Relationship of maternal factors and obstetric complications with term singleton vs term twin neonatal outcomes: A retrospective study in China.

IF 1.2 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Malawi Medical Journal Pub Date : 2022-06-01 DOI:10.4314/mmj.v34i2.8

Hui Li, Nawsherwan, Ghulam Nabi, Rahmat Gul, Zahoor Ahmed, Cuifang Fan

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引用次数: 0

Abstract

Background: Neonatal birth weight and length are important indicators of neonatal survival and morbidity during later life and are influenced by maternal factors and obstetrical complications. Therefore, we aimed to determine the relationship of maternal factors and obstetric complications with term singleton vs term twin neonatal outcomes in Wuhan University Renmin Hospital, Hubei, China.

Methods: A total of 10517 neonatal births were recorded in a tertiary-hospital-based retrospective study and term singleton (n=7787) and term twins (n=169) were included for data analysis. Birth weight and birth length were measured immediately after birth. Correlation, independent student t-test, and backward multiple linear regression were used for statistical analysis.

Results: Women with singleton gestation have an increased rate of obstetric complications compared to women with twin gestation. However, a higher frequency of cesarean section and breech were found in twin gestation compared to singleton gestation. Weight before pregnancy, gestational weight gain, and gestational diabetes mellitus were significantly positive (p<0.05) associated with singleton neonatal birth length and weight. In contrast, preeclampsia, placenta previa, oligohydramnios, premature rupture of membrane, breech, and multiparity had a significantly negative (p<0.05) association with singleton neonatal birth length and weight. Maternal age was significantly positive (p<0.05) associated with only singleton neonatal birth weight. Moreover, the nuchal cord was significantly positive (p<0.05) associated with singleton neonatal birth length. On the other hand, maternal age and multiparity were significantly positive (p<0.05) associated with twins' neonatal birth length and weight. Furthermore, gestational weight gain was significantly positive (p<0.05) associated with only twins' neonatal birth weight.

Conclusion: In term gestation, obstetric complications were significantly associated with singleton birth size rather than twin birth size.

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产妇因素和产科并发症与足月单胎新生儿和足月双胎新生儿结局的关系:一项中国回顾性研究

背景:新生儿出生体重和体长是新生儿后期生存和发病率的重要指标，并受产妇因素和产科并发症的影响。因此，我们旨在确定中国湖北省武汉大学人民医院足月单胎新生儿和足月双胎新生儿结局的产妇因素和产科并发症的关系。方法:在一项以三级医院为基础的回顾性研究中，共记录了10517例新生儿，其中包括足月单胎(n=7787)和足月双胞胎(n=169)进行数据分析。出生后立即测量出生体重和出生长度。采用相关性、独立学生t检验和反向多元线性回归进行统计分析。结果:与双胎妊娠相比，单胎妊娠妇女的产科并发症发生率增加。然而，与单胎妊娠相比，双胎妊娠的剖宫产和臀位发生率更高。妊娠前体重、妊娠期体重增加、妊娠期糖尿病显著阳性(p)结论:足月妊娠期，产科并发症与单胎出生尺寸显著相关，而与双胎出生尺寸无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Malawi Medical Journal Medicine-General Medicine

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders