지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 43 - 51 (9page)
이용수
초록· 키워드
오류제보하기
Background: The purpose of this study was to compare the fetal/infant mortality risk associated with each additional week of expectant management to that associated with immediate delivery in women with multiple gestations. Methods: This was a retrospective national cohort study of 94,170 multiple deliveries, 92,619 (98.4%) twin and 1,352 (1.44%) triplet pregnancies, between 32 0/7 and 42 6/7 weeks of gestation recorded in the Korean vital statistics database. We investigated the risks of stillbirth and infant death after birth in Korea according to the week of gestation in twin and triplet pregnancies. Results: The risk of stillbirth significantly increased between 34 and 35 weeks of gestation and between 37 and 38 weeks of gestation in twin pregnancies and between 34 and 37 weeks of gestation in triplet pregnancies. The risk of infant death following delivery gradually decreased as pregnancies approached full term. Week-by-week differences were statistically significant between 33 and 34 weeks, with decreasing risks of infant death at advancing gestational ages in twin pregnancies. At 37 weeks of gestation, the relative risk of mortality was significantly higher with expectant management compared with immediate delivery (relative risk, 3.00; 95% confidence interval, 1.41–6.38). Conclusion: In twin pregnancies, delivery at 37 weeks of gestation can minimize the risks of stillbirth and infant death in uncomplicated cases, although individual maternal and fetal characteristics must be considered when determining the optimal timing of delivery. In multiple pregnancies, close fetal surveillance is needed after 34 weeks of gestation.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
HeeYeonWoo / 2003 / Marker Chromosomes in Korean Patients: Incidence, Identification and Diagnostic Approach / Journal of Korean Medical Science 18(6):779~782
Ortibus E / 2009 / The pregnancy and long-term neurodevelopmental outcome of monochorionic diamniotic twin gestations: a multicenter prospective cohort study from the first trimester onward / Am J Obstet Gynecol 200(5):494.e1~494.e8
Russo FM / 2013 / Stillbirths in singletons, dichorionic and monochorionic twins: a comparison of risks and causes / Eur J Obstet Gynecol Reprod Biol 170(1):131~136
Scher AI / 2002 / The risk of mortality or cerebral palsy in twins: a collaborative population-based study / Pediatr Res 52(5):671~681
Wenstrom KD / 1988 / Incidence, morbidity and mortality, and diagnosis of twin gestations / Clin Perinatol 15(1):1~11
Ortibus E / 2009 / The pregnancy and long-term neurodevelopmental outcome of monochorionic diamniotic twin gestations: a multicenter prospective cohort study from the first trimester onward / Am J Obstet Gynecol 200(5):494.e1~494.e8
Russo FM / 2013 / Stillbirths in singletons, dichorionic and monochorionic twins: a comparison of risks and causes / Eur J Obstet Gynecol Reprod Biol 170(1):131~136
Scher AI / 2002 / The risk of mortality or cerebral palsy in twins: a collaborative population-based study / Pediatr Res 52(5):671~681
Wenstrom KD / 1988 / Incidence, morbidity and mortality, and diagnosis of twin gestations / Clin Perinatol 15(1):1~11
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Delivery and Survival of Triplet Infants at 26 Weeks of Gestational Age after Emergency Cerclage in Woman with Dilated Cervix and Bulging Fetal Membranes
Perinatology
2019 .01
-
고위험 임신의 외래 산전진찰시 고려사항
Perinatology
2023 .06
-
Outcomes of ‘one-day trial of vaginal delivery of twins’ at 36–37 weeks’ gestation in Japan
Obstetrics & Gynecology Science
2019 .01
-
Successful delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a twin pregnancy
영남의대학술지
2018 .01
-
Trends in Survival and Incidence of Bronchopulmonary Dysplasia in Extremely Preterm Infants at 23-26 Weeks Gestation
Journal of Korean Medical Science
2016 .01
-
Role of ultrasound in the evaluation of first-trimester pregnancies in the acute setting
ULTRASONOGRAPHY
2020 .01
-
Gestational age at delivery and neonatal outcome in uncomplicated twin pregnancies: what is the optimal gestational age for delivery according to chorionicity?
Obstetrics & Gynecology Science
2016 .01
-
Comparison of Clinical Outcomes in Late Preterm Infants between Born at 34+0 to 34+6 Weeks and at 35+0 to 36+6 Weeks of Gestation
Neonatal medicine
2020 .01
-
Recurrent Risk of Preterm Birth in the Third Pregnancy in Korea
Journal of Korean Medical Science
2018 .01
-
Changes in the perinatal outcomes of twin pregnancies delivered at a tertiary referral center in Korea during a 24-year period from 1995 to 2018
Obstetrics & Gynecology Science
2020 .01
-
Adult Congenital Heart Disease with Pregnancy
Korean Circulation Journal
2018 .01
-
Long term renal outcome after hypertensive disease during pregnancy: a nationwide population-based study
Obstetrics & Gynecology Science
2023 .05
-
초임부의 임신경험과 임신 중 체중변화에 대한 태도와의 관계
Women's Health Nursing
2019 .01
-
한국여성에서 임신 초기 갑상선기능의 평가
International Journal of Thyroidology
2017 .01
-
Pregnancy outcomes in twin pregnancies over 10 years
Obstetrics & Gynecology Science
2023 .01
-
Fetal Abdominal Obesity Detected at 24 to 28 Weeks of Gestation Persists until Delivery Despite Management of Gestational Diabetes Mellitus (Diabetes Metab J 2021;45:547-57)
Diabetes and Metabolism Journal
2021 .11
-
Mortality Rate and Major Causes of Death by Gestational Age in Korean Children under 5 Years of Age
Journal of Korean Medical Science
2020 .01
-
The Effect of Maternal Pre-pregnancy Body Mass Index on Very Low Birth Weight Infants
Neonatal medicine
2018 .01
-
Trends of Mortality, Time, and Causes of Death in Preterm Infants
Perinatology
2019 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0