Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester

Amy Sierakowski,1 Valsamma Eapen,2,3 Rudi Črnčec,2,3 John Smoleniec4,5 1University of New South Wales, 2School of Psychiatry, University of New South Wales, 3Academic Unit of Infant, Child and Adolescent Psychiatry, Ingham Institute, Liverpool Hospital, South Western Sydney Local Health District, 4...

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Autores principales:	Sierakowski A, Eapen V, Črnčec R, Smoleniec J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	monochorionic diamniotic twin neurodevelopment behaviour long-term outcome Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8c90cc2d1e724f44ab58190b52e71d0a
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spelling	oai:doaj.org-article:8c90cc2d1e724f44ab58190b52e71d0a2021-12-02T08:04:57ZDevelopmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester1178-2021https://doaj.org/article/8c90cc2d1e724f44ab58190b52e71d0a2017-05-01T00:00:00Zhttps://www.dovepress.com/developmental-and-behavioral-outcomes-of-uncomplicated-monochorionic-d-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Amy Sierakowski,1 Valsamma Eapen,2,3 Rudi Črnčec,2,3 John Smoleniec4,5 1University of New South Wales, 2School of Psychiatry, University of New South Wales, 3Academic Unit of Infant, Child and Adolescent Psychiatry, Ingham Institute, Liverpool Hospital, South Western Sydney Local Health District, 4Division of Women’s and Children’s Health, University of New South Wales, Sydney, 5Department of Maternal-Fetal Medicine, Liverpool Hospital, Liverpool, NSW, Australia Background: Relatively little is known about the neurodevelopmental and behavioral outcomes of monochorionic diamniotic (MCDA) twin pregnancies where there are no antenatal complications peculiar to monochorionicity or prematurity.Methods: Twenty-two MCDA twins (44 children) with an average age of 4.3 years, and with no antenatal complications detected by 28 weeks of gestation, were recruited from a feto-maternal unit database. Parents completed a battery of neurodevelopmental and behavioral assessment questionnaires.Results: Eighteen children (41%) were identified as having developmental or behavioral concerns, predominantly of mild severity, which in turn were associated with a lower birth weight of medium effect size (Cohen’s d=0.59).Conclusion: MCDA twins delivered in the third trimester with no antenatal monochorionic complications in the first two trimesters appear to be at risk for subtle neurodevelopmental difficulties, associated with a lower birth weight. Ongoing developmental surveillance of these children during preschool-age is indicated for early identification and intervention. Keywords: monochorionic, diamniotic, twin, neurodevelopment, behavior, long-term outcomeSierakowski AEapen VČrnčec RSmoleniec JDove Medical Pressarticlemonochorionicdiamniotictwinneurodevelopmentbehaviourlong-term outcomeNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1373-1384 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	monochorionic diamniotic twin neurodevelopment behaviour long-term outcome Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	monochorionic diamniotic twin neurodevelopment behaviour long-term outcome Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Sierakowski A Eapen V Črnčec R Smoleniec J Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester
description	Amy Sierakowski,1 Valsamma Eapen,2,3 Rudi Črnčec,2,3 John Smoleniec4,5 1University of New South Wales, 2School of Psychiatry, University of New South Wales, 3Academic Unit of Infant, Child and Adolescent Psychiatry, Ingham Institute, Liverpool Hospital, South Western Sydney Local Health District, 4Division of Women’s and Children’s Health, University of New South Wales, Sydney, 5Department of Maternal-Fetal Medicine, Liverpool Hospital, Liverpool, NSW, Australia Background: Relatively little is known about the neurodevelopmental and behavioral outcomes of monochorionic diamniotic (MCDA) twin pregnancies where there are no antenatal complications peculiar to monochorionicity or prematurity.Methods: Twenty-two MCDA twins (44 children) with an average age of 4.3 years, and with no antenatal complications detected by 28 weeks of gestation, were recruited from a feto-maternal unit database. Parents completed a battery of neurodevelopmental and behavioral assessment questionnaires.Results: Eighteen children (41%) were identified as having developmental or behavioral concerns, predominantly of mild severity, which in turn were associated with a lower birth weight of medium effect size (Cohen’s d=0.59).Conclusion: MCDA twins delivered in the third trimester with no antenatal monochorionic complications in the first two trimesters appear to be at risk for subtle neurodevelopmental difficulties, associated with a lower birth weight. Ongoing developmental surveillance of these children during preschool-age is indicated for early identification and intervention. Keywords: monochorionic, diamniotic, twin, neurodevelopment, behavior, long-term outcome
format	article
author	Sierakowski A Eapen V Črnčec R Smoleniec J
author_facet	Sierakowski A Eapen V Črnčec R Smoleniec J
author_sort	Sierakowski A
title	Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester
title_short	Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester
title_full	Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester
title_fullStr	Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester
title_full_unstemmed	Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester
title_sort	developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/8c90cc2d1e724f44ab58190b52e71d0a
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Developmental and behavioral outcomes of uncomplicated monochorionic diamniotic twins born in the third trimester

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