Iron stocks and risk of anemia in twins

This study aims to compare the risk of anemia by iron deficiency in mothers and infants of twin and single pregnancy. It concerned 33 couples of twins and 31 control, all 97 being term newborns. At birth, ferritinemia is significantly lower in twins, and reticulocytes count is significantly higher; their mothers have a significantly lower hemoglobin level and higher reticulocytes percentage and count. At 3 and 6 months, hemoglobin level and mean corpuscular hemoglobin are significantly lower in twins, as at 6 months ferritinemia is significantly lower in twins. Iron stocks constituted in utero are significantly lower in twin pregnancy, and this study support the early preventive iron treatment in twins.     

Long-Term Neurodevelopmental Outcome of Monochorionic and Matched Dichorionic Twins

Background

Monochorionic (MC) twins are at increased risk for perinatal mortality and serious morbidity due to the presence of placental vascular anastomoses. Cerebral injury can be secondary to haemodynamic and hematological disorders during pregnancy (especially twin-to-twin transfusion syndrome (TTTS) or intrauterine co-twin death) or from postnatal injury associated with prematurity and low birth weight, common complications in twin pregnancies. We investigated neurodevelopmental outcome in MC and dichorionic (DC) twins at the age of two years.

Methods

This was a prospective cohort study. Cerebral palsy (CP) was studied in 182 MC infants and 189 DC infants matched for weight and age at delivery, gender, ethnicity of the mother and study center. After losses to follow-up, 282 of the 366 infants without CP were available to be tested with the Griffiths Mental Developmental Scales at 22 months corrected age, all born between January 2005 and January 2006 in nine perinatal centers in The Netherlands. Due to phenotypic (un)alikeness in mono-or dizygosity, the principal investigator was not blinded to chorionic status; perinatal outcome, with exception of co-twin death, was not known to the examiner.

Findings

Four out of 182 MC infants had CP (2.2%) - two of the four CP-cases were due to complications specific to MC twin pregnancies (TTTS and co-twin death) and the other two cases of CP were the result of cystic PVL after preterm birth - compared to one sibling of a DC twin (0.5%; OR 4.2, 95% CI 0.5–38.2) of unknown origin. Follow-up rate of neurodevelopmental outcome by Griffith''s test was 76%. The majority of 2-year-old twins had normal developmental status. There were no significant differences between MC and DC twins. One MC infant (0.7%) had a developmental delay compared to 6 DC infants (4.2%; OR 0.2, 95% 0.0–1.4). Birth weight discordancy did not influence long-term outcome, though the smaller twin had slightly lower developmental scores than its larger co-twin.

Conclusions

There were no significant differences in occurrence of cerebral palsy as well as neurodevelopmental outcome between MC and DC twins. Outcome of MC twins seems favourable in the absence of TTTS or co-twin death.     

Developmental changes in food transfers in cotton-top tamarins (Saguinus oedipus)

We investigated the development of food transfer and independent feeding in cotton-top tamarin (Saguinus oedipus) families. We studied the relationship between infant-directed vocalizations and food transfers on the development of independent feeding in infants. We experimentally tested ten infants (eight twins and two singletons) three times a week for 17 weeks from before weaning through 20 weeks. Food transfers and vocalizations made during tests were recorded and analyzed to determine (1) the role of vocalizations (C- and D- chirps and D-chirp series) in food acquisition, (2) the relationship between food transfers and individual food acquisition, and (3) whether, owing to energetic costs of nursing and carrying twins, food is transferred to twins sooner than to singletons. Infants were more successful in acquiring food via begging when adults produced repeated vocalizations than when adults did not vocalize. Adults emitted more food-related vocalizations in rapid series when in the presence of infants, whereas during feeding in the absence of infants only single unit vocalizations were produced. Begging occurred frequently. Changes over infant age were not significant when all infants were included in analysis. However, when twin data were analyzed alone, begging success changed significantly over months, with successful begging peaking in month 3 (week 12). Begging success rate did not differ between twins and singletons, although twins fed independently sooner and at a higher rate than did singletons.     

The outcome of twin pregnancies complicated by single fetal death after 20 weeks of gestation.

