우리나라 쌍태아의 출생체중 불일치 수준과 조기분만에 관한 연구; 2009-2013
Preterm Birth and Intra Twin Birth Weight Discordance in Korea; 2009-2013
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives: To compare the relationship between intra-twin birth weight discordance and preterm birth (PTB; ≤36 weeks) by analyzing the birth certificated data of Korea Statistics. Methods: The 2009-2013 birth certificated data of Korea Statistics was used for this analysis. There were 31,998 completely matched twin pairs from 67,557 twin birth data. The data of unmatched twin cases, teenage birth, extra-marital birth, non-hospital birth cases, and gestational age and birth weight information missing cases were excluded. Odds ratio and 95 percent confidence intervals were calculated from logistic regression analyses to describe the risk of PTB by the degree of intra twin birth weight discordance (birth weight difference/ birth weight of heavier twin x 100) adjusted for infantile sex, birth order, maternal age, year of birth, and maternal education & occupation. Results: The incidence of intra-twin birth weight discordance was 55.3 percent in discordance level of ≤9 percent, and 4.4 percent in discordance level of ≥30 percent. The mean gestational age was getting shorter from 35.9 weeks in discordance level of ≤9 percent to 34.8 weeks in discordance level of ≥30 percent. The rate of PTB in twins was increased with increasing degree of birth weight discordance. The PTB rates were 52.1 percent and 70.8 percent, respectively, in subjects with a birth weight discordance of ≤9 percent and in those ≥30 percent. Compared with birth weight discordance of ≤9 percent, odds ratio of PTB was 1.15 (95% confidence interval: 1.07-1.24) in birth weight discordance (20%), and 2.28 (2.02-2.57) in birth weight discordance of ≥30 percent. Conclusions: The risk of PTB was significantly increased with higher degree of intra-twin birth weight discordance of ≥20 percent. Keywords: Twin birth, Birth weight discordance, Preterm birth
Abstract
Objectives: To compare the relationship between intra-twin birth weight discordance and preterm birth (PTB; ≤36 weeks) by analyzing the birth certificated data of Korea Statistics. Methods: The 2009-2013 birth certificated data of Korea Statistics was used for this analysis. There were 31,998 completely matched twin pairs from 67,557 twin birth data. The data of unmatched twin cases, teenage birth, extra-marital birth, non-hospital birth cases, and gestational age and birth weight information missing cases were excluded. Odds ratio and 95 percent confidence intervals were calculated from logistic regression analyses to describe the risk of PTB by the degree of intra twin birth weight discordance (birth weight difference/ birth weight of heavier twin x 100) adjusted for infantile sex, birth order, maternal age, year of birth, and maternal education & occupation. Results: The incidence of intra-twin birth weight discordance was 55.3 percent in discordance level of ≤9 percent, and 4.4 percent in discordance level of ≥30 percent. The mean gestational age was getting shorter from 35.9 weeks in discordance level of ≤9 percent to 34.8 weeks in discordance level of ≥30 percent. The rate of PTB in twins was increased with increasing degree of birth weight discordance. The PTB rates were 52.1 percent and 70.8 percent, respectively, in subjects with a birth weight discordance of ≤9 percent and in those ≥30 percent. Compared with birth weight discordance of ≤9 percent, odds ratio of PTB was 1.15 (95% confidence interval: 1.07-1.24) in birth weight discordance (20%), and 2.28 (2.02-2.57) in birth weight discordance of ≥30 percent. Conclusions: The risk of PTB was significantly increased with higher degree of intra-twin birth weight discordance of ≥20 percent. Keywords: Twin birth, Birth weight discordance, Preterm birth
참고문헌 (29)
- Tough SC, "Effects of in vitro fertilization on low birth weight, preterm delivery, and multiple birth", Journal of Pediatrics, 136(5), pp.618~622 (2000)
