This study describes a 5-year survey of activity in a single institution, and the effects of a change of policy for prevention of preterm birth in twin pregnancies.

The results show the advantages and drawbacks from the financial and medical viewpoints.

This study analyzes costs for neonatal care and costs for care of handicapped children related to twin pregnancies and births. These costs are highly related to the unfavorable birthweight distribution for twins. Each twin pregnancy may cost 10 times more than a single pregnancy. This economic analysis favors all kinds of preventive policies and a calculation is proposed for measuring the probable effect in costs of even a slight decrease in the proportion of very low and low birthweight for twins.

Previous results regarding a seasonality of twin births have been conflicting. Since the biology of monozygotic (MZ) twinning differs from that of dizygotic (DZ) twinning, it is possible that the seasonality of birth for these two twin types might differ. However, all previous studies examining the seasonality of birth by zygosity has estimated zygosity by Weinberg's method. In this report, the month of birth of all MZ and DZ veteran twins from the United States National Academy of Sciences-National Research Council (NAS-NRC) Twin Registry are compared with that found for an unselected group of veterans. Zygosity in the registry has been individually assigned to all twin pairs by a well-validated method. Compared to unselected veterans, the distribution of births by months did not differ significantly for all the veteran twin pairs or for the MZ and DZ twin pairs considered separately. The distribution of month of birth of the MZ and DZ twin pairs did not differ significantly from one another. These results are not consistent with a significant seasonality of MZ, DZ, or all twin births in the United States.

Variation in plasma uric acid levels in 206 pairs of male and female twins, aged from 18 to 34 years, was consistent with a simple model including only individual environmental and additive genetic effects and a heritability of h2 = 0.73. Individual environmental variation was estimated to be approximately the same as variation of individuals measured on two occasions. Correlations of DZ pairs were also consistent with sex-linked genetic effects. In men there was a significant genetic correlation with weekly alcohol consumption and as much as 18% of the variation in uric acid levels could be accounted for by genetic variation in alcohol consumption.

A flexible method based on maximum likelihood theory is introduced for the analysis of binary response data in twins. The method allows for explanatory variables such as age and sex, is free of the untestable distributional assumption of bivariate normality of liability, and makes more efficient use of the data available. The method is illustrated with preliminary data on drinking status in adult twins. Although there is some bias in the ascertainment of male dizygous twins, the results suggest that monozygous twins are more concordant than dizygous twins for drinking status.

Male, monozygotic twins (six pairs) were repeatedly tested before and after d-amphetamine, l-amphetamine, or placebo administration. Drug effects on cognitive, psychomotor, personality, mood, and pain variables were assessed. Members of a twin pair tended to respond similarly on several tests under placebo conditions, indicating genetic determination of the behavioral variables. In addition, cotwins tended to show similar responses to amphetamine as measured by one test of cognitive function, by several mood and personality variables (hostility, autonomic arousal, friendliness, feelings of tension and loss of control), and tended to have similar plasma levels of both amphetamine isomers. Although shared environmental effects cannot be ruled out, the results are consistent with genetic mediation of a variety of behavioral effects of amphetamines.

The low birthweight of twins compared with singletons is only slightly influenced by the higher congenital abnormality rate in twins, or the increased incidence of proteinuric pre-eclampsia in the mothers. Reduced intakes of energy food or of zinc, copper, and iron do not account for the lower birthweight. The main cause of low birthweight is preterm delivery, and this is more common in monozygotic than dizygotic twin pregnancies, due particularly to premature rupture of the membranes. The type of placentation did not influence the preterm onset of labor. Preterm labor in monozygotic twin pregnancies is associated with a very high boy:girl ratio, but this did not apply in dizygotic twin pregnancies.