A retrospective study involving 972 twin births was conducted to evaluate the maternal and fetal outcomes of twin pregnancies complicated by single fetal death. The incidence of single fetal death in twin pregnancies after 20 weeks was 3.3%. Preterm birth rates for 37 and 32 gestational weeks were 81.3% and 41.6% respectively. The median interval between the diagnosis of fetal death and the delivery was 11 days (range 1-27 days). Eighteen (56%) infants were delivered by cesarean and 14 (43%) vaginally. Twin-twin transfusion syndrome (TTTS) was the cause of single fetal death in 8 of 32 twin pregnancies (25%). Ten of the surviving co-twins were lost in the neonatal period (31.3%) and half of those neonatal deaths were due to TTTS. TTTS is the major contributor for perinatal mortality in same-sex twins complicated by single fetal death. The death of one twin in utero should not be the only indication for preterm delivery, and in case of severe prematurity with a stable intrauterine environment; expectant management may be advisable until fetal lung maturation ensues.     

Costs of twins in free-ranging white-bellied spider monkeys (Ateles belzebuth belzebuth) at Tinigua National Park, Colombia

A female spider monkey (Ateles belzebuth belzebuth) that gave birth to twins was studied during 13 months, and her activity budget and diet were compared to those of females with single offspring and females with no offspring to assess selective pressures that could influence litter size. We recorded qualitative information on the development and social interactions of the twins and three other single infants. Emi, the female that had the twins, had the highest proportion of resting time and the lowest proportion of feeding and moving time compared to other adult females and males. Emi also had the lowest average daily travel distance and relied more heavily on flowers and leaves than other group members who included a higher proportion of fruits in their diets. These results suggest that twins are energetically costly to spider monkeys because of the direct energy allocated into raising and carrying the twins and, also, because these costs have direct effects in the ability of a mother to obtain high-quality resources (e.g., fruits). The twins had a slower rate of physical and social development as well as a smaller body size compared to same-aged singletons by the end of the study. Thus, the extended periods of maternal care and the costs associated with rearing and carrying offspring are some of the factors that influence the evolution and maintenance of a litter size of one in most anthropoid primates.     

The behaviour of twin rhesus monkeys and comparisons with the behaviour of single infants

Twin rhesus monkeys, born in a laboratory cage, were reared alone with their mother for a year. Observations were made of mother-infant interactions. Differences between the infants which concerned the amount of time spent off the mother seem to have been due to differences in the behaviour of the mother towards the two twins, whereas differences between measures of behaviour while off the mother seem to have been due to differences between the twins. The twins also differed in activity and in responses to mildly frightening or strange situations. The behaviour of the twins was compared with that of two single infants reared under the same cage conditions and also alone with their mothers. Some differences were found between the twins and the singles in mother-infant interaction, and there were also some differences in activity and in responses to mildly frightening or strange situations.     

Plasma prolactin concentrations during the ovarian cycle and lactation and their relationship to return of fertility post partum in the common marmoset (Callithrix jacchus)

A heterologous double-antibody radioimmunoassay was used to measure plasma prolactin concentrations in 27 marmosets. The assay was valid for the marmoset because plasma levels of prolactin were increased in response to TRH and metoclopramide and suppressed in response to bromocriptine treatment. During the cycle there were no consistent changes in plasma prolactin concentrations. During lactation mothers suckling single or twin infants had higher prolactin levels than did non-suckling females and levels were highest with twins. No statistically significant delay in the resumption of ovulation post partum was observed for the suckling and non-suckling females; conception occurred in all but one marmoset by 70 days post partum. These results show that neither the suckling stimulus nor high levels of prolactin post partum delay the return of ovulation and fertility in the common marmoset, a result in contrast to that for all other primate species so far investigated.     

The ontogeny of nursing in Babyrousa babyrussa and a comparison with domestic pigs

The nursing behavior of eight babirusa (Babyrousa babyrussa) infants was studied. Four were from single births and four were from twin births. The age at weaning, the time of day and number of nursing bouts per day, the mean duration of nursing bouts, and whether the offspring or the dam ended nursing bouts were all examined. It was found that although twins are weaned earlier than single offspring, there were no other statistically significant differences in nursing behavior of single and twin offspring. The ontogeny of nursing behavior in this species is described and some comparisons are made between the nursing behavior of babirusa and nursing in the domestic pig (Sus scrofa) and selected suids. Babirusa dams take longer to wean their offspring, allow them to nurse longer, and end nursing bouts less often than domestic pigs. The differences in behavior between babirusa and domestic pig nursing behavior may be related to differences in the number of offspring produced by the two species and the amount of parental investment in each offspring. Zoo Biol 19:253–262, 2000. © 2000 Wiley‐Liss, Inc.     

