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Comparison of Short-Term Outcomes of Late Preterm Singletons and Multiple Births: An Institutional Experience

Division of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, vachharajani{at}kids.wustl.edu

Neeta A. Vachharajani, MD

Division of Abdominal Surgery, Washington University School of Medicine, St. Louis, Missouri

Jeffrey G. Dawson, MD

Division of Newborn Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri

We compare 4 short-term outcomes—namely admission to special care nursery (SCN), length of stay (LOS), age at full feeds (AFF) and respiratory morbidity/need for ventilation—in 1015 late preterm singletons and 366 twins and triplets born at our institution over a 4-year period. Birth weight (BW) and gestational age (GA) rather than plurality of birth determined need for admission to SCN, LOS, AFF, and need for respiratory support. When matched for GA, compared to singletons, twins and triplets needed less admission to SCN and respiratory support at 36 weeks, whereas at 34 weeks, they had longer LOS and took longer to get to full feeds. We conclude that the outcomes of interest are affected by GA and BW rather than plurality.

Key Words: multiple births • late preterm • length of stay • respiratory morbidity

This version was published on November 1, 2009

Clinical Pediatrics, Vol. 48, No. 9, 922-925 (2009)
DOI: 10.1177/0009922809336359


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