Relationship between type and weight of placenta and neonate birth weight in twin pregnancy

Authors

  • Małgorzata Waszak University School of Physical Education, Poznań, Poland
  • Krystyna Cieślik University School of Physical Education, Poznań, Poland
  • Joanna Kempiak Perinatology and Gynaecology Department, University of Medical Sciences, Poznań, Poland
  • Grzegorz Bręborowicz Perinatology and Gynaecology Department, University of Medical Sciences, Poznań, Poland
  • Janusz Gadzinowski Neonatal Department, University of Medical Sciences, Poznań, Poland

DOI:

https://doi.org/10.2478/anre-2013-0017

Keywords:

twin pregnancy, birth weight, placental-fetal weight ratio, placental weight, separate placentas, single placenta, twins

Abstract

The relationship between the type and size of placenta and the development of twin fetuses is still discussed in perinatology. The objective of this paper is to answer the question whether the final weight and size of placenta is a limiting factor for fetal growth in twin pregnancy. The study material consisted of 1,261 pairs of fetuses from monochorionic (MC) and dichorionic (DC) twin pregnancies, born by cesarean section between pregnancy weeks 22 and 41 at the Perinatology and Gynecology Department of the Poznan University of Medical Sciences between 2003 and 2009. Histological examination of secundines, placental weights, and birth weight of twins were evaluated, and the newborn condition was assessed by the Apgar score. Statistical evaluation by analysis of variance assessed placental growth related to gestational age and also the effect of placental-fetal weight ratio on neonate clinical condition. We observed an increase in placenta growth until 38 weeks of pregnancy in twins sharing one placenta and until 36 weeks of pregnancy in twins with separate placentas. Between 22 and 35 weeks of pregnancy, the placental-fetal weight ratio in twins sharing one placenta was higher and they were also smaller than twins with separate placentas The placental-fetal weight ratio was comparable in all twins at delivery and was associated with the clinical condition of newborns. Newborns who received an Apgar score of 8 or more 10 minutes post delivery had a lower ratio than neonates with Apgar score equal to or lower than 7 (p≤0.01). Although these latter twins had both smaller placentas and smaller birth weights, their placental-fetal weight ratios were significantly higher than those of twins born in good condition. Placental growth decreases before pregnancy term but does not limit fetal birth weight in twin pregnancy.

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References

Alwasel SH, Abotalib Z, Aljarallah JS, Osmond C, Al Omar SY, Harrath A, Thornburg K, Barker DJ. 2012. The breadth of the placental surface but not the length is associated with body size at birth. Placenta 33(8):619–22.
View in Google Scholar

Ananth CV, VanderWeele TJ. 2011. Placental abruption and perinatal mortality with preterm delivery as a mediator: disentangling direct and indirect effects. Am J Epidemiol 174(1):99–108.
View in Google Scholar

Bleker OP, Wolf H, Oosting J. 1995. The placental cause of fetal growth retardation in twin gestations. Acta Genet Med Gemellol (Roma) 44(2):103–6.
View in Google Scholar

Boyd PA. 1984. Quantitative studies of the normal human placenta from 10 weeks of gestation to term. Early Hum Dev 9:297–307.
View in Google Scholar

Cieślik K. 1999. Matczyne czynniki ryzyka a prawidłowość rozwoju człowieka w okresie prenatalnym. Monografie AWF Poznań, 339.
View in Google Scholar

Coall DA, Charles AK, Salafia CM. 2009. Gross placental structure in a low-risk population of singleton, term, first-born infants. Pediatr Dev Pathol 12(3):200–10.
View in Google Scholar

Eberle AM, Levesque D, Vintzileos AM, Egan JF, Tsapanos V, Salafia CM. 1993. Placental pathology in discordant twins. Am J Obstet Gynecol 169(4):931–5.
View in Google Scholar

Fox H, Sen DK. 1972. Placenta extrachorialis: a clinicopathological study. J Obstet Gynaecol Br Commonw 79:32–5.
View in Google Scholar

Fox H. 1987. The role of the placenta in perinatal mortality. Clinics in Perinatal 2:193–243.
View in Google Scholar

Fox H. 1997. Pathology of the placenta, 2nd edition. Philadelphia: WB Saunders.
View in Google Scholar

Grannum PA, Hobbins IC. 1983. The placenta. In: PW Callen, Ultrasonography in Obstetrics and Gynecology Saunders, 141.
View in Google Scholar

Heinonen S, Taipale P, Saarikoski S. 2001. Weights of placentae from small-for-gestational age infants revisited. Placenta 22(5):399–404.
View in Google Scholar