The outcome of twin pregnancies in mares

Brood-farm veterinarians were surveyed and theriogenology records were examined to obtain information on the natural outcome of rectally-diagnosed twin pregnancies. Four of the veterinarians estimated that 50% of mares with twin embryos had single foals. In the analyses of palpation records, 31 53 (58%) of the diagnosed twin pregnancies terminated in birth of one foal. However, the loss of one embryo without the loss of the other occurred significantly more often before day 40-42 (30 53 ; 57%) than after day 40-42 (1 16 ; 6%). Of the remaining 15 mares with diagnosed twins at day 40-42, 5 had two foals and 10 had no foals. The methods used for intervention when twins were diagnosed were unsatisfactory. Complete termination of pregnancy with a prostaglandin or an intrauterine flushing resulted in failure to reestablish a singleton pregnancy during the operational breeding season in 10 11 mares. Attempts to eliminate one embryo resulted in loss of both in 6 7 mares. The results indicated that, at the present time, nonintervention should be given more consideration as a method of handling twin pregnancies.     

Menstrual characteristics of mothers of twins

The menarcheal age and frequency of menstrual disorders in mothers of dizygotic (DZ) and monozygotic (MZ) twins born in Denmark in 1984 or 1985 were compared with a control sample of mothers of singleton infants born in the same period. Compared to control mothers, mothers of DZ twins had a lower menarcheal age and a lower frequency of menstrual irregularities--menstrual cycles exceeding 5 weeks duration, varying length of menstrual cycles and episodes of menostasia. Mothers of MZ twins had a higher frequency of intermenstrual bleeding compared to mothers of singletons. All results were adjusted for maternal age and parity. The findings are relevant to the interpretation of aetiological factors leading to twin births and support the hypothesis of differences in sex hormone activity of the mothers of DZ twins in comparison with other women.     

Intrauterine growth restriction in like-sex twins discordant for structural defects

BACKGROUND: An increased risk for intrauterine growth restriction in the affected member of like-sex twin pairs discordant for hypospadias has been reported. The purpose of this study was to document patterns of birth weight disparities in like-sex twins discordant for a variety of structural defects in order to determine if this is a general phenomenon seen in twins who are discordant for any malformation, is seen only in pairs discordant for certain specific malformations, or is unique to hypospadias. METHODS: Data were extracted from the Latin American Collaborative Study of Congenital Malformations (ECLAMC). Between 1967 and 1999, all like-sex twin pairs discordant for hypospadias or any other isolated defect that met the criteria of at least 5 discordant pairs for which birth weight was available on both twins were selected. All nonmalformed like-sex twin pairs in the ECLAMC data base collected over the same study years were selected as controls. RESULTS: A total of 216 discordant malformed like-sex twin pairs in 13 defect categories and 328 nonmalformed like-sex twin pairs met the criteria for inclusion. The proportion of affected infants who were > or =20% smaller than their co-twin was statistically significantly different from controls for hypospadias, heart defects, anencephaly, and esophageal atresia. CONCLUSIONS: Intrauterine growth restriction seen in the affected member of like-sex twin pairs discordant for hypospadias is not unique, but occurs as well in at least 3 additional structural malformations.     

Contribution of twin pregnancy to perinatal mortality and fetal growth retardation; reversal of growth retardation after birth.

A survey of factors associated with perinatal mortality in 511 twins and fetal growth retardation and its reversal in 262 twins is presented. The incidence of stillbirth was almost 50% higher in twins than in singletons and the neonatal mortality was six times as high. Eighty percent of the neonatal deaths occurred in infants born prior to or at 30 weeks of gestation; 93% of the deaths were in infants weighing less than 1500 g and 75% occurred within 48 hours of birth. Fetal malnutrition was the main cause of stillbirth, and respiratory distress syndrome and asphyxia neonatorum were the main causes of neonatal death. One quarter of the twins had fetal growth retardation, a prevalence 10 times that in singletons. In almost all, the growth retardation was reversed by high-energy feedings. Although twins represented only 1% of all pregnancies and 2% of live births, they composed 12% of infants with early neonatal death and 17% of growth-retarded infants. A program is suggested for reduction of twin mortality and morbidity.     

Twin births to mothers who are twins: a registry based study.

OBJECTIVES: To estimate the risk of having twin infants for mothers who are twins; to investigate the genetic influence on twinning. DESIGN: Retrospective study of multiple births in two nationwide registries. SETTING: Sweden. SUBJECTS: Multiple births among 31,586 deliveries between 1973 and 1991 to women who were twins. MAIN OUTCOME MEASURES: Numbers of monozygotic and dizygotic twin births expected and estimated. RESULTS: Women who are dizygotic twins have a moderately increased risk of having twins (relative risk 1.30, 95% confidence interval 1.14 to 1.49) which seems to be completely the result of dizygotic twinning. When a mother is a monozygotic twin, her risk of having twins of the same sex is significantly increased (1.47; 1.10 to 1.97). This is the result of an excess of monozygotic twins (39 pairs estimated, 18 expected). CONCLUSIONS: Women who are twins have an increased risk of giving birth to twins. Genetic components of monozygotic and dizygotic twinning seem to be independent.     

