Impact of assisted reproductive technology on birth weight discordance in twins
LI Qiu-Ying, ZHANG Hui, CHEN Qian, SHI Bi-Jun, TAN Xiao-Hua, CUI Qi-Liang
Department of Neonatology, Third Affiliated Hospital of Guangzhou Medical University/Guangzhou Key Laboratory of Neonatal Intestinal Diseases, Guangzhou 510150, China (Zhang H, Email: zhanghuigz@126.com)
Abstract Objective To explore the association between assisted reproductive technology (ART) and birth weight discordance in twins (BWDT). Methods A retrospective analysis was conducted on twin infants born between January 2011 and December 2020 at the Third Affiliated Hospital of Guangzhou Medical University, with complete basic birth data. The impact of ART on the occurrence of BWDT was identified by the multivariate logistic regression analysis. Results A total of 3 974 pairs of twins were included, with 1 431 conceived naturally and 2 543 through ART. Neonates in the ART group had higher birth weights than those in the naturally conceived group (P<0.001). The incidence of BWDT was lower in the ART group compared to the naturally conceived group (16.17% vs 21.09%, P<0.001). The multivariate logistic regression analysis, adjusting for confounding factors such as maternal age, parity, pre-pregnancy body mass index, gestational diabetes, hypothyroidism, gestational age, and chorionic properties, showed no significant difference in the risk of BWDT between the ART and naturally conceived groups (P>0.05). Conclusions ART is not associated with the risk of BWDT.
LI Qiu-Ying,ZHANG Hui,CHEN Qian et al. Impact of assisted reproductive technology on birth weight discordance in twins[J]. CJCP, 2023, 25(12): 1239-1245.
LI Qiu-Ying,ZHANG Hui,CHEN Qian et al. Impact of assisted reproductive technology on birth weight discordance in twins[J]. CJCP, 2023, 25(12): 1239-1245.
Hiersch L, Barrett J, Aviram A, et al. Patterns of discordant growth and adverse neonatal outcomes in twins[J]. Am J Obstet Gynecol, 2021, 225(2): 187.e1-187.e14. PMID: 33508311. DOI: 10.1016/j.ajog.2021.01.018.
Ben-Ami I, Sheena L, Svirsky R, et al. The association of crown-rump length discrepancy with birthweight discordance in spontaneous versus assisted conception dichorionic twins[J]. Prenat Diagn, 2014, 34(8): 748-752. PMID: 24633633. DOI: 10.1002/pd.4359.
Qin JB, Wang H, Sheng X, et al. Assisted reproductive technology and risk of adverse obstetric outcomes in dichorionic twin pregnancies: a systematic review and meta-analysis[J]. Fertil Steril, 2016, 105(5): 1180-1192. PMID: 26801066. DOI: 10.1016/j.fertnstert.2015.12.131.
Esposito G, Cantarutti A, Mauri PA, et al. Prevalence and factors associated with intertwin birth weight discordance among same-sex twins in Lombardy, Northern Italy[J]. Twin Res Hum Genet, 2023, 26(2): 177-183. PMID: 37189213. DOI: 10.1017/thg.2023.17.
Wang AY, Safi N, Ali F, et al. Neonatal outcomes among twins following assisted reproductive technology: an Australian population-based retrospective cohort study[J]. BMC Pregnancy Childbirth, 2018, 18(1): 320. PMID: 30089454. PMCID: PMC6083522. DOI: 10.1186/s12884-018-1949-0.
Wang YA, Nikravan R, Smith HC, et al. Higher prevalence of gestational diabetes mellitus following assisted reproduction technology treatment[J]. Hum Reprod, 2013, 28(9): 2554-2561. PMID: 23814097. DOI: 10.1093/humrep/det270.
Poppe K, Bisschop P, Fugazzola L, et al. 2021 European Thyroid Association guideline on thyroid disorders prior to and during assisted reproduction[J]. Eur Thyroid J, 2021, 9(6): 281-295. PMID: 33718252. PMCID: PMC7923920. DOI: 10.1159/000512790.
Homola W, Florjański J, Królak-Olejnik B, et al. The impact of chorionicity and the type of twin growth on the early neonatal outcome in twin pregnancies: 20 years of experience from one tertiary perinatal center[J]. Taiwan J Obstet Gynecol, 2019, 58(4): 482-486. PMID: 31307737. DOI: 10.1016/j.tjog.2019.05.009.
De Paepe ME, Shapiro S, Young L, et al. Placental characteristics of selective birth weight discordance in diamniotic-monochorionic twin gestations[J]. Placenta, 2010, 31(5): 380-386. PMID: 20303588. DOI: 10.1016/j.placenta.2010.02.018.
Breathnach FM, McAuliffe FM, Geary M, et al. Definition of intertwin birth weight discordance[J]. Obstet Gynecol, 2011, 118(1): 94-103. DOI: 10.1097/AOG.0b013e31821fd208. PMID: 21691168.