Recurrence risk of preterm birth in subsequent singleton pregnancy after preterm twin delivery

Jelle M. Schaaf, Michel H P Hof, Ben Willem J Mol, Ameen Abu-Hanna, Anita C J Ravelli

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Objective: The purpose of this study was to investigate the recurrence risk of preterm birth (<37 weeks' gestation) in a subsequent singleton pregnancy after a previous nulliparous preterm twin delivery. Study Design: We included 1957 women who delivered a twin gestation and a subsequent singleton pregnancy from the Netherlands Perinatal Registry. We compared the outcome of subsequent singleton pregnancy of women with a history of preterm delivery to the pregnancy outcome of women with a history of term twin delivery. Results: Preterm birth in the twin pregnancy occurred in 1075 women (55%) vs 882 women (45%) who delivered at term. The risk of subsequent spontaneous singleton preterm birth was significantly higher after preterm twin delivery (5.2% vs 0.8%; odds ratio, 6.9; 95% confidence interval, 3.1-15.2). Conclusion: Women who deliver a twin pregnancy are at greater risk for delivering prematurely in a subsequent singleton pregnancy.

LanguageEnglish
Pages279.e1-279.e7
JournalAmerican journal of obstetrics and gynecology
Volume207
Issue number4
DOIs
Publication statusPublished - 2012

Keywords

  • preterm birth
  • recurrence risk
  • singleton pregnancy
  • twin pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Schaaf, Jelle M. ; Hof, Michel H P ; Mol, Ben Willem J ; Abu-Hanna, Ameen ; Ravelli, Anita C J. / Recurrence risk of preterm birth in subsequent singleton pregnancy after preterm twin delivery. In: American journal of obstetrics and gynecology. 2012 ; Vol. 207, No. 4. pp. 279.e1-279.e7.
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Recurrence risk of preterm birth in subsequent singleton pregnancy after preterm twin delivery. / Schaaf, Jelle M.; Hof, Michel H P; Mol, Ben Willem J; Abu-Hanna, Ameen; Ravelli, Anita C J.

In: American journal of obstetrics and gynecology, Vol. 207, No. 4, 2012, p. 279.e1-279.e7.

Research output: Contribution to journalArticle

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