Special considerations regarding antenatal care and pregnancy complications in dichorionic twin pregnancies

Hiersch, Liran; Attali, Emmanuel; Melamed, Nir

doi:10.1016/j.ajogmf.2021.100500

Cited by 9 publications

(8 citation statements)

References 145 publications

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“…Women with multiple pregnancies are at higher risk of antenatal and intrapartum complications [13], and they are associated with higher mortality rates [14]. Maternal physiological adaptation in twin pregnancies is exaggerated, and the rate of almost all maternal and fetal complications in twin pregnancies is higher than in singleton pregnancies [15]. Therefore, it can be considered that the parameters associated with twin pregnancies are not unique compared to singleton pregnancies but more intensified.…”

Section: Introductionmentioning

confidence: 99%

Preliminary Study of Iron Concentration in the Human Placenta in Twin Pregnancies

et al. 2023

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Background: Pregnancy significantly increases the demand for iron (Fe) in the female body to facilitate maternal blood volume expansion, placental development, and fetal growth. As Fe flux in pregnancy is significantly influenced by the placenta, the aim of this study was to determine the dependencies between the Fe concentration in the placenta, the infant’s morphometric parameters and the woman’s morphological blood parameters in the last trimester. Methods: The study was conducted on 33 women with multiple (dichorionic–diamniotic) pregnancies from whom the placentas were drawn, and their 66 infants, including pairs of monozygotic (n = 23) and mixed-sex twins (n = 10). Fe concentrations were determined based on inductively coupled plasma atomic emission spectroscopy (ICP-OES) using ICAP 7400 Duo, Thermo Scientific. Results: The results of the analysis showed that lower placental Fe concentrations were associated with deteriorated morphometric parameters of infants, including weight and head circumference. Although we found no statistically significant dependencies between Fe concentration in the placenta and the women’s morphological blood parameters, higher Fe concentration in the placenta of mothers supplemented with Fe correlated with better morphometric parameters in infants compared to those whose mothers received no Fe supplementation. Conclusions: The research adds additional knowledge for placental iron-related processes during multiple pregnancies. However, many limitations of the study do not allow detailed conclusions to be assessed, and statistical data should be assessed conservatively.

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Section: Introductionmentioning

confidence: 99%

Preliminary Study of Iron Concentration in the Human Placenta in Twin Pregnancies

et al. 2023

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“…Fatkhiyah et al (2020) stated that the results of a routine pregnancy diagnosis or not obtained from a pregnancy examination, the pregnant woman was exactly obedient in carrying out regular ANC K4 visits 20 . Conducting ANC examinations as early as possible is crucial so pregnant women and their families can make an appropriate plan to enable optimal followup care until delivery later 22 . With optimal treatment planning, it is hoped that the incidence of pregnancy complications can be minimized so that they do not occur.…”

Section: Distribution Of 2019 Anc K4 Activities In Surabayamentioning

confidence: 99%

Analisis Kecenderungan Cakupan Pemberian Tablet Fe-3 dan Cakupan ANC K4 terhadap Kejadian Komplikasi Kehamilan di Surabaya Tahun 2019

