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Prognostic and contributory factor of one fetal growth restriction in dichorionic diamniotic twin pregnancy

Research Project

Project/Area Number 26861339
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Obstetrics and gynecology
Research InstitutionWakayama Medical University

Principal Investigator

Shiro Michihisa  和歌山県立医科大学, 医学部, 助教 (90511577)

Research Collaborator INO Kazuhiko  和歌山県立医科大学, 医学部, 教授
NANJO Sakiko  和歌山県立医科大学, 医学部, 客員研究員
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2014: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords2絨毛膜性2羊膜性双胎 / 胎児発育不全 / 酸化ストレス / 2絨毛膜性双胎妊娠 / 双胎妊娠 / SGA / 2絨毛膜性双胎
Outline of Final Research Achievements

We focused that there were same maternal uterine enviroment in dichorionic diamniotic twin, which had no anastomoses of vessels between two fetus in placenta. We studied perinatal outcome of one fetal growth restriction in dichorionic diamniotic twin pregnancy and valued the level of d-ROMs in the serum of umbilical cord vein. We defined "severe FGR" as under -2.0SD of the gestational age at delivery. In severe SGA group, the proportion of adverse prognosis of smaller twin was statistically higher than larger twin. In the analysis of the serum level of d-ROMs in umbilical cord vein, smaller twin of severe SGA group was higher than larger twin, but not statistically significant. In one fetal growth restriction in dichorionic diamniotic twin, the result of our study suggested that smaller twin of severe SGA was under oxidant stress and it lead to the possibility of adverse prognosis.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (7 results)

All 2018 2017 2016 2015 2014

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (4 results) (of which Int'l Joint Research: 3 results)

  • [Journal Article] Placental mesenchymal dysplasia with severe fetal growth2018

    • Author(s)
      Shoko Jitsumori, Michihisa Shiro, Fumiyoshi Kojima, Nami Ota, Sawako Minami, Kazuhiko Ino
    • Journal Title

      The Journal of Obstetrics and Gynaecology Research

      Volume: in press Issue: 5 Pages: 951-954

    • DOI

      10.1111/jog.13601

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Perinatal outcome of vaginal delivery with epidural analgesia initiated at the early or late phase of labor period: A retrospective cohort study in the Japanese population2018

    • Author(s)
      Michihisa Shiro, Katsutoshi Nakahata, Sawako Minami, Tomoyuki Kawamata, Kazuhiko Ino
    • Journal Title

      The Journal of Obstetrics and Gynaecology Research

      Volume: in press Issue: 8 Pages: 1415-1423

    • DOI

      10.1111/jog.13671

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 妊娠中の耐糖能異常と分娩後の短期的授乳形態に関する後方視的検討2017

    • Author(s)
      城 道久,中田 久実子,太田 菜美,南 佐和子,井箟 一彦
    • Journal Title

      和歌山母性衛生学会誌

      Volume: 2 Pages: 17-20

    • NAID

      40021475408

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] Metastasis to the mammary gland from uterine leiomyosarcoma: a case report.2017

    • Author(s)
      Michihisa Shiro, Ayaha Matsushita, Naoyuki Iwahashi, Shigetaka Yagi, Yasushi Mabuchi, Sawako Minami, Kazuhiko Ino
    • Organizer
      25th Asian & Oceanic Congress of Obstetrics and Gynaecology.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Association between maternal clinical biomarker and neonatal outcome of preterm birth in severity of pathological chorioamnionitis2016

    • Author(s)
      Shiro M, Mitani T, Ota N, Yagi S, Minami S, Ino K
    • Organizer
      RANZCOG 2016 annual scientific meeting
    • Place of Presentation
      Australia, Perth
    • Year and Date
      2016-10-17
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Severe discordancy in dichorionic diamniotic twin potentially shows preterm labor and poor perinatal outcome.2015

    • Author(s)
      M. Shiro, N. Iwahashi, T. Noguchi, T. Yahata, M. Yamamoto, Y. Tanizaki, A. Kobayashi, N. Ota, S. Yagi, S. Minami, K. Ino.
    • Organizer
      IFPA2015
    • Place of Presentation
      Australia, Brisbane
    • Year and Date
      2015-09-06
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] A retrospective study on neonatal outcome of small for gestational age in dichorionic diamniotic twin pregnancy.2014

    • Author(s)
      M. Shiro, M. Yamamoto, N. Ota, S. Yagi, S. Minami, K Ino
    • Organizer
      The 46th International Congress on Pathophysiology of Pregnancy
    • Place of Presentation
      Tokyo in Japan
    • Year and Date
      2014-09-18 – 2014-09-20
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2019-03-29  

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