2017
DOI: 10.1055/s-0037-1606381
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Growth among Twins: Use of Singleton versus Twin-Specific Growth Nomograms

Abstract: Utilization of twin-specific nomogram is less likely to categorize twins as SGA and more likely to identify those at risk for stillbirth and neonatal mortality.

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Cited by 22 publications
(29 citation statements)
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“… 229,240‐243 . In addition, it was found that the use of twin‐specific (versus singleton‐based) charts was associated with a marked decrease in the rate of twins classified as SGA, without affecting the detection rate of stillbirth, suggesting that twin‐specific charts can be used safely 227,244,245 . Similar findings were reported in studies that investigated the association between the type of chart used (twin versus singleton charts) and other outcomes such as perinatal complications and long‐term morbidity 246,247 .…”
Section: Detection Of Fetal Growth Restrictionsupporting
confidence: 67%
See 2 more Smart Citations
“… 229,240‐243 . In addition, it was found that the use of twin‐specific (versus singleton‐based) charts was associated with a marked decrease in the rate of twins classified as SGA, without affecting the detection rate of stillbirth, suggesting that twin‐specific charts can be used safely 227,244,245 . Similar findings were reported in studies that investigated the association between the type of chart used (twin versus singleton charts) and other outcomes such as perinatal complications and long‐term morbidity 246,247 .…”
Section: Detection Of Fetal Growth Restrictionsupporting
confidence: 67%
“…[222][223][224][225] At term, approximately 30%-50% of twins would be identified as SGA (EFW <10th percentile) using singleton growth standards. 223,226,227 The mechanisms underlying the relative smallness of twins remain unclear. While some believe that this represents a pathological phenomenon due to failure of the uteroplacental circulation to meet the demands of two fetuses (i.e.…”
Section: How To Assess Fetal Growth In Twin Gestationsmentioning
confidence: 99%
See 1 more Smart Citation
“…This is in agreement with our prior observation in twin pregnancies with GDM, 32 in which we found that not only the rate of large for gestational age but also the rate of asymmetric growth (as reflected by the abdominal circumference/head circumference ratio) is higher in twins with GDM and is related to the degree of glucose intolerance. 32 It may be argued that the GDMinduced accelerated fetal growth observed in twins should not be of concern because it is unlikely to result in neonatal complications such as shoulder dystocia and birth trauma and may actually have a beneficial or protective role, given the slower growth of twins during the third trimester, 33,34 and the increased risk of fetal growth restriction in twins. 35,36 Nonetheless, accelerated fetal growth may be associated with fetal programming and long-term metabolic complications similar to those reported among singletons including obesity, diabetes, and cardiovascular disease.…”
Section: Obstetrics Original Researchmentioning
confidence: 99%
“…Twin pregnancies are also known to be associated with some perinatal factors that are themselves independently associated with poorer child health and educational outcomes . Compared with singletons, twins are more likely to be born preterm and small for gestational age (SGA), with 62% born at <37 weeks gestation and a third (33%) being SGA . Even among term pregnancies, twins are more likely to be born at early term with some guidelines recommending delivery of monochorionic twins from 36 weeks and dichorionic twins from 37 weeks…”
Section: Introductionmentioning
confidence: 99%