Perinatal death in twins

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Perinatal loss among twins.

OBJECTIVE We evaluated prenatal factors related to perinatal loss in twins, using medical records and death certificates, to determine the main perinatal event that contributed to babies' deaths. DESIGN This was a retrospective cohort study of 550 monochorionic diamniotic or diamniotic dichorionic twins who were delivered at Kaiser Permanente Colorado between 1994 and 2001. MAIN OUTCOME The...

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Birth order, gestational age, and risk of delivery related perinatal death in twins: retrospective cohort study.

OBJECTIVE To determine whether twins born second are at increased risk of perinatal death because of complications during labour and delivery. DESIGN Retrospective cohort study. SETTING Scotland, 1992 and 1997. PARTICIPANTS All twin births at or after 24 weeks' gestation, excluding twin pairs in which either twin died before labour or delivery or died during or after labour and delivery b...

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Undiagnosed xiphopagus twins: a perinatal malady

Conjoined twins are a very rare entity. It is associated with poor survival rate in the presence of vital organ sharing. The entity can be diagnosed as early as the first trimester. A conjoined twin diagnosed late in labor is a malady with high perinatal mortality and maternal morbidity. We present one such case of xiphopagus twins. The management of a case diagnosed late in labor can be very c...

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Classification of perinatal death.

Three paediatric pathologists, one perinatal paediatrician, one obstetrician, and one epidemiologist separately used information collected on 239 babies in an attempt to validate the Wigglesworth classification of perinatal deaths. This was first done using clinical data only, then using the combination of clinical and gross necropsy findings and finally using clinical, gross necropsy, histolog...

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Perinatal death audit.

Perinatal mortality rate (PMR), which indicates quality of care provided to women in pregnancy, at and after child birth and to the newborns in the first week of life, is high in Nepal. Published results show wide variation in PMR in the country. Higher rates are in the community and hospitals outside Kathmandu. Reduction of PMR is an important strategy in improving maternal and neonatal health...

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ژورنال

عنوان ژورنال: BMJ

سال: 2007

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.39146.541100.80