Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Jan 28, 2025; 17(1): 103111
Published online Jan 28, 2025. doi: 10.4329/wjr.v17.i1.103111
Published online Jan 28, 2025. doi: 10.4329/wjr.v17.i1.103111
Independent risk factors for twin pregnancy adverse fetal outcomes before 28 gestational week by first trimester ultrasound screening
Hui-Ping Zhang, Li Bao, Jing-Jing Wu, Yu-Qing Zhou, Department of Ultrasound, Shanghai Changning Maternity and Infant Health Hospital, East China Normal University, Shanghai 200050, China
Author contributions: Zhang HP and Zhou YQ designed the study; Bao L and Wu JJ collected data; Bao L, Zhang HP and Zhou YQ performed the statistical analysis; Zhang HP wrote the manuscript and all the other authors edited the manuscript; all authors have read and approved the final manuscript.
Supported by Natural Science Foundation of Shanghai, China, No. 22ZR1458200; Medical Ph.D Innovative Talent Base Project of Changning District, Shanghai, China, No. RCJD2021B09; and Key Specialty of Changning District, Shanghai, China, No. 20231004.
Institutional review board statement: The study was reviewed and approved by the Shanghai Changning Maternity and Infant Health Hospital Institutional Review Board, approval No. CNFBLLKTY-IEC-2023-023.
Informed consent statement: Written informed consent was obtained from every patient before ultrasound examination.
Conflict-of-interest statement: The authors declare that they have no conflicts of interests.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Data sharing statement: The data presented in this study can be obtained by contacting the corresponding author with a reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Qing Zhou, MD, Professor, Department of Ultrasound, Shanghai Changning Maternity and Infant Health Hospital, East China Normal University, No. 786 Yuyuan Road, Shanghai 200050, China. doczhou@qq.com
Received: November 13, 2024
Revised: December 24, 2024
Accepted: January 17, 2025
Published online: January 28, 2025
Processing time: 69 Days and 1.3 Hours
Revised: December 24, 2024
Accepted: January 17, 2025
Published online: January 28, 2025
Processing time: 69 Days and 1.3 Hours
Core Tip
Core Tip: Recently, the incidence of twin pregnancy has increased worldwide. Understanding the risk factors for adverse fetal outcomes in twin pregnancy would be helpful for clinical management. We retrospectively analyzed the data of 126 twin pregnancies in the first trimester, including first trimester ultrasound screening findings. Our results showed that monochorionic diamnioticity, higher mean pulsatility index of bilateral uterine arteries and abnormal ultrasound findings during first trimester screening were independent risk factors for adverse fetal outcomes. First trimester ultrasound screening in twin pregnancy is useful for predicting fetal outcomes.