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Cerebral oxygenation reflects fetal development in preterm monochorionic and dichorionic twins

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F20%3A43920066" target="_blank" >RIV/00216208:11120/20:43920066 - isvavai.cz</a>

  • Alternative codes found

    RIV/00023698:_____/20:N0000017

  • Result on the web

    <a href="https://doi.org/10.1016/j.earlhumdev.2020.105025" target="_blank" >https://doi.org/10.1016/j.earlhumdev.2020.105025</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.earlhumdev.2020.105025" target="_blank" >10.1016/j.earlhumdev.2020.105025</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Cerebral oxygenation reflects fetal development in preterm monochorionic and dichorionic twins

  • Original language description

    Background: Cerebral oxygenation (crSO2) monitoring is increasingly used in high-risk infants. Monochorionic twins suffer from specific fetal pathologies that can affect cerebral hemodynamics. Limited data are available on crSO2 and blood flow patterns in this population after birth. Objective: To evaluate crSO2 changes in preterm monochorionic and dichorionic twins during the first 72 h of life. Methods: Near-infrared spectroscopy was used to measure crSO2 in 62 infants from 31 twin pregnancies &lt;32 weeks of gestation. The study group was divided into 4 subgroups: donor (1) and recipient (2) monochorionic twins (with twin-twin transfusion syndrome), fetal growth restriction (FGR) infants (3) and twins without fetal compromise (4). Results: There was significant difference in birth weight (p &lt; 0.001) among 4 subgroups. We observed significant variation in crSO2 among the subgroups using mixed model analysis (p &lt; 0.001). The recipient twins exhibited the lowest crSO2 (mean +- SE) throughout the study period (76 +- 0.3%), whereas the FGR and donor twins presented with the highest values (86 +- 0.3% and 83 +- 0.4% respectively). We found no statistically significant differences in neonatal mortality and morbidity among subgroups. Conclusion: Our study revealed significant correlation between crSO2 values postnatally and underlying fetal pathology in monochorionic and dichorionic preterm twins.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30214 - Obstetrics and gynaecology

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2020

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Early Human Development

  • ISSN

    0378-3782

  • e-ISSN

  • Volume of the periodical

    144

  • Issue of the periodical within the volume

    May

  • Country of publishing house

    IE - IRELAND

  • Number of pages

    5

  • Pages from-to

    "Article 105025"

  • UT code for WoS article

    000538595900012

  • EID of the result in the Scopus database

    2-s2.0-85082939995