Prospective risk of stillbirth: monochorionic diamniotic twins vs. dichorionic twins

被引：14

作者：

Morikawa, Mamoru ^{[1
]}

Yamada, Takashi ^{[1
]}

Yamada, Takahiro ^{[1
]}

Sato, Shoji ^{[2
]}

Cho, Kazutoshi ^{[1
]}

Minakami, Hisanori ^{[1
]}

机构：

[1] Hokkaido Univ, Grad Sch Med, Dept Obstet & Gynecol, Sapporo, Hokkaido, Japan

[2] Oita Prefectural Hosp, Maternal & Perinatal Care Ctr, Bunyo, Oita, Japan

来源：

JOURNAL OF PERINATAL MEDICINE | 2012年 / 40卷 / 03期

关键词：

Intrauterine fetal death; monochorionic twins; prospective risk; stillbirth; SINGLE INTRAUTERINE DEATH; TRANSFUSION SYNDROME; PREGNANCIES;

D O I：

10.1515/jpm-2011-0205

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Aims : To determine reliably the risk of stillbirth among twin pregnancies. Methods : A data analysis of 3241 and 6581 women with monochorionic diamniotic (MD) and dichorionic (DD) twins, respectively, who gave birth at >= 22 weeks of gestation. Results : The prospective risk (per 1000 women) of stillbirth, 25.3 and 11.5 at gestational week 22, decreased to <10.0 at gestational weeks 31 and 28 among the MD and DD twins, respectively. After single intrauterine fetal death, the co-twin died in utero or within 7 days of life more frequently among MD twins than among DD twins [42.7 % (35/82) vs. 2.6 % (2/76); relative risk, 16.2; 95 % confidence interval, 4.0-65.1]. Conclusion : Women with MD twins were 2.2-fold more likely to experience stillbirth than women with DD twins. The prospective risks of stillbirth were <1.0 % for both groups of women at >= 32 weeks of gestation.

引用

页码：245 / 249

页数：5

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