- Park SH, "Study on trend of multiple birth in Korea; 1982-1998", Korean Journal of Perinatology, 12(4), pp.449~452 (2001)
- Blondel B, "The increase in multiple births and its consequences on perinatal health", Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 31, pp.725~740 (2002)
- Park SH, "Secular on trends of twin births in Korea; 1981-2006", The Journal of Reproductive Medicine and Population, 22, pp.152~158 (2009)
- Blondel B, "The impact of the increasing number of multiple births on the rates of preterm birth and low birthweight: an international study", American Journal of Public Health, 92(8), pp.1323~1330 (2002)
- Mathews TJ, "Infant mortality statistics from the 2004 period linked birth", infant death data set, 2007, pp.55(14), 1~32[DOI]
- Jakobsson M, "Tapper AM", An International Journal of Obstetrics and Gynaecology, 115(1), pp.38~43 (2008)
- 박상화, "우리나라 후기조기분만 발생 추이에 관한 연구: 1995~2012", 한국모자보건학회지, 18(2), pp.209~217 (2014), 한국모자보건학회
- Bagchi S, "Birth weight discordance in multiple gestations: occurrence and outcomes", Journal of Obstetrics and Gynaecology, 26(4), pp.291~296 (2006)
- Cheung VY, "Preterm discordant twins: what birth weight difference is significant?", American Journal of Obstetrics and Gynecology, 172(3), pp.955~959 (1995)
- Sannoh S, "Risk factors for intrapair birth weight discordance in twins", Journal of Maternal-Fetal & Neonatal Medicine, 13(4), pp.230~236 (2003)
- Breathnach FM, "Definition of intertwin birth weight discordance", Obstetrics and Gynecology, 118(1), pp.94~103 (2011)
- Vergani P, "Preterm twins: what threshold of birth weight discordance heralds major adverse neonatal outcome?", American Journal of Obstetrics and Gynecology, 191(4), pp.1441~1445 (2004)
- Tan H, "The distribution of intra-twin birth weight discordance and its association with total twin birth weight, gestational age, and neonatal mortality", European Journal of Obstetrics & Gynecology and Reproductive Biology, 121(1), pp.27~33 (2005)
- Wen SW, "Prediction of intra-twin birth weight discordance by binary logistic regression analysis", Gynecology and Obstetric Investigation, 62(4), pp.186~192 (2006)
- Malinowski W, "Twin birth weight discordance and risk of preterm birth", Medycyna Wieku Rozwojowe, 7(3 Suppl 1), pp.223~227 (2003)
- Mazher SB, "Twin birth weight discordance: associated factors and outcome", Journal of College Physicians and Surgeons Pakistan, 20(6), pp.391~394 (2010)
- Cooperstock MS, "Twin birth weight discordance and risk of preterm birth", American Journal of Obstetrics and Gynecology, 183(1), pp.63~67 (2000)
- Yang SH, "A comparison of perinatal outcomes according to the degrees of birth weight discordance in twin gestations", Korean Journal of Obstetrics and Gynecology, 41(9), pp.2312~2317 (1998)
- 김나옥, "임신 주수별 쌍태아의 출생 체중 분포", Obstetrics & Gynecology Science, 47(10), pp.1859~1864 (2004), 대한산부인과학회
- 임지은, "출생시 쌍태아간의 체중 차이에 따른 예후 비교", Obstetrics & Gynecology Science, 46(3), pp.1~1 (2003), 대한산부인과학회
- "Micro Data Service System (MDSS)"[URL]
- Wen SW, "Fetal and neonatal mortality among twin gestations in a Canadian population: the effect of intrapair birthweight discordance", American Journal of Perinatology, 22(5), pp.279~286 (2005)
- 박상화, "초·경산부의 출산 연령에 따른 후기조기분만 발생 빈도에관한 연구; 2008~2012년 단태아 인구동태통계 중심으로", 한국모자보건학회지, 19(1), pp.95~102 (2015), 한국모자보건학회
- Harper LM, "Significance of growth discordance in appropriately grown twins", American Journal of Obstetrics and Gynecology, 208(5), pp.393.e1~393.e5 (2013)
- Kramer MS, "Determinants of low birth weight:methodological assessment and meta-analysis", Bulletin of the WHO, 65(5), pp.663~737 (1987)
- Arias F, "Ethology and outcome of low birth weight and preterm infants", Obstetrics and Gynaecology, 60(3), pp.277~281 (1982)
- Miller J, "Discordant twins: diagnosis, evaluation and management", American Journal of Obstetrics and Gynecology, 206(1), pp.10~20 (2012)
- Jacobs AR, "Birth weight discordance and adverse fetal and neonatal outcomes among triplets in the United States", Obstetrics and Gynecology, 101(5Pt 1), pp.909~914 (2003)