Perinatal Outcome of the Second Twin at a Tertiary Care Center in India

Konar, Hiralal; Sarkar, Moumita; Paul, Joydip

doi:10.1007/s13224-015-0724-7

Cited by 11 publications

(9 citation statements)

References 30 publications

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“…Finally, the increased yawning frequencies found in the second born twin, known to be prone to higher neonatal morbidity [47,60], is consistent with the hypothesis that yawning behavior might be affected by perinatal clinical conditions [35,61]. This seems to confirm that analysis of yawning is a promising tool for neurobehavioral assessment, potentially allowing clinicians and researchers to identify at-risk infants through early observation, both during the fetal and neonatal periods [62,63].…”

Section: Discussionsupporting

confidence: 82%

Factors affecting yawning frequencies in preterm neonates

et al. 2022

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Yawning is a long neglected behavioral pattern, but it has recently gained an increasing interdisciplinary attention for its theoretical implications as well as for its potential use as a clinical marker, with particular regard to perinatal neurobehavioral assessment. The present study investigated the factors affecting yawning frequencies in hospitalized preterm neonates (N = 58), in order to distinguish the effects of hunger and sleep-related modulations and to examine the possible impact of demographic and clinical variables on yawning frequencies. Results showed that preterm neonates yawned more often before than after feeding, and this modulation was not explained by the amount of time spent in quiet sleep in the two conditions. Moreover, second born twins, known to be more prone to neonatal mortality and morbidity, showed increased yawning rates compared to first born twins. Overall, our results are consistent with the hypothesis that yawning frequencies in preterm neonates are modulated by separate mechanisms, related e.g. to hunger, vigilance and stress. These findings, although preliminary and based only on behavioral data, might indicate that several distinct neuropharmacological pathways that have been found to be involved in yawn modulation in adults are already observable in preterm neonates.

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Section: Discussionsupporting

confidence: 82%

Factors affecting yawning frequencies in preterm neonates

et al. 2022

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“…Contraception choice of immediate postpartum IUCD was the accepted method among 64% of postpartum contraception acceptors. [14][15][16] In present study group, no woman who had undergone caesarean section previously was delivered vaginally. 17 Women with previous caesarean section constitute a high-risk group in obstetrics.…”

Section: Discussionmentioning

confidence: 96%

Delivery by repeat caesarean section today: an overview

Christe

Gunasingh

Bharani

2018

Int J Reprod Contracept Obstet Gynecol

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Background: To find out the maternal and neonatal outcome and background characteristics of women delivering by repeat caesarean section in a tertiary care centre in Chennai, South India.Methods: Parturition records for the year 2017, were accessed and case records, for the calculated sample size were selected. Demographic features, obstetric history, gestational age and antenatal complications were recorded. Maternal outcome and baby details including sex of the baby, birth weight, APGAR and admission to New born Intensive Care Unit (NICU) data and acceptance of postpartum contraception was noted.Results: In the study group, 156 women delivered by repeat caesarean section. The age group of women ranged from 20 years to 38 years. Majority of 83.4% of women were Para one. Threatening rupture was recorded in 2.6% of women. The risk of previous two CS scars was noted in 3.2% of women. More than 41% of women had other complications. Most often observed complications were Gestational hypertension, Gestational diabetes, preeclampsia and eclampsia. Pregnancy complications of oligohydramnios, twins, breech and abnormal presentation, were significant. 1% of women had associated medical complications of anaemia and hypothyroidism. Maternal and Fetal causes were the most important indication for caesarean section in 74% of women. There were no maternal deaths in present study group. Postpartum contraception was accepted by 55 % of women.Conclusions: Majority of repeat caesarean section was observed most commonly in para one women in the age group of 26-30 years More than 41% of women had associated medical and obstetric complications. There were no maternal deaths in this study. Neonatal deaths were 2.5%.

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“…The main attributes includes the increased use of ovulation inducing agents, increased maternal age and use of assisted reproductive technology (ART) (2)(3)(4). In the United States of America, 36% of twin pregnancy occur after infertility treatment in the last three decades (5).Other causes include family history of twins, genetical factors, race, rebound gonadotropin in which an individual conceives immediately after stopping contraceptives (6), and advanced maternal age.. Twinning rates ranges from 6-9 per 1000 birth in south and south-east Asian regions to higher incidence of twinning of more than 18 per 1000 birth is found in west Africa (2) (7).…”

Section: Introductionmentioning

confidence: 99%

Short term perinatal outcome and their correlates among retained second twins, 15 years' retrospective study from northern Tanzania

Masoli

Maro

Masenga

et al. 2020

Preprint

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Background : Second twin delivery has been associated with poor perinatal outcome such as birth asphyxia ,neonatal ICU admission and perinatal death in comparison to the first twin. There is limited information on the perinatal outcome of second twin in Tanzania. This study aimed at determining the perinatal outcome associated with second twin delivery in a tertiary hospital in Northern Tanzania.Methods: A retrospective cross-sectional study was conducted in a Tanzanian northern zone tertiary health facility using existing maternal linked data from medical birth registry. Women with twin deliveries from 2000 to 2015 were recruited. Adverse perinatal outcomes associated with second twin deliveries were estimated using multivariable logistic regression models. A p-value of < 0.05 was considered statistically significant. Results : Retention rate of second twin was 18.6% (n=265). Out of the 265 retained second twins, 54.7% were referral cases, majority of which came from district hospitals. Retained second twins had 1.54 ( 95% CI 1.08-2.20) and 2.49( 95% CI 1.14-5.48) higher odds of lower Apgar scores in the 5 th minute and perinatal death when compared to non-retained twins respectively. Referral cases had poor outcome compared to non-referrals. Retained twin who had caesarean section had lower odds of low Apgar scores in the 5 th minute, perinatal death and Neonatal intensive care admission although this was not statistically significant but clinically significant. Conclusion : Rate of retained second twin is high in this setting, most of which are referral cases. The retained second twin is associated with higher risk for perinatal death and low Apgar score in the 5 th minute. Timely delivery by caesarean section has lower chances of perinatal death, Neonatal intensive care admission and low Apgar scores. Therefore, early diagnosis and/or referral of twin pregnancy coupled with timely and appropriate intervention for delivery of the retained second twin will contribute to reduction in perinatal morbidity and mortality.

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Perinatal Outcome of the Second Twin at a Tertiary Care Center in India

Cited by 11 publications

References 30 publications

Factors affecting yawning frequencies in preterm neonates

Factors affecting yawning frequencies in preterm neonates

Delivery by repeat caesarean section today: an overview

Short term perinatal outcome and their correlates among retained second twins, 15 years' retrospective study from northern Tanzania

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