Morbidity and mortality of very low birth weight multiples compared with singletons

@article{Porta2019MorbidityAM,
  title={Morbidity and mortality of very low birth weight multiples compared with singletons},
  author={Roser Porta and Eva Capdevila and Francesc Botet and Sergio Verd and Gemma Ginovart and Elisenda Moliner and Marta Nicol{\'a}s and Jos{\'e} R{\'i}os},
  journal={The Journal of Maternal-Fetal \& Neonatal Medicine},
  year={2019},
  volume={32},
  pages={389 - 397}
}
Abstract Background: Previous studies comparing the neonatal outcome of very low birth weight (VLBW) multiples and singletons have suggested a worse outcome for multiples at gestational ages on the limits of viability. Objectives: The objective of this study is to determine the neonatal mortality and morbidity of VLBW multiples compared to singletons. Methods: This is a retrospective study including all infants registered in the Spanish network for infants under 1500 g (SEN1500), over a 12-year… Expand
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References

SHOWING 1-10 OF 35 REFERENCES
Excess risk of mortality in very low birthweight triplets: a national, population based study
TLDR
VLBW triplets are at increased risk of death compared with twins and singletons, and VLBW twins and triplets more often have respiratory distress syndrome but not chronic lung disease or adverse neurological findings. Expand
Trends in Morbidity and Mortality of Extremely Preterm Multiple Gestation Newborns
TLDR
Over the 15-year period, the odds for mortality in extremely preterm NICU infants of multiple gestation was significantly higher compared with singletons and the adjusted odds of poor outcomes in multiples were not significantly different from that of singingletons in the most recent epoch. Expand
Neonatal Outcomes of Very Low Birth Weight and Very Preterm Neonates: An International Comparison.
TLDR
Signs of marked variations in neonatal outcomes between countries are identified to identify care practices and health care organizational factors, which has the potential to improve Neonatal outcomes. Expand
Mortality of twin and singleton livebirths under 30 weeks’ gestation: a population-based study
  • B. Ray, M. P. Platt
  • Medicine
  • Archives of Disease in Childhood Fetal and Neonatal Edition
  • 2008
TLDR
The excess mortality among twins of less than 30 weeks’ gestation was confined to neonatal deaths in babies of 25 weeks or less, and to the earlier epoch (1998–2001), and in the modern era, there appears to be no excess mortality in neonates less than 25 weeks' gestation when compared with singletons. Expand
Lower perinatal mortality in preterm born twins than in singletons: a nationwide study from The Netherlands
TLDR
Overall the perinatal mortality rate was higher in twin pregnancies than in singleton pregnancies, which is most likely caused by the high preterm birth rate in twins and not by a higher mortality rate for gestation, apart from term pregnancies. Expand
Neonatal morbidities and need for intervention in twins and singletons born at 34–35 weeks of gestation
TLDR
Despite being born smaller and more SGA, twins are at lower risk of requiring medical intervention in the immediate neonatal period compared with singletons, and a significant proportion of late preterm births is iatrogenic. Expand
Effect of antenatal corticosteroids on morbidity and mortality of preterm singletons and twins
TLDR
Delivering 7 days after a complete course decreased neonatal morbidity, and ACS improves neonatal outcomes both in singleton and twins. Expand
Late-onset sepsis in very low birth weight infants from singleton and multiple-gestation births.
TLDR
The similar concordance of LOS in same-sex and unlike-sex twin pairs provides no evidence that susceptibility to LOS among VLBW infants is genetically determined. Expand
Twins and triplets: the effect of plurality and growth on neonatal outcome compared with singleton infants.
TLDR
Intrauterine growth restriction and prematurity are the principal issues that drive neonatal mortality and morbidity rates in multiple gestations and data on a large number of twins and triplets provide reassurance that neonatal outcome at all viable premature weeks of gestation are similar to singletons. Expand
Differences in outcome between twins and singletons born very preterm: results from a population-based European cohort.
TLDR
Risks of mortality and severe cranial haemorrhaging were higher for twins than singletons if they were from same sex pairs with discordant birthweights, but this advantage disappeared after controlling for medical and healthcare factors. Expand
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