Prevention of preterm birth in twin pregnancies.

Cervix Uteri / diagnostic imaging Female Gestational Age Humans Infant, Newborn Perinatal Mortality Pregnancy Pregnancy, Twin Premature Birth / epidemiology
17-hydroxyprogesterone cerclage pessary preterm birth transvaginal cervical length twin pregnancy vaginal progesterone

Journal

American journal of obstetrics & gynecology MFM
ISSN: 2589-9333
Titre abrégé: Am J Obstet Gynecol MFM
Pays: United States
ID NLM: 101746609

Informations de publication

Date de publication:
03 2022
Historique:
received: 21 06 2021
revised: 01 11 2021
accepted: 03 12 2021
pubmed: 14 12 2021
medline: 23 4 2022
entrez: 13 12 2021
Statut: ppublish

Résumé

Twins represent 3.2% of all live births; however, they account for 20.0% of all preterm deliveries, with 60.0% and 10.7% of twins delivered before 37 and 32 weeks' gestation, respectively. Twin pregnancies have 5 times higher risk of early neonatal and infant death related to prematurity. Monochorionic twins have a higher incidence of both indicated and spontaneous preterm delivery than dichorionic twins. Transvaginal ultrasound of the cervical length before 24 weeks' gestation is the best tool to predict preterm birth, independent of other risk factors. Among all evaluated therapies to decrease or prevent preterm birth in twin pregnancies, the use of vaginal progesterone in women with a transvaginal cervical length of <25 mm decreased neonatal morbidity, and physical examination-indicated cerclage in women with a cervical dilation of >1 cm showed a significant decrease in preterm birth at different gestational ages and perinatal mortality.

Identifiants

DOI: 10.1016/j.ajogmf.2021.100551 PMID: 34896357
pubmed: 34896357
pii: S2589-9333(21)00247-0
doi: 10.1016/j.ajogmf.2021.100551
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

100551

Informations de copyright

Copyright © 2021. Published by Elsevier Inc.

Auteurs

Amanda Roman (A)

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA (Drs Roman and Ramirez). Electronic address: amanda.roman@jefferson.edu.

Alexandra Ramirez (A)

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA (Drs Roman and Ramirez).

Nathan S Fox (NS)

Maternal Fetal Medicine Associates, PLLC, New York, NY (Dr Fox); Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY (Dr Fox).

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Classifications MeSH

questionsmedicales.fr › Appareil urogénital › Système génital › Système génital de la femme › Utérus › Col de l'utérus › Prevention of preterm birth in twin pregnancies.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Âge gestationnel › Prevention of preterm birth in twin pregnancies.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Prevention of preterm birth in twin pregnancies.
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › Prevention of preterm birth in twin pregnancies.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Mortalité › Mortalité infantile › Mortalité périnatale › Prevention of preterm birth in twin pregnancies.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Prevention of preterm birth in twin pregnancies.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Grossesse multiple › Grossesse gémellaire › Prevention of preterm birth in twin pregnancies.
questionsmedicales.fr › Maladies urogénitales › Maladies de l'appareil urogénital féminin et complications de la grossesse › Complications de la grossesse › Complications du travail obstétrical › Travail obstétrical prématuré › Naissance prématurée › Prevention of preterm birth in twin pregnancies.