Does risk of preeclampsia differ by twin chorionicity?

Teresa N. Sparks, Yvonne W. Cheng, Ngoc Phan, Aaron Caughey

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: Examine whether dichorionic (DC) and monochorionic (MC) twins exhibit different rates and severity of preeclampsia. Methods: Retrospective cohort study of 695 twin pregnancies from 2002 to 2007. DC pregnancies were compared to MC pregnancies, with the primary outcome of interest being development of preeclampsia, and the secondary outcome being severity of preeclampsia. Chi square test compared proportions and multivariable analyses controlled for potential confounders. Results: Any preeclampsia developed in 21.1% (104/492) of DC and 10.8% (22/203) of MC pregnancies (p=0.001), mild preeclampsia in 13.8% (68/492) of DC and 4.9% (10/203) of MC pregnancies (p=0.001) and severe preeclampsia in 7.3% (36/492) of DC and 5.9% (12/203) of MC pregnancies (p=0.506). DC pregnancies showed higher odds of mild preeclampsia compared to MC pregnancies (aOR 5.85, 95% CI 1.31-26.13) after controlling for several potential confounders including gestational age at delivery. Conclusions: A statistically significant larger proportion of women with DC twins developed any preeclampsia, and specifically mild preeclampsia, compared to those with MC twins. Additionally, after controlling for several potential confounders, women with DC pregnancies demonstrated higher odds of developing mild preeclampsia compared to those with MC pregnancies. Mechanisms of preeclampsia development may differ by twin chorionicity.

Original languageEnglish (US)
Pages (from-to)1273-1277
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume26
Issue number13
DOIs
StatePublished - Sep 2013

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Pre-Eclampsia
Pregnancy
Twin Pregnancy
Chi-Square Distribution
Gestational Age
Cohort Studies
Retrospective Studies

Keywords

  • Chorionicity
  • Multiple gestation
  • Preeclampsia
  • Twins

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Does risk of preeclampsia differ by twin chorionicity? / Sparks, Teresa N.; Cheng, Yvonne W.; Phan, Ngoc; Caughey, Aaron.

In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 26, No. 13, 09.2013, p. 1273-1277.

Research output: Contribution to journalArticle

Sparks, Teresa N. ; Cheng, Yvonne W. ; Phan, Ngoc ; Caughey, Aaron. / Does risk of preeclampsia differ by twin chorionicity?. In: Journal of Maternal-Fetal and Neonatal Medicine. 2013 ; Vol. 26, No. 13. pp. 1273-1277.
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abstract = "Objective: Examine whether dichorionic (DC) and monochorionic (MC) twins exhibit different rates and severity of preeclampsia. Methods: Retrospective cohort study of 695 twin pregnancies from 2002 to 2007. DC pregnancies were compared to MC pregnancies, with the primary outcome of interest being development of preeclampsia, and the secondary outcome being severity of preeclampsia. Chi square test compared proportions and multivariable analyses controlled for potential confounders. Results: Any preeclampsia developed in 21.1{\%} (104/492) of DC and 10.8{\%} (22/203) of MC pregnancies (p=0.001), mild preeclampsia in 13.8{\%} (68/492) of DC and 4.9{\%} (10/203) of MC pregnancies (p=0.001) and severe preeclampsia in 7.3{\%} (36/492) of DC and 5.9{\%} (12/203) of MC pregnancies (p=0.506). DC pregnancies showed higher odds of mild preeclampsia compared to MC pregnancies (aOR 5.85, 95{\%} CI 1.31-26.13) after controlling for several potential confounders including gestational age at delivery. Conclusions: A statistically significant larger proportion of women with DC twins developed any preeclampsia, and specifically mild preeclampsia, compared to those with MC twins. Additionally, after controlling for several potential confounders, women with DC pregnancies demonstrated higher odds of developing mild preeclampsia compared to those with MC pregnancies. Mechanisms of preeclampsia development may differ by twin chorionicity.",
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