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[Low weight and endangering of multiple birth infants]
Insights
Multiple pregnancies pose significant risks, leading to higher rates of low birth weight and neonatal mortality. Disproportion between placentas and fetuses can cause cerebral damage in newborns.
Area of Science:
- Obstetrics and Gynecology
- Neonatalogy
- Perinatology
Context:
- Multiple pregnancies are associated with increased fetal risks compared to singleton pregnancies.
- Nutritional insufficiency in multiple pregnancies often leads to hypotrophic development and low birth weight.
- The incidence of low birth weight in multiple births is ten times higher than in all newborns.
Purpose:
- To highlight the heightened risks of fetal survival in multiple pregnancies.
- To underscore the link between placental disproportion and potential fetal cerebral damage.
- To present data on perinatal deaths associated with cerebral damage in low birth weight infants.
Summary:
- Multiple pregnancies significantly increase the risk of fetal hypotrophy and low birth weight.
- Neonatal mortality is eight times higher in multiple births than in singleton births.
- Cerebral damage, linked to birth injury, affects a notable percentage of low birth weight infants from multiple pregnancies.
Impact:
- Informs healthcare providers about critical risks in managing multiple pregnancies.
- Emphasizes the need for specialized care to improve outcomes for multiples.
- Contributes to understanding the etiology of cerebral damage in high-risk newborns.
Abstract:
Multiple pregnancy represents a high risk to the survival of fetuses since insufficient nutrition frequently results in hypotrophic development and low birth weight. The frequency of the occurrence of low birth weight in children from a multiple birth is 10 times higher than in all newborn children and the early noenatal mortality of children froma multiple birth is 8 times higher than that of all newborn infants. The disproportion between the placenta and the fetuses which we usually find in multiple pregnancies may result in the occurrence of cerebral damage. In the period 1965 to 1967 perinatal death associated with cerebral damage by birth injury (recorded on the death certificate) accounted for 5,7% of all children of low birth weight and for 0,2% of children weighing at birth over 2500 g.