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Gestational hypertensive disease in twin pregnancy: Influence on outcomes in a large national prospective cohort

Overview of attention for article published in Australian & New Zealand Journal of Obstetrics & Gynaecology, June 2016
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  • Good Attention Score compared to outputs of the same age (67th percentile)
  • High Attention Score compared to outputs of the same age and source (86th percentile)

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Title
Gestational hypertensive disease in twin pregnancy: Influence on outcomes in a large national prospective cohort
Published in
Australian & New Zealand Journal of Obstetrics & Gynaecology, June 2016
DOI 10.1111/ajo.12483
Pubmed ID
Authors

Mark P. Hehir, Fionnuala M. Breathnach, Fionnuala M. McAuliffe, Michael P. Geary, Sean Daly, John Higgins, Alyson Hunter, John J. Morrison, Gerard Burke, Shane Higgins, Rhona Mahony, Patrick Dicker, Elizabeth C. Tully, Fergal D. Malone

Abstract

Gestational hypertensive disease (GHD) is associated with pregnancy-related complications and poor maternal and fetal outcomes in singleton pregnancies. We sought to examine the influence of GHD in a large prospective cohort of twin pregnancies. The ESPRIT study was a national multicenter observational cohort study of 1028 structurally normal twin pregnancies. Each pregnancy underwent sonographic surveillance with two-week ultrasound from 24 weeks for dichorionic and from 16 weeks for monochorionic gestations. Characteristics and demographics as well as labour and delivery outcome data were prospectively recorded. Perinatal mortality, admission to the neonatal intensive care unit (NICU) and a composite of morbidity of respiratory distress syndrome, hypoxic ischaemic encephalopathy, periventricular leukomalacia, necrotising enterocolitis and sepsis were documented for all cases. Outcomes for patients with documented GHD (pre-eclampsia and gestational hypertension) were compared with those without GHD. Perinatal outcome data were recorded for 977 patients. Women with GHD had a higher body mass index (27.1 ± 6.4 vs 25.2 ± 4.5, P < 0.0001) than those without and were more likely to be nulliparous (65% (59/92) vs 46% (407/885), P = 0.001). Both groups had similar mean birthweights, but those with GHD were more likely to have a birthweight discordance ≥18% (35% (32/92) vs 20% (179/885), P = 0.001). Rates of caesarean delivery were higher in those twin pregnancies affected by GHD, and while the rate of composite morbidity was similar in both groups, twins in the GHD group had higher rates of NICU admission. In twin gestations, gestational hypertension independently confers an increased risk for emergency caesarean delivery, birthweight discordance and NICU admission, such that intensive maternal-fetal monitoring is justified when hypertension develops in a twin pregnancy.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 86 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 1%
Unknown 85 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 16 19%
Researcher 15 17%
Student > Ph. D. Student 9 10%
Other 7 8%
Student > Master 7 8%
Other 15 17%
Unknown 17 20%
Readers by discipline Count As %
Medicine and Dentistry 42 49%
Nursing and Health Professions 6 7%
Psychology 3 3%
Agricultural and Biological Sciences 2 2%
Sports and Recreations 2 2%
Other 9 10%
Unknown 22 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 January 2020.
All research outputs
#7,356,343
of 25,374,647 outputs
Outputs from Australian & New Zealand Journal of Obstetrics & Gynaecology
#441
of 1,507 outputs
Outputs of similar age
#114,344
of 367,843 outputs
Outputs of similar age from Australian & New Zealand Journal of Obstetrics & Gynaecology
#3
of 22 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 1,507 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one has gotten more attention than average, scoring higher than 69% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 367,843 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 67% of its contemporaries.
We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.