Taji

Hendrati²

2023

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Latar Belakang: Komplikasi kehamilan dapat terjadi pada ibu dan janin semasa kehamilan yang dapat menyebabkan kesakitan bahkan kematian. Salah satu faktor risikonya ialah tidak patuh mengkonsumsi tablet besi (Fe) dan pelayanan Antenatal Care (ANC) yang tidak teratur. Upaya untuk mengurangi komplikasi yaitu dengan memberikan informasi tentang faktor risiko kehamilan dan lokasi penderita untuk memudahkan pelaksanaan intervensi kepada kelompok sasaran. Tujuan: Penelitiaan ini bertujuan untuk memetakan dan menganalisis komplikasi kehamilan berdasarkan cakupan pemberian tablet besi (Fe-3) dan ANC K4 pada tahun 2019 di Surabaya. Metode: Penelitian ini merupakan deskriptif observasional dengan desain studi populasi dari 31 Kecamatan di Kota Surabaya. Penelitian menggunakan data sekunder Profil Kesehatan Kota Surabaya tahun 2019. Metode analisis yang digunakan ialah uji korelasi spearman. Pembuatan peta persebaran menggunakan Health Mapper 4.3. Hasil: Peta persebaran dari cakupan pemberian tablet Fe-3 dan kegiatan ANC K4 di Surabaya sama-sama menunjukkan 6 kecamatan yang memiliki cakupan rendah dan 7 kecamatan memiliki cakupan tinggi. Hasil analisis menyebutkan hubungan antara cakupan pemberian tablet Fe-3 dengan komplikasi kehamilan sangat kuat (p=0,001; r=0,985) dan arah yang positif. Selain itu, cakupan antara kegiatan ANC K4 dan komplikasi kehamilan berhubungan dengan korelasi sangat kuat (p=0,001; r=0,982) serta arah yang positif. Kasus komplikasi terjadi di seluruh wilayah Surabaya. Kesimpulan: Cakupan pemberian tablet Fe-3 dan kegiatan ANC K4 tahun 2019 memiliki hubungan dengan kejadian komplikasi kehamilan di Surabaya. Kasus komplikasi kehamilan terbanyak berada pada wilayah dengan cakupan pemberian tablet besi (Fe-3) dan kegiatan ANC K4 yang tinggi.

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“…[8][9][10][11] Given the increased nutritional demand and higher risks of adverse outcomes among twin pregnancies, GWG is of great interest in clinical and public health. 12 The guidelines for GWG among singleton pregnancies are well established, whereas those for twin pregnancies are limited.…”

Section: Introductionmentioning

confidence: 99%

“… 8 , 9 , 10 , 11 Given the increased nutritional demand and higher risks of adverse outcomes among twin pregnancies, GWG is of great interest in clinical and public health. 12 The guidelines for GWG among singleton pregnancies are well established, whereas those for twin pregnancies are limited. In 2009, the US Institute of Medicine (IOM) offered only provisional recommendations for GWG in individuals with twin pregnancies, 13 which reflected the IQR of GWG among individuals with twins who had a mean weight higher than 2500 g at term (GWG, 16.8-24.5 kg for individuals with normal weight, 14.1-22.7 kg for overweight, and 11.3-19.1 kg for obesity of any class) using data obtained from a single study.…”

Section: Introductionmentioning

confidence: 99%

“…Abundant research on GWG among both singleton and twin pregnancies has indicated that inadequate GWG is associated with small for gestational age (SGA) status and preterm birth, whereas excessive GWG is associated with large for gestational age (LGA) status, gestational hypertensive disorders, gestational diabetes, and cesarean delivery . Given the increased nutritional demand and higher risks of adverse outcomes among twin pregnancies, GWG is of great interest in clinical and public health . The guidelines for GWG among singleton pregnancies are well established, whereas those for twin pregnancies are limited.…”

Section: Introductionmentioning

confidence: 99%

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Association of Optimal Gestational Weight Gain Ranges With Perinatal Outcomes Across Body Mass Index Categories in Twin Pregnancies

et al. 2022

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Special considerations regarding antenatal care and pregnancy complications in dichorionic twin pregnancies

Cited by 9 publications

References 145 publications

Preliminary Study of Iron Concentration in the Human Placenta in Twin Pregnancies

Preliminary Study of Iron Concentration in the Human Placenta in Twin Pregnancies

Analisis Kecenderungan Cakupan Pemberian Tablet Fe-3 dan Cakupan ANC K4 terhadap Kejadian Komplikasi Kehamilan di Surabaya Tahun 2019

Association of Optimal Gestational Weight Gain Ranges With Perinatal Outcomes Across Body Mass Index Categories in Twin Pregnancies

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