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Effect of parity on maternal and neonatal outcomes in twin gestations

Show simple item record Hannoun A. Usta I.M. Awwad J. Moukalled D. Yahya F. Jurdi A. Nassar A.H.
dc.contributor.editor Jan-2012 2017-10-05T15:46:51Z 2017-10-05T15:46:51Z 2012
dc.identifier 10.1111/j.1600-0412.2011.01192.x
dc.identifier.issn 00016349
dc.description.abstract Objective. To compare maternal and neonatal outcomes of twin gestations in nulliparous and multiparous women. Design. Retrospective analysis of maternal and neonatal records. Setting. American University of Beirut Medical Center, a referral university-affiliated hospital. Population. Pregnant women who delivered twin gestations beyond 24 weeks from 1990 to 2004. Methods. The data collected were analyzed using Student's paired t-test or χ 2test. Logistic regression analysis was used to study the effect of multiple variables on preterm delivery. Main Outcome Measure. Preterm birth rate. Results. Nulliparas (n=333) were more likely to be younger (28.1±5.4 vs. 30.0±5.2years; pandlt;0.001) and the pregnancy a product of assisted reproductive technology (23.1 vs. 4.5percent; pandlt;0.001) compared with multiparas (n=508). They were at significantly increased risk of preterm delivery (54.4 vs. 45.1percent; p=0.009) at lower gestational age (35.6±3.2 vs. 36.2±3.0 weeks; p=0.004). They had longer first and second stages of labor and a higher cesarean delivery rate (61.3 vs. 44.9percent; pandlt;0.001). Except for a higher intensive care nursery admission rate and longer nursery stay for twins of nulliparas, all neonatal morbidities were comparable. On multiple logistic regression analysis, multiparity (relative risk 0.70, 95percent confidence interval 0.51-0.97) and growth restriction (relative risk 0.16, 95percent confidence interval 0.12-0.22) were protective, while discordance (relative risk 2.24, 95percent confidence interval 1.40-3.60) was a predictor of preterm delivery. Conclusions. Nulliparous women with twin gestations are at significantly higher risk for preterm delivery and cesarean delivery compared with multiparous women. Although this was not translated into higher perinatal mortality, these women should be monitored closely and counseled regarding these risks and their attendant morbidity. © 2011 The Authors Acta Obstetricia et Gynecologica Scandinavica.
dc.format.extent Pages: (117-121)
dc.language English
dc.publisher MALDEN
dc.relation.ispartof Publication Name: Acta Obstetricia et Gynecologica Scandinavica; Publication Year: 2012; Volume: 91; no. 1; Pages: (117-121);
dc.source Scopus
dc.title Effect of parity on maternal and neonatal outcomes in twin gestations
dc.type Article
dc.contributor.affiliation Hannoun, A., Department of Obstetrics and Gynecology, American University of Beirut Medical Center, PO Box 113-6044-B36, Beirut, Lebanon
dc.contributor.affiliation Usta, I.M., Department of Obstetrics and Gynecology, American University of Beirut Medical Center, PO Box 113-6044-B36, Beirut, Lebanon
dc.contributor.affiliation Awwad, J., Department of Obstetrics and Gynecology, American University of Beirut Medical Center, PO Box 113-6044-B36, Beirut, Lebanon
dc.contributor.affiliation Moukalled, D., Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, VA, United States
dc.contributor.affiliation Yahya, F., Department of Obstetrics and Gynecology, Riverside Regional Medical Center, Newport News, VA, United States
dc.contributor.affiliation Jurdi, A., Department of Obstetrics and Gynecology, American University of Beirut Medical Center, PO Box 113-6044-B36, Beirut, Lebanon
dc.contributor.affiliation Nassar, A.H., Department of Obstetrics and Gynecology, American University of Beirut Medical Center, PO Box 113-6044-B36, Beirut, Lebanon
dc.contributor.authorAddress Nassar, A.H.; Department of Obstetrics and Gynecology, American University of Beirut Medical Center, PO Box 113-6044-B36, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Obstetrics and Gynecology;
dc.contributor.authorDepartment Obstetrics and Gynecology
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Hannoun, A
dc.contributor.authorInitials Usta, IM
dc.contributor.authorInitials Awwad, J
dc.contributor.authorInitials Moukalled, D
dc.contributor.authorInitials Yahya, F
dc.contributor.authorInitials Jurdi, A
dc.contributor.authorInitials Nassar, AH
