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Maternal and Infant Health Outcomes in US-Born and Non-US-Born Black Pregnant People in the US.
JAMA Netw Open
December 2024
Center of Excellence in Maternal, Child and Adolescent Health, University of California, Berkeley.
Importance: With disparate Black maternal health outcomes in the US and a steadily expanding non-US-born Black population, it is beneficial to investigate Black maternal health outcomes by country of origin.
Objective: To compare the prevalence of maternal morbidity and infant birth outcomes between US-born and non-US-born Black populations in the US.
Design, Setting, And Participants: This cross-sectional study included all registered hospital births in the US from the 2021 National Vital Statistics Systems (NVSS) Natality Data.
We should do better in accounting for multiple births in neonatal randomised trials: a methodological systematic review.
Arch Dis Child Fetal Neonatal Ed
December 2024
Women and Kids Theme, South Australian Health and Medical Research Institute Limited, Adelaide, South Australia, Australia.
Article Synopsis
- * A systematic search yielded 62 relevant trials, revealing that 87% did not factor in multiple births for sample size calculations, and almost half ignored the clustering effect of multiple births in their analyses.
- * The findings highlight ongoing issues in trial designs that overlook the complexities of multiple births, signaling a need for trialists to better incorporate these considerations and for readers to critically assess the methodologies in neonatal research.
Amplitude-integrated electroencephalography showed alterations in cerebral activity in monochorionic twins with twin-to-twin transfusion syndrome.
Acta Paediatr
December 2024
Department of Pediatrics II (Neonatology), Medical University of Innsbruck, Innsbruck, Austria.
Aim: Monochorionic twins are at higher risk of perinatal mortality and morbidity, primarily due to pregnancy-related complications, such as twin-to-twin transfusion syndrome (TTTS). We aimed to investigate whether amplitude-integrated electroencephalography (aEEG) signals are different between monochorionic twins with and without TTTS.
Methods: This was a retrospective single-centre study conducted at Innsbruck Medical University Hospital, Austria.
A Narrative Review of Strategies to Optimize Breastfeeding Among Mothers of Twins.
Cureus
October 2024
College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
The global incidence of twin births has substantially increased in recent decades. Twin pregnancies are inherently associated with higher obstetric risks, often resulting in preterm birth and low birth weight, both of which frequently necessitate neonatal intensive care (NICU) interventions. Such interventions can significantly disrupt early breastfeeding practices, contributing to lower exclusive breastfeeding (EBF) rates in twins as compared to singletons.
View Article and Find Full Text PDFSuccessful Delayed Interval Delivery in Twin Pregnancy After Early Premature Rupture of Membranes of a Leading Fetus: A Case Report.
Medicina (Kaunas)
November 2024
Department of Obstetrics and Gynecology, Daegu Dongsan Hospital, Keimyung University School of Medicine, 56, Dalseong-ro, Jung-gu, Daegu 41931, Republic of Korea.
A 36-year-old primigravida conceived dichorionic diamniotic twins via in vitro fertilization. The first twin experienced premature rupture of membranes at 18 weeks and 5 days of gestation. Despite antibiotic treatment, the first fetus suffered intrauterine fetal death and was delivered three days later at 19 weeks and 1 day.
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