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Delayed-interval delivery in multiple gestation pregnancies: neonatal mortality, morbidity, and development
Objective Delayed-interval delivery (DID) is the delivery of the first fetus in a multiple gestation pregnancy without prompt delivery of the remaining fetus(es). We aimed to assess infant outcomes of DID. Study design We performed a retrospective cohort study of infants born 22–28 weeks’ gestation...
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| Published in: | Journal of perinatology 2022-12, Vol.42 (12), p.1607-1614 |
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| Main Authors: | , , , , , , |
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| container_end_page | 1614 |
| container_issue | 12 |
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| container_title | Journal of perinatology |
| container_volume | 42 |
| creator | Bouey, Nicolas J. Saha, Shampa Wilson-Costello, Deanne E. Rysavy, Matthew A. Walsh, Michele Wyckoff, Myra H. Hibbs, Anna Maria |
| description | Objective
Delayed-interval delivery (DID) is the delivery of the first fetus in a multiple gestation pregnancy without prompt delivery of the remaining fetus(es). We aimed to assess infant outcomes of DID.
Study design
We performed a retrospective cohort study of infants born 22–28 weeks’ gestation or weighing 401–1500 g. DID was defined as a passage of >24 h between the birth of firstborn and retained infants. Rates of mortality, morbidity, and developmental outcomes were compared within DID multiples, to other multiples not born by DID, and all infants in the Generic Database and follow-up datasets (excluding DID-born).
Results
DID-born multiples were younger and smaller than other multiples. Retained infants had no significantly different rates of mortality and morbidities compared to their firstborn counterparts, apart from less bronchopulmonary dysplasia.
Conclusions
DID showed no evidence of harm and a potential benefit of decreased bronchopulmonary dysplasia mediated by increased gestational age and birthweight. |
| doi_str_mv | 10.1038/s41372-022-01462-x |
| format | article |
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Delayed-interval delivery (DID) is the delivery of the first fetus in a multiple gestation pregnancy without prompt delivery of the remaining fetus(es). We aimed to assess infant outcomes of DID.
Study design
We performed a retrospective cohort study of infants born 22–28 weeks’ gestation or weighing 401–1500 g. DID was defined as a passage of >24 h between the birth of firstborn and retained infants. Rates of mortality, morbidity, and developmental outcomes were compared within DID multiples, to other multiples not born by DID, and all infants in the Generic Database and follow-up datasets (excluding DID-born).
Results
DID-born multiples were younger and smaller than other multiples. Retained infants had no significantly different rates of mortality and morbidities compared to their firstborn counterparts, apart from less bronchopulmonary dysplasia.
Conclusions
DID showed no evidence of harm and a potential benefit of decreased bronchopulmonary dysplasia mediated by increased gestational age and birthweight.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-022-01462-x</identifier><identifier>PMID: 35906282</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308 ; 692/700/1720 ; Babies ; Birth weight ; Births ; Bronchopulmonary Dysplasia ; Cohort analysis ; Dysplasia ; Female ; Fetuses ; Gestation ; Gestational Age ; Hospitals ; Humans ; Hypertension ; Infant ; Infant Mortality ; Infant, Newborn ; Infants ; Lung diseases ; Medicine ; Medicine & Public Health ; Morbidity ; Mortality ; Neonates ; Newborn babies ; Pediatric Surgery ; Pediatrics ; Pregnancy ; Pregnancy, Multiple ; Retrospective Studies ; Sepsis</subject><ispartof>Journal of perinatology, 2022-12, Vol.42 (12), p.1607-1614</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c381t-3169b863aeed0e89be3c902d0019628a25e9d7329e073ba9e69877fc1abacc8a3</cites><orcidid>0000-0001-7456-4958 ; 0000-0002-1209-6607 ; 0000-0003-3709-2706</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35906282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bouey, Nicolas J.</creatorcontrib><creatorcontrib>Saha, Shampa</creatorcontrib><creatorcontrib>Wilson-Costello, Deanne E.</creatorcontrib><creatorcontrib>Rysavy, Matthew A.</creatorcontrib><creatorcontrib>Walsh, Michele</creatorcontrib><creatorcontrib>Wyckoff, Myra H.</creatorcontrib><creatorcontrib>Hibbs, Anna Maria</creatorcontrib><title>Delayed-interval delivery in multiple gestation pregnancies: neonatal mortality, morbidity, and development</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective
Delayed-interval delivery (DID) is the delivery of the first fetus in a multiple gestation pregnancy without prompt delivery of the remaining fetus(es). We aimed to assess infant outcomes of DID.
Study design
We performed a retrospective cohort study of infants born 22–28 weeks’ gestation or weighing 401–1500 g. DID was defined as a passage of >24 h between the birth of firstborn and retained infants. Rates of mortality, morbidity, and developmental outcomes were compared within DID multiples, to other multiples not born by DID, and all infants in the Generic Database and follow-up datasets (excluding DID-born).
Results
DID-born multiples were younger and smaller than other multiples. Retained infants had no significantly different rates of mortality and morbidities compared to their firstborn counterparts, apart from less bronchopulmonary dysplasia.
