How Does Being Second Infant in Twins Affect Premature Morbidity and Mortality?

Abstract

Objective: There is insufficient evidence regarding the risks of morbidity and mortality in the second born twin infant compared to the first infant. In our study, it was aimed to determine the mortality and morbidity rates between first and second born premature twins.

Material and Methods: All premature and twin infants born at <30 weeks of gestation were included in the study. Demographic characteristics, morbidity and mortality of the first and second twin infants were compared.

Results: One hundred and twenty-eight twin premature infants born at <30 weeks of gestation were included in the study. The patients were divided into two groups as 64 patients in the first-born group and 64 patients in the second-born group. The frequency of respiratory distress syndrome, mortality, the length of stay in non-invasive ventilation and neonatal intensive care unit were found to be statistically significantly higher in second-born infants compared to first-born infants (p=0.024; 0.032; 0.035; 0.023, respectively).

Conclusion: In our study, it was found that the second-born twin premature infant was at higher risk than the first-born infant in terms of respiratory distress syndrome, non-invasive ventilation support time, neonatal intensive care unit hospitalization time, and mortality.

Keywords

• premature
• morbidity
• mortality
• first twin
• second twin

Project Number

yok

İKİZLERDE İKİNCİ BEBEK OLMAK PREMATÜRE MORBİDİTE VE MORTALİTESİNİ NASIL ETKİLER?

Abstract

Amaç: İkinci doğan ikiz bebeğin birinci bebeğe göre morbidite ve mortalite açısından riskleri konusunda yeterli kanıt yoktur. Çalışmamızda ilk ve ikinci doğan prematüre ikizler arasındaki mortalite ve morbidite risklerinin doğum sırasına göre belirlenmesi amaçlanmıştır.

Gereç ve Yöntemler: Çalışmaya gebelik haftası <30 hafta doğan tüm prematüre ikiz bebekler dahil edildi. Birinci ve ikinci sırada doğan ikiz bebeklerin demografik özellikleri, morbidite ve mortalite verileri karşılaştırıldı.

Bulgular: Çalışmaya gebelik haftası <30 hafta doğan 128 ikiz prematüre bebek dahil edildi. Birinci sırada doğan grupta 64 ve ikinci sırada doğan grupta 64 hasta olarak hastalar iki gruba ayrıldı. İkinci doğan bebeklerde birinci doğan bebeklere oranla respiratuvar distres sendromu, mortalite sıklığı, non invaziv ventilasyon ve yenidoğan yoğun bakım ünitesinde yatış süreleri istatistiksel olarak anlamlı yüksek bulundu (sırasıyla, p=0.024; 0.032; 0.035; 0.023).

Sonuç: Çalışmamızda ikinci sırada doğan ikiz prematüre bebeklerin respiratuvar distres sendromu, non invaziv ventilasyon destek süresi, yenidoğan yoğun bakım ünitesi yatış süresi ve mortalite açısından ilk doğan bebeklere göre daha yüksek riskli olduğu bulundu.

Keywords

• prematüre
• morbidite
• mortalite
• ilk ikiz
• ikinci ikiz

Supporting Institution

yok

Project Number

yok

Thanks

yok

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