International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
Postnatal outcomes of twins based on chorionicity.
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Kluge Morgan C, Adler Loren, Ellis Lindsey T, Goodman Jean R, Vachharajani Akshaya
Аннотация
OBJECTIVE: We aimed to evaluate the differences in short-term outcomes of twins admitted to the neonatal intensive care unit (NICU) based on chorionicity.
STUDY DESIGN: A retrospective study of mothers and their twins admitted between January 1, 2015, and 31 December, 2023, was performed. Length of stay (LOS) and noninvasive ventilation (NIV) were compared between 143 monochorionic diamniotic (MoDi) and 149 dichorionic diamniotic twins (DiDi). Linear regression was then conducted to explore identified potential relationships from these analyses.
RESULTS: Univariate analysis revealed longer LOS and duration of NIV in MoDi compared to DiDi twins (P = 0.008 and 0.010, respectively). Linear regression analysis confirmed that these results were due to chorionicity and not gestational age and birth weight. This was again true in propensity matched grouping.
CONCLUSION: MoDi twins have longer LOS and duration for NIV compared to DiDi twins.
STUDY DESIGN: A retrospective study of mothers and their twins admitted between January 1, 2015, and 31 December, 2023, was performed. Length of stay (LOS) and noninvasive ventilation (NIV) were compared between 143 monochorionic diamniotic (MoDi) and 149 dichorionic diamniotic twins (DiDi). Linear regression was then conducted to explore identified potential relationships from these analyses.
RESULTS: Univariate analysis revealed longer LOS and duration of NIV in MoDi compared to DiDi twins (P = 0.008 and 0.010, respectively). Linear regression analysis confirmed that these results were due to chorionicity and not gestational age and birth weight. This was again true in propensity matched grouping.
CONCLUSION: MoDi twins have longer LOS and duration for NIV compared to DiDi twins.