Conclusions
DID showed no evidence of harm and a potential benefit of decreased bronchopulmonary dysplasia mediated by increased gestational age and birthweight.</description><subject>692/308</subject><subject>692/700/1720</subject><subject>Babies</subject><subject>Birth weight</subject><subject>Births</subject><subject>Bronchopulmonary Dysplasia</subject><subject>Cohort analysis</subject><subject>Dysplasia</subject><subject>Female</subject><subject>Fetuses</subject><subject>Gestation</subject><subject>Gestational Age</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Infant</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Lung diseases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Pregnancy, Multiple</subject><subject>Retrospective Studies</subject><subject>Sepsis</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UctuFDEQtBCILIEf4IBG4pIDA36NHxyQUB4QKRIXOFseT-_i4LEHe2aV_Xu82RAehxxa3VJVV3epEHpJ8FuCmXpXOGGStpjWIlzQ9uYRWhEuRdt1nD1GKyw5axXj4gg9K-Ua4z0on6Ij1mksqKIr9OMMgt3B0Po4Q97a0AwQ_BbyrvGxGZcw-ylAs4Ey29mn2EwZNtFG56G8byKkaOe6NKZcm593b_Zj74fb0cahym0hpGmEOD9HT9Y2FHhx14_Rt4vzr6ef26svny5PP161jikyt4wI3SvBLMCAQekemNOYDvV9XZ-2tAM9SEY1YMl6q0FoJeXaEdtb55Rlx-jDQXda-hEGV09nG8yU_WjzziTrzb9I9N_NJm2NlpR2hFeBkzuBnH4u1boZfXEQgq2Gl2Ko0EJ1WnJVqa__o16nJcdqz1DJqcZSa11Z9MByOZWSYX3_DMFmn6U5ZGlqluY2S3NTl179beN-5Xd4lcAOhFKhuIH85_YDsr8Awdatzg</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Bouey, Nicolas J.</creator><creator>Saha, 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delivery in multiple gestation pregnancies: neonatal mortality, morbidity, and development</title><author>Bouey, Nicolas J. ; Saha, Shampa ; Wilson-Costello, Deanne E. ; Rysavy, Matthew A. ; Walsh, Michele ; Wyckoff, Myra H. ; Hibbs, Anna Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-3169b863aeed0e89be3c902d0019628a25e9d7329e073ba9e69877fc1abacc8a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>692/308</topic><topic>692/700/1720</topic><topic>Babies</topic><topic>Birth weight</topic><topic>Births</topic><topic>Bronchopulmonary Dysplasia</topic><topic>Cohort analysis</topic><topic>Dysplasia</topic><topic>Female</topic><topic>Fetuses</topic><topic>Gestation</topic><topic>Gestational Age</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Infant</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Lung diseases</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Pregnancy, Multiple</topic><topic>Retrospective Studies</topic><topic>Sepsis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bouey, Nicolas J.</creatorcontrib><creatorcontrib>Saha, Shampa</creatorcontrib><creatorcontrib>Wilson-Costello, Deanne E.</creatorcontrib><creatorcontrib>Rysavy, Matthew A.</creatorcontrib><creatorcontrib>Walsh, Michele</creatorcontrib><creatorcontrib>Wyckoff, Myra H.</creatorcontrib><creatorcontrib>Hibbs, Anna Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE 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perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bouey, Nicolas J.</au><au>Saha, Shampa</au><au>Wilson-Costello, Deanne E.</au><au>Rysavy, Matthew A.</au><au>Walsh, Michele</au><au>Wyckoff, Myra H.</au><au>Hibbs, Anna Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delayed-interval delivery in multiple gestation pregnancies: neonatal mortality, morbidity, and development</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>42</volume><issue>12</issue><spage>1607</spage><epage>1614</epage><pages>1607-1614</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective
Delayed-interval delivery (DID) is the delivery of the first fetus in a multiple gestation pregnancy without prompt delivery of the remaining fetus(es). We aimed to assess infant outcomes of DID.
Study design
We performed a retrospective cohort study of infants born 22–28 weeks’ gestation or weighing 401–1500 g. DID was defined as a passage of >24 h between the birth of firstborn and retained infants. Rates of mortality, morbidity, and developmental outcomes were compared within DID multiples, to other multiples not born by DID, and all infants in the Generic Database and follow-up datasets (excluding DID-born).
Results
DID-born multiples were younger and smaller than other multiples. Retained infants had no significantly different rates of mortality and morbidities compared to their firstborn counterparts, apart from less bronchopulmonary dysplasia.
Conclusions
DID showed no evidence of harm and a potential benefit of decreased bronchopulmonary dysplasia mediated by increased gestational age and birthweight.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>35906282</pmid><doi>10.1038/s41372-022-01462-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7456-4958</orcidid><orcidid>https://orcid.org/0000-0002-1209-6607</orcidid><orcidid>https://orcid.org/0000-0003-3709-2706</orcidid></addata></record> |
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| ispartof | Journal of perinatology, 2022-12, Vol.42 (12), p.1607-1614 |
| issn | 0743-8346 1476-5543 |
| language | eng |
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| source | LexisNexis - News & Business; Springer Link |
| subjects | 692/308 692/700/1720 Babies Birth weight Births Bronchopulmonary Dysplasia Cohort analysis Dysplasia Female Fetuses Gestation Gestational Age Hospitals Humans Hypertension Infant Infant Mortality Infant, Newborn Infants Lung diseases Medicine Medicine & Public Health Morbidity Mortality Neonates Newborn babies Pediatric Surgery Pediatrics Pregnancy Pregnancy, Multiple Retrospective Studies Sepsis |
| title | Delayed-interval delivery in multiple gestation pregnancies: neonatal mortality, morbidity, and development |
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