Hollander H, Mart H. 1968. Intrauterine dickenmessungen der plazenta mittels ultrachalls bei normalen schwangerschaften un bei Rh–incompatibilitat. Geburtschilfe und Frauenheilkunde 28:662.
View in Google Scholar

Iversen DE, Farsund T. 1985. Flow cytometry in the assessment of human placental growth. Acta Obstet Gynecol Scand 64:605–07.
View in Google Scholar

Iwata M, Matsuzaki N, Shimizu I, et al. 1993. Prenatal detection of ischemic changes in the placenta of the growth-retarded fetus by Doppler flow velocimetry of the maternal uterine artery. Obstet Gynecol 82:494–99.
View in Google Scholar

Jaya DS, Kumar NS, Bai LS. 1995. Anthropometric indices, cord length and placental weight in newborns. Indian Pediatr 32(11):1183–8.
View in Google Scholar

Kosińska M, Stoińska B, Gadzinowski J. 2004. Catch-up growth among low birth weight infants. Anthropol Rev 67:87–95.
View in Google Scholar

Lin S, Shimizu I, Suehara N, Nakayama M, Anno T. 1995. Uterine artery Doppler velocimetry in relation to trophoblast migration into the myometrium of the placental bed. Obstet Gynecol 85:760–65.
View in Google Scholar

Lorijn RHV, Longo LD. 1980. Clinical and physiologic implications of increased fetal oxygen consumption. Am J Obstet Gynecol 136:451–57.
View in Google Scholar

Molteni RA. 1984. Placental growth and fetal/ placental weight (F/P) ratios throughout gestation-their relationship to patterns of fetal growth. Semin Perinatol 8(2):94–100.
View in Google Scholar

Oloffson P, Laurini RN, Marsal J. 1993. A high uterine pulsatility index reflects a defective development of placental bed spiral arteries in pregnancies complicated by hypertension and fetal growth retardation. Eur J Obstet Gynecol Reprod Biol 49:161–68.
View in Google Scholar

Robinson JS, Kingstone EJ, Jones CT, Thorburn GD. 1979. Studies of experimental growth retardation in sheep: the effect of removal of endometrial caruncles on fetal size and metabolism. J Dev Physiol 1:379–98.
View in Google Scholar

Roland MC, Friis CM, Voldner N, Godang K, Bollerslev J, Haugen G, Henriksen T. 2012. Fetal growth versus birthweight: the role of placenta versus other determinants. PLoS One 7(6):e39324.
View in Google Scholar

Ruangvutilert P, Titapant V, Kerdphoo V. 2002. Placental ratio and fetal growth pattern. J Med Assoc Thai 85(4):488–95.
View in Google Scholar

Salafia CM, Charles AK, Maas EM. 2006. Placenta and fetal growth restriction. Clin Obstet Gynecol 49(2):236–56.
View in Google Scholar

Salafia CM, Zhang J, Charles AK, Bresnahan M, Shrout P, Sun W, Maas EM. 2008. Placental characteristics and birthweight. Paediatr Perinat Epidemiol 22(3):229–39.
View in Google Scholar

Salafia CM, Zhang J, Miller RK, Charles AK, Shrout P, Sun W. 2007. Placental growth patterns affect birth weight for given placental weight. Birth Defects Res A Clin Mol Teratol 79(4):281–8.
View in Google Scholar

Sands J, Dobbing J. 1985. Continuing growth and development of the third trimester human placenta. Placenta 6:13–22.
View in Google Scholar

Schlensker K H. 1971. Plazentographic mittels ultraschall-Schmitt-bildverfahren. Geburtshilfe und Frauenheilkunde 31:879.
View in Google Scholar

Słomko Z. 1985. Medycyna Perinatalna, tom I, PZWL, Warszawa.
View in Google Scholar

Thame M, Osmond C, Wilks R, Bennett FI, Forrester TE. 2001. Second-trimester placental volume and infant size at birth. Obstet Gynecol 98(2):279–83.
View in Google Scholar

Thame M, Osmond C, Bennett F, Wilks R, Forrester T. 2004. Fetal growth is directly related to maternal anthropometry and placental volume. Eur J Clin Nutr 58(6):894–900.
View in Google Scholar

Wallenburg H. 1971. Chorioangioma of the placenta. Obstet Gynec Surv 26:411.
View in Google Scholar

Yu KM. 1992. Relation between placental morphometry and fetal growth. Zhonghua Fu Chan Ke Za Zhi 27(4):217–9, 250.
View in Google Scholar

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Published

2013-12-30

How to Cite

Waszak, M., Cieślik, K., Kempiak, J., Bręborowicz, G., & Gadzinowski, J. (2013). Relationship between type and weight of placenta and neonate birth weight in twin pregnancy. Anthropological Review, 76(2), 173–182. https://doi.org/10.2478/anre-2013-0017

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