Abstract
Objective: To describe and compare clinical outcomes of VLBW twins to those singletons infants admitted in the Neocosur data base network. Methods: With data collected on line between 10/2000 and 05/2004, biodemographics information were analyzed. We selected complete twin pairs (260 NB) and compared perinatal outcomes until discharge with singletons. Statistics: chi square (p<0.05) Results: Neocosur network (16 South American centers) enrolled 2,875 VLBW infants with BW between 500-1500 g. Multiple pregnancies represented 17.6% (n= 483). Distribution was as follows: twins: 87% (n= 483), Triplets: 12% (n= 59), Quadruplets: 1% (n= 6). Paired twins have more prenatal care and better Apgar at 1 min. They receive more surfactant and need ventilatory support. NEC and ROP incidence was significative in twins. No difference was found in survival rates. Table 1 Conclusions: Multiple gestation have an important contribution to Neocosur network intensive care units. Twins VLBW compared with singletons show significative major morbidity even perinatal mortality is similar. Some results can be explained for better prenatal control in multiple pregnancy.
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