared between the groups. Multiple logistic regression and linear regression were used to assess the correlations between PE and the outcomes.Significant increases were observed in the frequencies of preterm delivery (OR = 2.75, P < 0.001), iatrogenic preterm birth (OR = 3.52, P < 0.001), and IUGR (OR = 2.94, P = 0.001) in the PE group, and the PE group had more than a 2-fold risk of adverse neonatal outcomes. Preeclamptic twin neonates had lower birth weights (β = -147.34, P = 0.005; β = -169.47, P = 0.001). The comparison on the discordance of intertwin weight was not significantly different.Twin pregnancies with PE are associated with worse perinatal outcomes. The adverse outcomes of preeclamptic twin pregnancies may be associated with lower birth weights rather than the discordance of the intertwin weight, which requires further confirmation. The results may provide helpful references for better clinical assessments, evaluations of prognosis, and a deeper understanding of preeclamptic twin pregnancies.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000005199</identifier><identifier>PMID: 27787375</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adolescent ; Adult ; China - epidemiology ; Female ; Fetus - diagnostic imaging ; Humans ; Infant, Newborn ; Male ; Observational Study ; Pre-Eclampsia - diagnosis ; Pre-Eclampsia - epidemiology ; Pregnancy ; Pregnancy Outcome - epidemiology ; Pregnancy, Twin ; Premature Birth - epidemiology ; Retrospective Studies ; Ultrasonography, Prenatal ; Young Adult</subject><ispartof>Medicine (Baltimore), 2016-10, Vol.95 (43), p.e5199-e5199</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3553-7dc16f4857284bef1538eb934ee382c165420e01988882bbb09467a8f8b888d13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5089104/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5089104/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27787375$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yuan, Ting</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Li, Xue-Lan</creatorcontrib><creatorcontrib>Li, Chun-Fang</creatorcontrib><creatorcontrib>Li, Chao</creatorcontrib><creatorcontrib>Gou, Wen-Li</creatorcontrib><creatorcontrib>Han, Zhen</creatorcontrib><title>Clinical characteristics of fetal and neonatal outcomes in twin pregnancy with preeclampsia in a retrospective case–control study: A STROBE-compliant article</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>The aim of our study was to compare the clinical characteristics of fetal and neonatal outcomes in twin pregnancies between women with preeclampsia (PE) and those with normotension in a Chinese population.There were 143 preeclamptic women and 367 normotensive women with twin pregnancies included in this retrospective case-control study. The baseline characteristics and perinatal outcomes were collected and compared between the groups. Multiple logistic regression and linear regression were used to assess the correlations between PE and the outcomes.Significant increases were observed in the frequencies of preterm delivery (OR = 2.75, P < 0.001), iatrogenic preterm birth (OR = 3.52, P < 0.001), and IUGR (OR = 2.94, P = 0.001) in the PE group, and the PE group had more than a 2-fold risk of adverse neonatal outcomes. Preeclamptic twin neonates had lower birth weights (β = -147.34, P = 0.005; β = -169.47, P = 0.001). The comparison on the discordance of intertwin weight was not significantly different.Twin pregnancies with PE are associated with worse perinatal outcomes. The adverse outcomes of preeclamptic twin pregnancies may be associated with lower birth weights rather than the discordance of the intertwin weight, which requires further confirmation. The results may provide helpful references for better clinical assessments, evaluations of prognosis, and a deeper understanding of preeclamptic twin pregnancies.</description><subject>Adolescent</subject><subject>Adult</subject><subject>China - epidemiology</subject><subject>Female</subject><subject>Fetus - diagnostic imaging</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Observational Study</subject><subject>Pre-Eclampsia - diagnosis</subject><subject>Pre-Eclampsia - epidemiology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Pregnancy, Twin</subject><subject>Premature Birth - epidemiology</subject><subject>Retrospective Studies</subject><subject>Ultrasonography, Prenatal</subject><subject>Young