The clinical features of monochorionic or dichorionic twin pregnancy and the high-risk factors for selective intrauterine growth restriction
10.3969/j.issn.1006-5725.2017.07.021
- VernacularTitle:不同绒毛膜性质双胎妊娠临床特征比较及选择性胎儿生长受限相关高危因素分析
- Author:
Jie CHEN
;
Shilei PAN
;
Mei ZHONG
;
Yanhong YU
;
Sijia JIANG
;
Qian CHEN
- Keywords:
MCDA;
Selective intrauterine growth restriction;
Placenta-derived disease
- From:
The Journal of Practical Medicine
2017;33(7):1098-1102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical characteristics of monochorionic or dichorionic twin pregnancy and the high-risk factors for selective intrauterine growth restriction.Methods 460 women with twin pregnancy were divided into a monochorionic group and a dichorion group.The related clinical features were compared between the two groups.Logistic regression was used to analyze the high-risk factors for selective intrauterine growth restriction.Results The maternal age,conception way,and mode of delivery differed significantly between the two groups (P ＜ 0.05).There were significant differences in the rates of selective intrauterine growth restriction and preterm premature rupture of membranes (P ＜ 0.05).The neonatal weight (large or small) and the rate of neonatal transfer differed significantly (P ＜ 0.05).Logistic regression showed that gestational age and birth weight were the risk factors.Conclusions The chorionic nature plays an important role in the process and outcomes of maternal pregnancy.Monochorionic pregnancy is a high risk factor for selective intrauterine growth restriction,meaning the major cause of selective intrauterine growth restriction may originate from the placenta,with should be a placenta-derived disease.
