Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-19T23:29:16.935Z Has data issue: false hasContentIssue false

Discordant Twins: Acid-Base Status

Published online by Cambridge University Press:  01 August 2014

S.A. Ordorica*
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University Medical Center, New York, USA
F.J. Frieden
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University Medical Center, New York, USA
I.A. Hoskins
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University Medical Center, New York, USA
B.K. Young
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, New York University Medical Center, New York, USA
*
New York University Medical Center, 530 First Avenue, Suite 5F, New York, NY 10016, USA

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

A prospective study was undertaken to determine the effect of twin birth-weight discordancy on Apgar scores and umbilical blood acid-base parameters. Using the paired t-test, small but statistically significant differences were seen in these parameters favoring the heavier twin over its lighter sibling. These differences were also affected by birth order, with the first-born being favored.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1991

References

REFERENCES

1. Antoine, C, Young, BK (1982): Fetal lactic acidosis with epidural anesthesia. Am J Obstet Gynecol 142:55.CrossRefGoogle ScholarPubMed
2. Babson, SG, Kangos, J, Young, N, Bramhall, JL. Growth and development of twins of dissimilar size at birth (1964): Pediatrics 33:327333.Google Scholar
3. Blickstein, I, Shoham-Schwartz, Z, Lancet, M, Borenstein, R (1987): Characterization of the growth-discordant twin. Obstet Gynecol 70:1115.Google Scholar
4. Churchill, JA (1965): The relationships between intelligence and birth weights in twins. Neurology 4:341347.Google Scholar
5. Corey, LA, Nance, WE, Kang, KW, Christian, JC (1979): Effects of type of placentation on birth weight and its variability in monozygotic and dizygotic twins. Acta Genet Med Gemellol 28:4150.Google Scholar
6. Erkkola, R, Ala-Melleo, S, Puroinen, O, Kero, P, Sillanpaa, M (1985): Growth discordancy in twin pregnancies: A risk factor not detected by measurements of biparietal diameter. Obstet Gynecol 66:203206.Google Scholar
7. Fakeye, O (1986): Twin birth weight discordancy in Nigeria. Int J Gynecol Obstet 24:235238.Google Scholar
8. Gruenwald, P (1970): Environmental influences on twins apparent at birth. Biol Neonate 15:79.CrossRefGoogle ScholarPubMed
9. Kaelber, CT, Pugh, TF (1969): Influence of intrauterine relations on the intelligence of twins. N Engl J Med 280:10301034.CrossRefGoogle ScholarPubMed
10. Matheny, AP, Brown, AM (1971): Effects of birth weight and birth sequence. Child Dev 42:251257.Google Scholar
11. O'Brien, WF, Knuppel, RA, Scerbo, JC, Ratan, PK (1986): Birth weight in twins: Analysis of discordancy and growth retardation. Obstet Gynecol 67:483486.Google ScholarPubMed
12. Ogata, ES, Kittermnan, JA, Kleinberg, F (1977): Effect of cord clamping and maternal blood pressure on placental transfusion with cesarean section. Am J Obstet Gynecol 128:197.Google Scholar
13. Ordorica, SA, Hoskins, IA, Young, BK. Acid Base Differences in Preterm and Term Pregnancy. Acta Genet Med Gemellol 40:361372.Google Scholar
14. Philips, AG (1981): Term twins with discordant birth weights: Observations at birth and one year. Acta Genet Med Gemellol 30:203212.Google Scholar
15. Reisner, SH, Forbes, AE, Cornblath, M (1965): The smaller of twins and hypoglycemia. Lancet 542:524526.CrossRefGoogle Scholar
16. Young, BK, Suidan, J, Antoine, C, Silverman, F, Lustig, I, Wasserman, J (1985): Difference in twins: The importance of birth order. Am J Obstet Gynecol 151:915921.Google Scholar