Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (1): 88-92    DOI: 10.12891/ceog2069.2016
Original Research Previous articles | Next articles
The impact of chorionicity and type of conception on maternal-neonatal outcome in twin pregnancies
S. D’Arpe1, *(), S. Franceschetti1, M.G. De Stefano1, R. D’Amelio1, A.M. Maragno1, M. Candelieri1, L. Muzii1, P. Benedetti Panici1
1Department of Gynecology, Obstetrics and Urology, Policlinico Umberto I, University “Sapienza”, Rome (Italy)
Download:  PDF(72KB)  ( 10 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
Purpose of Investigation: To evaluate the maternal and neonatal outcomes in twin pregnancies according to chorionicity (monochorionic (MC) versus dichorionic (DC) and type of conception [spontaneously conceived (SC) versus assisted reproduction technology (ART)]. Materials and Methods: A retrospective study of 196 twin pregnancies admitted to the Department of Gynecology, Obstetrics and Urology of the University of Rome Sapienza, from January 2008 to April 2013. Results: There were 55 MC and 141 DC twin pregnancies (82 SC and 59 ART). MC twin pregnancies had a higher incidence of preterm birth (p < 0.008), twin-twin transfusion syndrome (TTTS) (p < 0.021), and intrauterine growth restriction (IUGR) (p < 0.05). MC pregnancies had lower neonatal birth weight (p < 0.05), and lower Apgar score. ART DC pregnancies had a higher incidence of preterm delivery (p < 0.05). Conclusions: MC twin pregnancy is associated with higher risk of adverse maternal and perinatal outcomes. In the DC subgroup, ART is associated to a higher incidence of preterm delivery.
Key words:  Twin pregnancy      Assisted reproduction technology      Mode of conception      Chorionicity      Monochorionic      Dichorionic     
Published:  10 February 2016     
*Corresponding Author(s):  S. D’ARPE     E-mail:  stella.darpe@gmail.com

Cite this article: 

S. D’Arpe, S. Franceschetti, M.G. De Stefano, R. D’Amelio, A.M. Maragno, M. Candelieri, L. Muzii, P. Benedetti Panici. The impact of chorionicity and type of conception on maternal-neonatal outcome in twin pregnancies. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(1): 88-92.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog2069.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I1/88

[1] Neha Sethi, Ann Gee Tan, Maherah Kamarudin, Sofiah Sulaiman. Successful delivery of a twin pregnancy with complete hydatidiform mole and coexistent live fetus: a case report and review of literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1232-1247.
[2] Hidayet Sal, Emine Seda Guvendag Guven, Suleyman Guven. The relationship between fetal thymus volume and preterm birth in dichorionic diamniotic pregnancies[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 528-533.
[3] Dino Pavoković, Vesna Elveđi Gašparović, Tvrtko Tupek, Analena Gregorić, Ana Tikvica Luetić, Dubravko Habek. Perinatal outcome in twins. A hospital based comparative study at a single third-level care centre in Croatia[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 631-636.
[4] B. Kim, S.H. Hong, J.H. Kim, M.Y. Kang, M.R. Rhee, J. Kim, K.J. Kim, H.A. Lee. Giant ventral hernia immediately after vaginal twin delivery[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 988-990.
[5] Y. Q. Xu, X. L. Chen, S. Zhao, P. W. Chen, X. M. Yin, S. Y. Xiong, Z. Ding, F. Xiong, X. H. Yang. OEIS complex (omphalocele-exstrophy-imperforate anus-spinal defects) in monozygotic twins: a case report and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 154-158.
[6] M. Hosokawa, M. Waratani, T. Yasuo, K. Iwasa, J. Kitawaki. Intestinal volvulus without malrotation in a dichorionic diamniotic twin: case report and review of literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 154-156.
[7] J.Y. Lee, H.-H. Cha, W.J. Seong. Management of monochorionic monoamniotic twins: case reports and a review of literatures[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 910-912.
[8] Yun Chen, Yunli Lai, Shang Yi, Yanqing Tang, Yaqin Lei, Sheng Yi, Yiping Shen, Hongwei Wei. Non-invasive prenatal screening for fetal aneuploidy in twin pregnancies by cell-free DNA analysis[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(5): 656-660.
[9] H. Tanaka, S. Maki, M. Kubo, H. Yuasa, T. Umekawa, T. Ikeda. Treatment using tadalafil for dichorionic diamniotic twin pregnancy with fetal growth restriction[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 591-593.
[10] Ze Chen, Xiaoping Lei, Yongjun Zhang. The effects of fetal gender on pregnancy induced hypertension in twin pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 353-356.
[11] HV. Gall, M. Cukelj, R. Ribicic, I. Djakovic, V. Kosec. Fetal tachyarrhythmia in twin pregnancy - case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 450-451.
[12] S. Jahanfar, K. Lim. Placental pathology findings and birth weight discordance[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(1): 30-38.
[13] A. Kitamura, Y. Kobayashi, Y. Hattori, K. Watanabe, M. Hino, T. Kurahashi, M. Miwa, I. Kamimaki, H. Nakagawa. Evaluation of vaginal delivery for twin pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 591-594.
[14] P. Tsikouras, B. Manav, A. Liberis, P. Naoumis, V. Souftas, G. Galazios. Twin pregnancy in a partial septate uterus and the contribution of magnetic resonance imaging. A case report and brief literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 630-633.
[15] T. Çift, E. Ertan Palabiyik, E. Korkmazer, T. Güçlü, E. Arslan Yildirim. Complete hydatidiform mole and a coexistent viable fetus: a case report and review of the literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 642-644.
No Suggested Reading articles found!