Short-term prognosis of the co-twin who survives after single intrauterine fetal demise.
- Author:
Lian WANG
1
,
2
;
Xin-Zhu LIN
Author Information
1. Department of Neonatology, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, Fujian 361000, China. wl20wj15@
2. com.
- Publication Type:Journal Article
- MeSH:
Female;
Fetal Death;
Humans;
Infant, Newborn;
Infant, Premature;
Pregnancy;
Pregnancy Outcome;
Prognosis;
Twins
- From:
Chinese Journal of Contemporary Pediatrics
2019;21(9):886-889
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the short-term prognosis of the co-twin who survives after single intrauterine fetal demise (sIUFD).
METHODS:A total of 52 infants who survived after sIUFD were enrolled as the case group, and 104 twins, matched for gestational age, from a pair of live-born twins without sIUFD were enrolled as the control group. Related clinical data were compared between the two groups.
RESULTS:Among the 52 infants who survived after sIUFD, 42 (80.8%) were preterm infants, 13 (25.0%) had brain injury, and 3 (5.8%) died in the neonatal period. Compared with the control group, the case group had significantly higher incidence rates of meconium stained amniotic fluid/bloody amniotic fluid/polyhydramnios/hypamnion, torsion of cord/nuchal cord, and placenta previa/placenta abruption, as well as significantly higher incidence rates of birth asphyxia, anemia or polycythemia at birth, and coagulation disorder at birth (P<0.05). The case group also had significantly higher incidence rates of nosocomial infection and brain injury than the control group during hospitalization (P<0.05).
CONCLUSIONS:There is an increase in the incidence rate of complications in the co-twin who survives after sIUFD. Prenatal evaluation and long-term follow-up should be performed for the surviving co-twin.
