Neonatal respiratory morbidity in twins versus singletons after elective prelabor caesarean section

被引：5
|
作者：
Ghi, Tullio [1 ]
Nanni, Michela [1 ]
Pierantoni, Luca [2 ]
Bellussi, Federica [1 ]
Reggiani, Maria Letizia Bacchi [3 ]
Faldella, Giacomo [2 ]
Rizzo, Nicola [1 ]
机构：
[1] S Orsola Malpighi Univ Hosp, Dept Obstet & Gynaecol, Bologna, Italy
[2] S Orsola Malpighi Univ Hosp, Inst Neonatol, Bologna, Italy
[3] S Orsola Malpighi Univ Hosp, Dept Cardiol, Bologna, Italy
来源：
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2013年 / 166卷 / 02期
关键词：
Respiratory distress syndrome; Newborn; Twins; Late pre-term birth; Caesarean section; DISTRESS-SYNDROME; PERINATAL-MORTALITY; TERM INFANTS; LATE PRETERM; PREGNANCIES; OUTCOMES; RISK;
D O I：
10.1016/j.ejogrb.2012.10.020
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objective: To compare the rate of neonatal respiratory morbidity in singletons versus twins delivered by pre-labour caesarean section. Study design: Uncomplicated pregnancies delivered by prelabor caesarean section at 34 + 0 to 37 + 6 weeks' gestation were retrospectively selected. For both singletons and twins caesarean delivery was undertaken electively only after amniocentesis and if the lecithin/sphingomyelin ratio was >= 2. Neonatal respiratory morbidity was compared in twins versus singletons. Results: 241 singletons and 100 twin neonates were included. Overall neonatal respiratory morbidity was comparable between the two groups (25/241 (11.7%) versus 7/100 (7%), p = .331). Between 34 + 0 and 36 + 6 weeks, however, the risk was higher among singleton than twins (15/46 (32.6%) versus 6/72 (8.3%), p < .001). At multiple regression, dichorionicity, gestational age at delivery >= 37 weeks and female sex independently decreased the risk of neonatal respiratory morbidity. Conclusion: The risk of neonatal respiratory morbidity after elective caesarean section seems lower among twins, especially prior to 37 + 0 weeks. (c) 2012 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：156 / 160
页数：5
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