Matches in SemOpenAlex for { <https://semopenalex.org/work/W4220743771> ?p ?o ?g. }
Showing items 1 to 75 of
75
with 100 items per page.
- W4220743771 abstract "Abstract Background: Multiple gestations represent a considerable proportion of pregnancies delivering in the late preterm (LP) period. Only 30% of LP twins are due to spontaneous preterm labor and 70% are medically indicated; among this literature described that 16-50% of indicated LP twin deliveries are non-evidence based. As non-evidence-based delivery indications account for iatrogenic morbidity that could be prevented, the objective of our observational study is to investigate first neonatal outcomes of LP twin pregnancies according to gestational age at delivery, chorionicity and delivery indication, then non evidence-based delivery indications. Methods: Prospective cohort study among twins infants born between 34 + 0 and 36 + 6 weeks, in Emilia Romagna, Italy, during 2013-2015. The primary outcome was a composite of adverse perinatal outcomes. Results: Among 346 LP twins, 84 (23.4%) were monochorionic and 262 (75.7%) were dichorionic; spontaneous preterm labor accounted for 85 (24.6%) deliveries, preterm prelabor rupture of membranes for 66 (19.1%), evidence based indicated deliveries were 117 (33.8%), while non-evidence-based indications were 78 (22.5%). When compared to spontaneous preterm labor or preterm prelabor rupture of membranes, pregnancies delivered due to maternal and/or fetal indications were associated with higher maternal age (p<0.01), higher gestational age at delivery (p<0.01), Caucasian race (p 0.04), ART use (p<0.01), gestational diabetes (p<0.01), vaginal bleeding (p<0.01), antenatal corticosteroids (p<0.01), diagnosis of fetal growth restriction (FGR) (p<0.01), and monochorionic (p<0.01). Two hundred twenty-six pregnancies (65.3%) had at least one fetus experiencing one composite of adverse perinatal outcome. Multivariate analysis confirmed that delivery indication did not affect the composite of adverse perinatal outcomes; the only characteristic that affect the outcome after controlling for confounding was gestational age at delivery (p<0.01). Conclusion: Our study suggests that the decision to deliver or not twins in LP period should consider gestational age at delivery as the main determinant infants’ prognosis. Delivery indications should be accurately considered, to avoid iatrogenic early birth responsible of preventable complications." @default.
- W4220743771 created "2022-04-03" @default.
- W4220743771 creator A5013295304 @default.
- W4220743771 creator A5022503963 @default.
- W4220743771 creator A5025189563 @default.
- W4220743771 creator A5034664090 @default.
- W4220743771 creator A5038206846 @default.
- W4220743771 creator A5046171409 @default.
- W4220743771 creator A5047166324 @default.
- W4220743771 date "2022-03-15" @default.
- W4220743771 modified "2023-09-24" @default.
- W4220743771 title "Perinatal outcomes in twin late preterm pregnancies: results from an Italian area-based, prospective cohort study." @default.
- W4220743771 doi "https://doi.org/10.21203/rs.3.rs-1386506/v1" @default.
- W4220743771 hasPublicationYear "2022" @default.
- W4220743771 type Work @default.
- W4220743771 citedByCount "0" @default.
- W4220743771 crossrefType "posted-content" @default.
- W4220743771 hasAuthorship W4220743771A5013295304 @default.
- W4220743771 hasAuthorship W4220743771A5022503963 @default.
- W4220743771 hasAuthorship W4220743771A5025189563 @default.
- W4220743771 hasAuthorship W4220743771A5034664090 @default.
- W4220743771 hasAuthorship W4220743771A5038206846 @default.
- W4220743771 hasAuthorship W4220743771A5046171409 @default.
- W4220743771 hasAuthorship W4220743771A5047166324 @default.
- W4220743771 hasBestOaLocation W42207437711 @default.
- W4220743771 hasConcept C126322002 @default.
- W4220743771 hasConcept C131872663 @default.
- W4220743771 hasConcept C141071460 @default.
- W4220743771 hasConcept C172680121 @default.
- W4220743771 hasConcept C188816634 @default.
- W4220743771 hasConcept C201903717 @default.
- W4220743771 hasConcept C2777102558 @default.
- W4220743771 hasConcept C2777407796 @default.
- W4220743771 hasConcept C2778376644 @default.
- W4220743771 hasConcept C2779234561 @default.
- W4220743771 hasConcept C2909855057 @default.
- W4220743771 hasConcept C29456083 @default.
- W4220743771 hasConcept C3017786699 @default.
- W4220743771 hasConcept C46973012 @default.
- W4220743771 hasConcept C54355233 @default.
- W4220743771 hasConcept C71924100 @default.
- W4220743771 hasConcept C86803240 @default.
- W4220743771 hasConceptScore W4220743771C126322002 @default.
- W4220743771 hasConceptScore W4220743771C131872663 @default.
- W4220743771 hasConceptScore W4220743771C141071460 @default.
- W4220743771 hasConceptScore W4220743771C172680121 @default.
- W4220743771 hasConceptScore W4220743771C188816634 @default.
- W4220743771 hasConceptScore W4220743771C201903717 @default.
- W4220743771 hasConceptScore W4220743771C2777102558 @default.
- W4220743771 hasConceptScore W4220743771C2777407796 @default.
- W4220743771 hasConceptScore W4220743771C2778376644 @default.
- W4220743771 hasConceptScore W4220743771C2779234561 @default.
- W4220743771 hasConceptScore W4220743771C2909855057 @default.
- W4220743771 hasConceptScore W4220743771C29456083 @default.
- W4220743771 hasConceptScore W4220743771C3017786699 @default.
- W4220743771 hasConceptScore W4220743771C46973012 @default.
- W4220743771 hasConceptScore W4220743771C54355233 @default.
- W4220743771 hasConceptScore W4220743771C71924100 @default.
- W4220743771 hasConceptScore W4220743771C86803240 @default.
- W4220743771 hasLocation W42207437711 @default.
- W4220743771 hasOpenAccess W4220743771 @default.
- W4220743771 hasPrimaryLocation W42207437711 @default.
- W4220743771 hasRelatedWork W13871421 @default.
- W4220743771 hasRelatedWork W14550711 @default.
- W4220743771 hasRelatedWork W15594581 @default.
- W4220743771 hasRelatedWork W15842497 @default.
- W4220743771 hasRelatedWork W17260313 @default.
- W4220743771 hasRelatedWork W3473159 @default.
- W4220743771 hasRelatedWork W5741819 @default.
- W4220743771 hasRelatedWork W6935370 @default.
- W4220743771 hasRelatedWork W811172 @default.
- W4220743771 hasRelatedWork W8894903 @default.
- W4220743771 isParatext "false" @default.
- W4220743771 isRetracted "false" @default.
- W4220743771 workType "article" @default.