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On the Cause of the Retardation of Fetal Growth in Multiple Gestations

Published online by Cambridge University Press:  01 August 2014

O.P. Bleker*
Affiliation:
Department of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam
J. Oosting
Affiliation:
Department of Medical Physics, Faculty of Medicine, University of Amsterdam, Netherlands
D.J. Hemrika
Affiliation:
Department of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam
*
Department of Obstetrics and Gynecology, Onze Lieve Vrowe Gasthuis, 1e Oosterparkstraat 179, 1091 HA Amsterdam, Netherlands

Abstract

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The birthweights and placental weights of 3000 singletons, 1500 twin pairs and 67 triplets are studied in relation to the gestational age. From 30-32 weeks onwards, newborns of twin- and triplet gestation show lower birthweight as compared to singleton newborns. Placental indices (placental weights related to birthweights) are about alike in singletons, twins and triplets. From about 24 weeks onwards placental weights of twin and triplet newborns are smaller as compared to those of singletons. Obviously, children in multiple gestations become growth retarded, preceded by and very likely due to poor early placental development (placental crowding of the uterus).

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1988

References

REFERENCES

1.Bleker, OP, Breur, W, Huidekoper, BL (1979): A study of birth weight, placental weight and mortality of twins as compared to singletons. Br J Obstet Gynaecol 86:111118.Google Scholar
2.Boor, C de (1978): A Practical Guide to Splines. New York, Heidelberg, Berlin: Springer Verlag.Google Scholar
3.Gruenwald, P (1070): Environmental influences on twins apparent at birth. Biol Neonate 15: 7993.Google Scholar
4.Kloosterman, GJ (1970): On intrauterine growth, the significance of prenatal care. Int J Gynaecol Obstet 8: 895912.CrossRefGoogle Scholar
5.McKeown, T, Record, RG (1952): Observations on foetal growth in multiple pregnancy in man. J Endocrinol 8:386401.Google Scholar
6.McKeown, T, Record, RG (1953): The influence of placental size on foetal growth in man, with special reference to multiple pregnancy. J Endocrinol 9: 418426CrossRefGoogle ScholarPubMed
7.Naije, RL (1964): Organ composition in newborn parabiotic twins with speculation regarding neonatal hypoglycemia. Pediatrics 34:415.Google Scholar