dc.contributor.authorReprintAddress Nassar, AH (reprint author), Amer Univ Beirut, Med Ctr, Dept Obstet and Gynecol, POB 113-6044-B36, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited Aina-Mumuney AJ, 2004, OBSTET GYNECOL, V104, P110, DOI 10.1097-01.AOG.0000128905.37143.47; Babinszki A, 1999, AM J OBSTET GYNECOL, V181, P669, DOI 10.1016-S0002-9378(99)70511-9; Bai J, 2002, AM J OBSTET GYNECOL, V186, P274, DOI 10.1067-mob.2002.119639; Branum AM, 2005, PAEDIATR PERINAT EP, V19, P399, DOI 10.1111-j.1365-3016.2005.00659.x; Conde-Agudelo A, 2000, OBSTET GYNECOL, V95, P899, DOI 10.1016-S0029-7844(99)00640-7; Delbaere I, 2008, Hum Reprod, V23, P2387; Kalu E, 2008, BJOG-INT J OBSTET GY, V115, P1143, DOI 10.1111-j.1471-0528.2008.01764.x; Martin Joyce A, 2007, Natl Vital Stat Rep, V56, P1; Moise J, 1998, HUM REPROD, V13, P1702, DOI 10.1093-humrep-13.6.1702; Morken Nils-Halvdan, 2008, BMC Womens Health, V8, P16, DOI 10.1186-1472-6874-8-16; Nassar AH, 2003, AM J OBSTET GYNECOL, V189, P513, DOI 10.1067-S0002-9378(03)00485-X; Petridou E, 2001, BRIT J OBSTET GYNAEC, V108, P598, DOI 10.1111-j.1471-0528.2001.00140.x; Russell RB, 2003, OBSTET GYNECOL, V101, P129, DOI 10.1016-S0029-7844(02)02316-5; Sundstrom P, 2009, ACTA OBSTET GYN SCAN, V88, P700, DOI 10.1080-00016340902956939; Suzuki Shunji, 2007, Archives of Gynecology and Obstetrics, V276, P573, DOI 10.1007-s00404-007-0383-8; TAN SL, 1992, AM J OBSTET GYNECOL, V167, P778; Tanbo T, 1996, CURR OPIN OBSTET GYN, V8, P193; Tarter JG, 2002, AM J OBSTET GYNECOL, V186, P910, DOI 10.1067-mob.2002.123989; Wang JX, 2002, HUM REPROD, V17, P945, DOI 10.1093-humrep-17.4.945
dc.description.citedCount 1
dc.description.citedTotWOSCount 1
dc.description.citedWOSCount 1
dc.format.extentCount 5
dc.identifier.coden AOGSA
dc.identifier.pubmedID 21615358
dc.identifier.scopusID 83455225425
dc.publisher.address COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA
dc.relation.ispartOfISOAbbr Acta Obstet. Gynecol. Scand.
dc.relation.ispartOfIssue 1
dc.relation.ispartofPubTitle Acta Obstetricia et Gynecologica Scandinavica
dc.relation.ispartofPubTitleAbbr Acta Obstet. Gynecol. Scand.
dc.relation.ispartOfVolume 91
dc.source.ID WOS:000297922200019
dc.type.publication Journal
dc.subject.otherAuthKeyword multiple gestation
dc.subject.otherAuthKeyword obstetric outcome
dc.subject.otherAuthKeyword Parity
dc.subject.otherAuthKeyword preterm delivery
dc.subject.otherAuthKeyword twins
dc.subject.otherIndex adult
dc.subject.otherIndex article
dc.subject.otherIndex birth rate
dc.subject.otherIndex cesarean section
dc.subject.otherIndex controlled study
dc.subject.otherIndex female
dc.subject.otherIndex fetus death
dc.subject.otherIndex fetus outcome
dc.subject.otherIndex gestational age
dc.subject.otherIndex human
dc.subject.otherIndex information processing
dc.subject.otherIndex intrauterine growth retardation
dc.subject.otherIndex maternal hypertension
dc.subject.otherIndex medical record review
dc.subject.otherIndex multipara
dc.subject.otherIndex newborn
dc.subject.otherIndex newborn intensive care
dc.subject.otherIndex newborn morbidity
dc.subject.otherIndex nullipara
dc.subject.otherIndex nursery
dc.subject.otherIndex placenta previa
dc.subject.otherIndex predictor variable
dc.subject.otherIndex pregnancy outcome
dc.subject.otherIndex premature fetus membrane rupture
dc.subject.otherIndex premature labor
dc.subject.otherIndex priority journal
dc.subject.otherIndex solutio placentae
dc.subject.otherIndex twin pregnancy
dc.subject.otherIndex Adult
dc.subject.otherIndex Cesarean Section
dc.subject.otherIndex Female
dc.subject.otherIndex Gestational Age
dc.subject.otherIndex Humans
dc.subject.otherIndex Intensive Care Units, Neonatal
dc.subject.otherIndex Labor, Obstetric
dc.subject.otherIndex Logistic Models
dc.subject.otherIndex Parity
dc.subject.otherIndex Pregnancy
dc.subject.otherIndex Pregnancy Complications
dc.subject.otherIndex Pregnancy Outcome
dc.subject.otherIndex Pregnancy, Twin
dc.subject.otherIndex Premature Birth
dc.subject.otherIndex Retrospective Studies
dc.subject.otherKeywordPlus IN-VITRO FERTILIZATION
dc.subject.otherKeywordPlus ASSISTED REPRODUCTION
dc.subject.otherKeywordPlus PRETERM BIRTH
dc.subject.otherKeywordPlus PREGNANCY
dc.subject.otherKeywordPlus POLICY
dc.subject.otherKeywordPlus WOMEN
dc.subject.otherKeywordPlus RISK
dc.subject.otherWOS Obstetrics and Gynecology

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