Placental pathology, birthweight discordance, and growth restriction in twin pregnancy: results of the ESPRiT Study

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TY  - 
  - Other
  - Kent, EM,Breathnach, FM,Gillan, JE,McAuliffe, FM,Geary, MP,Daly, S,Higgins, JR,Hunter, A,Morrison, JJ,Burke, G,Higgins, S,Carroll, S,Dicker, P,Manning, F,Tully, E,Malone, FD
  - 2012
  - January
  - Placental pathology, birthweight discordance, and growth restriction in twin pregnancy: results of the ESPRiT Study
  - Validated
  - 1
  - ()
  - birthweight discordance placental infarcts placental pathology retroplacental hematoma subchorial fibrin twin pregnancy GESTATIONS DETERMINANTS VESSELS
  - OBJECTIVE: We sought to evaluate the association between placental histological abnormalities and birthweight discordance and growth restriction in twin pregnancies.STUDY DESIGN: We performed a multicenter, prospective study of twin pregnancies. Placentas were examined for evidence of infarction, retroplacental hemorrhage, chorangioma, subchorial fibrin, or abnormal villus maturation. Association of placental lesions with chorionicity, birthweight discordance, and growth restriction were assessed.RESULTS: In all, 668 twin pairs were studied, 21.1% monochorionic and 78.9% dichorionic. Histological abnormalities were more frequent in placentas of smaller twins of birthweight discordant pairs (P = .02) and in placentas of small for gestational age infants (P = .0001) when compared to controls. The association of placental abnormalities with both birthweight discordance and small for gestational age was significant for dichorionic twins (P = .01 and .0001, respectively). No such association was seen in monochorionic twins.CONCLUSION: In a large, prospective, multicenter study, we observed a strong relationship between abnormalities of placental histology and birthweight discordance and growth restriction in dichorionic, but not monochorionic, twin pregnancies.
  - ARTN 220.e1
DA  - 2012/01
ER  - 
@misc{V190496088,
   = {Other},
   = {Kent,  EM and Breathnach,  FM and Gillan,  JE and McAuliffe,  FM and Geary,  MP and Daly,  S and Higgins,  JR and Hunter,  A and Morrison,  JJ and Burke,  G and Higgins,  S and Carroll,  S and Dicker,  P and Manning,  F and Tully,  E and Malone,  FD },
   = {2012},
   = {January},
   = {Placental pathology, birthweight discordance, and growth restriction in twin pregnancy: results of the ESPRiT Study},
   = {Validated},
   = {1},
   = {()},
   = {birthweight discordance placental infarcts placental pathology retroplacental hematoma subchorial fibrin twin pregnancy GESTATIONS DETERMINANTS VESSELS},
   = {{OBJECTIVE: We sought to evaluate the association between placental histological abnormalities and birthweight discordance and growth restriction in twin pregnancies.STUDY DESIGN: We performed a multicenter, prospective study of twin pregnancies. Placentas were examined for evidence of infarction, retroplacental hemorrhage, chorangioma, subchorial fibrin, or abnormal villus maturation. Association of placental lesions with chorionicity, birthweight discordance, and growth restriction were assessed.RESULTS: In all, 668 twin pairs were studied, 21.1% monochorionic and 78.9% dichorionic. Histological abnormalities were more frequent in placentas of smaller twins of birthweight discordant pairs (P = .02) and in placentas of small for gestational age infants (P = .0001) when compared to controls. The association of placental abnormalities with both birthweight discordance and small for gestational age was significant for dichorionic twins (P = .01 and .0001, respectively). No such association was seen in monochorionic twins.CONCLUSION: In a large, prospective, multicenter study, we observed a strong relationship between abnormalities of placental histology and birthweight discordance and growth restriction in dichorionic, but not monochorionic, twin pregnancies.}},
   = {ARTN 220.e1},
  source = {IRIS}
}
OTHER_PUB_TYPEOther
AUTHORSKent, EM,Breathnach, FM,Gillan, JE,McAuliffe, FM,Geary, MP,Daly, S,Higgins, JR,Hunter, A,Morrison, JJ,Burke, G,Higgins, S,Carroll, S,Dicker, P,Manning, F,Tully, E,Malone, FD
YEAR2012
MONTHJanuary
TITLEPlacental pathology, birthweight discordance, and growth restriction in twin pregnancy: results of the ESPRiT Study
RESEARCHER_ROLE
STATUSValidated
PEER_REVIEW1
TIMES_CITED()
SEARCH_KEYWORDbirthweight discordance placental infarcts placental pathology retroplacental hematoma subchorial fibrin twin pregnancy GESTATIONS DETERMINANTS VESSELS
REFERENCE
ABSTRACTOBJECTIVE: We sought to evaluate the association between placental histological abnormalities and birthweight discordance and growth restriction in twin pregnancies.STUDY DESIGN: We performed a multicenter, prospective study of twin pregnancies. Placentas were examined for evidence of infarction, retroplacental hemorrhage, chorangioma, subchorial fibrin, or abnormal villus maturation. Association of placental lesions with chorionicity, birthweight discordance, and growth restriction were assessed.RESULTS: In all, 668 twin pairs were studied, 21.1% monochorionic and 78.9% dichorionic. Histological abnormalities were more frequent in placentas of smaller twins of birthweight discordant pairs (P = .02) and in placentas of small for gestational age infants (P = .0001) when compared to controls. The association of placental abnormalities with both birthweight discordance and small for gestational age was significant for dichorionic twins (P = .01 and .0001, respectively). No such association was seen in monochorionic twins.CONCLUSION: In a large, prospective, multicenter study, we observed a strong relationship between abnormalities of placental histology and birthweight discordance and growth restriction in dichorionic, but not monochorionic, twin pregnancies.
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DOI_LINKARTN 220.e1
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