Twins vs Singletons Surprising Insights into Neonatal Mortality at 34 37 Weeks

Introduction

In the ever-evolving field of maternal and neonatal health, understanding mortality trends in late preterm births is critical. A recent population-based study from Iran sheds new light on how twins and singletons fare during gestational weeks 34 to 37. Visit https://www.obstetricgynecoljournal.com for more groundbreaking research in this field.

Comparing Neonatal Mortality in Twins and Singletons

A comprehensive analysis of over 579,000 births between 2018 and 2020 revealed that:

• Neonatal mortality was lower in twins than in singletons at 34–37 weeks.
• Singleton neonates experienced a higher death rate in the delivery room and after NICU admission.
• Twins had more frequent antenatal corticosteroid administration, potentially contributing to better outcomes.

Key Findings

• Overall mortality rate post-admission: 1.85% for singletons vs. 1.06% for twins.
• Delivery room death rate: 1.43 per 1000 births (singletons) vs. 0.77 per 1000 (twins).
• Use of C-sections: 95% in twins vs. 64% in singletons.

Factors Influencing Mortality Outcomes

Maternal and Neonatal Influences

• Birth weight and gestational age remain critical predictors.
• Very low birth weight neonates had mortality odds ratios of 6.91 overall, with twins facing higher risks than singletons in this category.
• Consanguinity, lack of childbirth preparation classes, and previous pregnancies emerged as significant mortality risk enhancers.

Medical Intervention

• Antenatal corticosteroids were more commonly administered in twin pregnancies (28.4% vs. 16.8%).
• Despite previous conflicting reports, this study indicates that twins benefit from earlier interventions and specialized care protocols.

External Perspective on Neonatal Standards

The American Academy of Pediatrics (AAP) emphasizes individualized assessment for preterm births, especially in multiple gestations. The integration of such standards globally is key to reducing perinatal mortality

Call to Action

Explore more studies at https://www.journal.cjog.1001134 and join the conversation by sharing your thoughts in the comments below

Disclaimer: This content is generated using AI assistance and should be reviewed for accuracy and compliance before considering this article and its contents as a reference. Any mishaps or grievances raised due to the reusing of this material will not be handled by the author of this article.