Adult</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUs1u1DAQjhCILoUnQEI-ckmx4zh2OCCVbfmRWlWCcrYcZ9IYHDu1na72xjvwALwbT4KXLVVhDrZm5pvPo-9zUTwn-Ijglr86PznC94KRtn1QrAijTcnapn5YrDCuWMlbXh8UT2L8ijGhvKofFwcV54JTzlbFz7U1zmhlkR5VUDpBMDEZHZEf0AApN5TrkQPv1C7xS9J-goiMQ2mTjznAlVNOb9HGpHGXgrZqmqNRO4xCAVLwcQadzA0grSL8-v5De5erFsW09NvX6Bh9vvx08fa0zNyzNcolpELewsLT4tGgbIRnt_dh8eXd6eX6Q3l28f7j-vis1JQxWvJek2aoBeOVqDsYsgoCupbWAFRUucfqCgMmrchRdV2H27rhSgyiy4We0MPizZ53XroJeg15P2XlHMykwlZ6ZeS_HWdGeeVvJMOiJbjOBC9vCYK_XiAmOZmowVqVtVuiJIKyhlNKeIbSPVRnYWKA4e4ZguXOWnl-Iv-3Nk-9uL_h3cxfLzOg3gM23mYb4ze7bCDIEZRN4x8-xtuqrDBpSP4YuMyVitLfFvCzAA</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Yuan, Ting</creator><creator>Wang, Wei</creator><creator>Li, Xue-Lan</creator><creator>Li, Chun-Fang</creator><creator>Li, Chao</creator><creator>Gou, Wen-Li</creator><creator>Han, Zhen</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20161001</creationdate><title>Clinical characteristics of fetal and neonatal outcomes in twin pregnancy with preeclampsia in a retrospective case–control study: A STROBE-compliant article</title><author>Yuan, Ting ; Wang, Wei ; Li, Xue-Lan ; Li, Chun-Fang ; Li, Chao ; Gou, Wen-Li ; Han, Zhen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3553-7dc16f4857284bef1538eb934ee382c165420e01988882bbb09467a8f8b888d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>China - epidemiology</topic><topic>Female</topic><topic>Fetus - diagnostic imaging</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Observational Study</topic><topic>Pre-Eclampsia - diagnosis</topic><topic>Pre-Eclampsia - epidemiology</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Pregnancy, Twin</topic><topic>Premature Birth - epidemiology</topic><topic>Retrospective Studies</topic><topic>Ultrasonography, Prenatal</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yuan, Ting</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Li, Xue-Lan</creatorcontrib><creatorcontrib>Li, Chun-Fang</creatorcontrib><creatorcontrib>Li, Chao</creatorcontrib><creatorcontrib>Gou, Wen-Li</creatorcontrib><creatorcontrib>Han, Zhen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yuan, Ting</au><au>Wang, Wei</au><au>Li, Xue-Lan</au><au>Li, Chun-Fang</au><au>Li, Chao</au><au>Gou, Wen-Li</au><au>Han, Zhen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical characteristics of fetal and neonatal outcomes in twin pregnancy with preeclampsia in a retrospective case–control study: A STROBE-compliant article</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>95</volume><issue>43</issue><spage>e5199</spage><epage>e5199</epage><pages>e5199-e5199</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>The aim of our study was to compare the clinical characteristics of fetal and neonatal outcomes in twin pregnancies between women with preeclampsia (PE) and those with normotension in a Chinese population.There were 143 preeclamptic women and 367 normotensive women with twin pregnancies included in this retrospective case-control study. The baseline characteristics and perinatal outcomes were collected and compared between the groups. Multiple logistic regression and linear regression were used to assess the correlations between PE and the outcomes.Significant increases were observed in the frequencies of preterm delivery (OR = 2.75, P < 0.001), iatrogenic preterm birth (OR = 3.52, P < 0.001), and IUGR (OR = 2.94, P = 0.001) in the PE group, and the PE group had more than a 2-fold risk of adverse neonatal outcomes. Preeclamptic twin neonates had lower birth weights (β = -147.34, P = 0.005; β = -169.47, P = 0.001). The comparison on the discordance of intertwin weight was not significantly different.Twin pregnancies with PE are associated with worse perinatal outcomes. The adverse outcomes of preeclamptic twin pregnancies may be associated with lower birth weights rather than the discordance of the intertwin weight, which requires further confirmation. The results may provide helpful references for better clinical assessments, evaluations of prognosis, and a deeper understanding of preeclamptic twin pregnancies.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>27787375</pmid><doi>10.1097/MD.0000000000005199</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult China - epidemiology Female Fetus - diagnostic imaging Humans Infant, Newborn Male Observational Study Pre-Eclampsia - diagnosis Pre-Eclampsia - epidemiology Pregnancy Pregnancy Outcome - epidemiology Pregnancy, Twin Premature Birth - epidemiology Retrospective Studies Ultrasonography, Prenatal Young Adult |
| title | Clinical characteristics of fetal and neonatal outcomes in twin pregnancy with preeclampsia in a retrospective case–control study: A STROBE-compliant article |
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