Maternal risk factors for small-for-gestational age newborns in Japanese dichorionic twins

Abstract

Cigarette smoking and weight gain control are relatively modifiable factors for which interventional management is necessary to avoid perinatal problems arising from SGA pregnancy. Further studies are needed to investigate optimal nutrition, health guidance and subsequent weight gain control that lead to concrete improvement in maternal and infant prognoses.

Neonatal small‐for‐gestational age status as a favorable factor for the complete vaginal delivery of both fetuses in Japanese dichorionic twins

“…developed a prediction model based on maternal race, education, marital status, parity, time of first perinatal care visit, cigarette abuse and paternal race. Inde et al 7 . identified correlations between DC twins and other maternal characteristics.…”

“…Compared with AGA peers, growth‐restricted fetuses have a relatively smaller size, which allows for easier passage of these fetuses through the maternal parturient canal. Although they are likely to show chronic intrauterine hypoxia and low reserve faculties, 7 FGR/SGA is a favorable factor for SVD as the maternal perinatal outcome. However, because an intervention to one twin regardless of the AGA/SGA status affects its co‐twin regardless of the AGA/SGA status, some direct comparisons between AGA neonates and SGA peers cannot be performed.…”

“…Wen et al 10 developed a prediction model based on maternal race, education, marital status, parity, time of first perinatal care visit, cigarette abuse and paternal race. Inde et al 7 identified correlations between DC twins and other maternal characteristics. However, the prognostic impact of FGR/SGA in multiple gestations on their mothers is open to further discussion.…”

Selective and non-selective intrauterine growth restriction in twin pregnancies: high-risk factors and perinatal outcome

“…Some of the high-risk factors for twin IUGR have already been identified, such as low maternal weight gain and tobacco use [3][4][5], although most of the common risk factors in single pregnancies are not significant for twin IUGR [1]. It should be noted that twin pregnancies are far more complicated than single pregnancies, and twin pregnancies present some unique situations.…”

Management of Fetal Growth Arrest in One of Dichorionic Twins: Three Cases and a Literature Review

“…Over the past few decades, the incidence of twin pregnancies has increased by nearly 70% because of the widespread use of assisted reproductive technology [ 3 ], which means that DD twin pregnancies have also been increasing. Inde et al reported that 32.9% of patients who had DD twins received in vitro fertilization [ 4 ]. Accordingly, we reviewed our cases and the literature to investigate the management and timing of delivery in DD twins with sFGR and almost complete growth restriction.…”