Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-26T00:38:21.697Z Has data issue: false hasContentIssue false

Maternal and Neonatal Variables in Twins: an Epidemiological Approach

Published online by Cambridge University Press:  01 August 2014

M. A. Campana
Affiliation:
Laboratorio de Genética - Departmento de Biologia, Facultad de Ciencias Exactas y Naturales;, Universidad Nacional de Mar del Plata, Argentina
M. M. Roubicek
Affiliation:
Laboratorio de Genética - Departmento de Biologia, Facultad de Ciencias Exactas y Naturales;, Universidad Nacional de Mar del Plata, Argentina

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.

Population studies on human twinning are scarce in Argentina. In order to analyze frequencies and certain maternal and neonatal variables related to twin births, we studied a series of 69.678 consecutive newborns with 500 g of weight and over, which occurred at a public hospital in the province Buenos Aires, during 14 years (1982-1995). The frequency of twin births (10 per 1000 deliveries) and sex ratio were similar to other studies reported in Caucasian population. Maternal age and order of gravity/parity were positively correlated with twinning rates, more markedly so in dissimilar sex-pairs. Stillbirths and neonatal deaths were more frequent in twins than in singletons, but less frequent when comparing groups of same weight. Congenital malformations were not found to be significantly more frequent in twins than in the total newborn population. However, their occurrence, predominantly in like-sexed pairs and the concordance for defect type in doubly affected same-sex pairs, suggests that monozygotic twinning carries an increased risk for malformation.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1996

References

REFERENCES

1. Allen, G, Parisi, P (1990): Acta Genet Med Gemellol 39: 317328.Google Scholar
2. Baena de Moraes, MH, Beiguelman, B, Krieger, H (1989): Decline of dizygotic twinning in Brazil. Acta Genet Med Gemello 38: 5763.Google Scholar
3. Beiguelman, B (1982): Citogenética Humana. Editora Guanabara Koogan S.A., Rio de Janeiro.Google Scholar
4. Beiguelman, B, Villarroel-Herrera, HO (1992): Sex ratio of twins in a southeastern Brazilian population. Rev Brasil Genet 15, 3: 707711.Google Scholar
5. Beiguelman, B, Villarroel-Herrera, HO (1993): Factors influencing the decline of twinning incidence in a southeastern Brazilian population. Rev Brasil Genet 16, 3: 793801.Google Scholar
6. Benirschke, K, Kim, CK (1973): Multiple pregnancy. N Engl J Med 288: 12761284.Google Scholar
7. Bertranpetit, A, Marin, A (1988): Demographic parameters and Twinning: A study in Catalonia, Spain. Acta Genet Med Gemellol 37: 127135.Google Scholar
8. Castilla, EE, López Camelo, JS, Paz, JE: Atlas geográfico de las Malformaciones Congénitas en Sudamérica. Editora Fiocruz, 1996.Google Scholar
9. Garfield, E (1984) Twins, part 1: the conception, development and delivery of twins. Current Contents 46: 310.Google Scholar
10. Garibaldi, MC, Cravchick, S (1983): Epidemiología del recién nacido gemelar en la Provincia de Neuquén. Arch Arg Pediatr 81: 108113.Google Scholar
11. Grandi, CA, Borroni, R, Larguía, MA (1988): Embarazo múltiple. Estudio epidemiologico en un hospital matemoinfantil municipal. Arch Arg Pediatr 86: 334340.Google Scholar
12. Hay, S, Wehrung, DA (1970): Congenital malformations in twins. Am J Hum Genet 22: 662678.Google ScholarPubMed
13. Ho, SZ, Wu, PY (1975): Perinatal factors and neonatal morbidity in twin pregnancy. Am J Obstet Gynecol 122: 979987.Google Scholar
14. Jame, WH (1984): Twins. N Engl J Med, 311: 58.Google Scholar
15. Kallén, B (1986): Congenital malformations in twins. A population study. Acta Genet Med Gemellol 35: 167178.Google Scholar
16. Layde, PM, Erickson, JD, Falek, A, McCarthy, BJ (1980): Congenital malformations in twins. Am J Hum Genet 32: 6978.Google Scholar
17. Lippold, SE (1989): Gemelaridad en Sudamérica. Factores de riesgo y asociación con anomalías del desarrollo. Tesis de Doctorado en medicina, Bs.As.Google Scholar
18. Myrianthopoulos, NC (1970): An epidemiologie survey of twins in a large prospectively studied population. Am J Hum Genet 22: 611629.Google Scholar
19. Naeye, RL (1964): The fetal and neonatal development of twins. Pediatrics 33: 546553.Google Scholar
20. Nylander, P (1979): Perinatal mortality in twins. Acta Genet Med Gemellol 28: 363368.Google Scholar
21. Nylander, P (1981): The factors that influence twinning rates. Acta Genet Med Gemellol 30: 189202.Google Scholar
22. Parisi, P, Gatti, M, Prinzi, G, Capena, G (1983): Familial incidence of twinning. Nature 304: 626628.Google Scholar
23. Potter, ED (1963): Twin zygosity and placental form in relation to the outcome of pregnancy. Am J Obstet Gynecol 87: 566577.Google Scholar
24. Stern, C (1973): Principles of Human Genetics. 3rd ed. San Francisco: Freeman.Google Scholar