Assortative mating in monozygotic twins

Abstract

This study investigated assortative mating in a series of monozygotic twins in terms of anthropométrie variables. Initially the twins were analyzed independent of each other, and the results showed fairly clear homogamy among female MZ twins and their spouses, after correcting for age. Further, when stature was partialled out, several anthropometric measures remained significantly correlated. The results for male MZ twins and their spouses were not nearly so clear‐cut. A second analysis treated the co‐twins together, and once again, the female MZ sets tended to show assortative mate choice for stature while the male MZ twins/spouses were not significantly correlated. A follow‐up analysis investigated whether husbands of the female twins were correlated to each other, and negative results were found for all of the 46 anthropometric variables. An apparent contradiction was resolved in the case of stature by regressing spouse stature against that of the co‐twins. It was found that although each of the twins was assortatively mating, one member of the twin set consistently married a taller husband, but the difference was not constant. This had the effect of producing divergent regression lines.     

Mother-infant interactions in slow lorises (Nycticebus bengalensis) and pygmy lorises (Nycticebus pygmaeus)

The study had three purposes: (1) to obtain information about mother-infant interactions in a rarely studied nocturnal prosimian, the pygmy loris (Nycticebus pygmaeus); (2) to compare pygmy lorises with a closely related and better-studied nocturnal prosimian, the Bengal slow loris (Nycticebus bengalensis); and (3) to determine how the presence of a second offspring affected mother-infant interactions in pygmy lorises. Three Bengal slow loris mothers and 3 pygmy loris mothers served as subjects, along with their 10 offspring (4 Bengal slow loris singletons, 2 pygmy loris singletons and 2 sets of pygmy loris twins). Observations were carried out in a zoo research facility for the first 24 weeks of the infants' lives. Although the two species differ in size and reproductive patterns, mother-infant interactions were similar. The primary modes of infant and adult contact were ventral and passive contact, respectively. Mothers parked their infants from the first week, and infants followed from the second week. Mothers displayed little protection or rejection, and there was little aggression. Infants solicited play and social grooming from their mothers. Pygmy loris mothers engaged in social grooming and play with their infants more frequently and for longer periods if the infant was a singleton rather than a twin.     

The occurrence of twins and accompanying behavioural changes in the banded langur,Presbytis melalophos

The occurrence of twins in arboreal Old World monkeys and apes is extremely rare. A wild adult femalePresbytis melalophos, however, gave birth to female twins. This stimulated many patterns of behaviour which were rare or absent when single infants were born. Allomothering increased greatly and maltreatment of twins by allomothers was common, even though this was never observed with single infants. Results indicate that the amount of allomothering inP. melalophos is normally controlled by the mother rather than by potential allomothers. The behaviour of the twins also differed from that of single infants. Except when they were taken by allomothers, the twins moved away from their mother much less than did single infants by their second month of life.     

Behavioural development of twin siamangs (Hylobates syndactylus)

Multiple births are very rare among gibbons. The birth of siamang twins at the Zürich Zoo in 1992 therefore presented a valuable opportunity to observe the development of the twins and to contrast it with a survey of previous reports on the development of single offspring of siamang and gibbons of thelar group. Furthermore, the hypothesis that the presence of twins among siamang may facilitate the occurrence of helping behaviour (defined as the care of offspring by individuals other than their parents) was re-examined (Dielentheis et al., 1991). The Zürich twins (one male and one female) were observed for a total of 74 hr during their first year of life. The results show that: (1) The twins exhibited more rapid behavioural development than that reported for single offspring. (2) A clear difference between the twins was observed: the female twin developed more rapidly than the male. (3) Neither the twins' father nor their older sisterRama was ever observed carrying the twins. The hypothesis ofDielentheis et al. (1991) is hence not supported by the present study, although it is possible that the older sisterRama did not carry the twins because she was younger than the juvenile in that study. (4) Siamangs may have a longer maturation period than gibbons of thelar group.     

Glucose Tolerance and Serum Insulin in Identical Twins of Diabetics

Glucose tolerance with serum insulin assay has been carried out in 24 apparently unaffected identical twins of diabetics. Glucose values were significantly higher and insulin values significantly lower than in control subjects, but there was considerable individual variation and in half the cases glucose tolerance was normal. There was no case of increased insulin response. In these twins glucose tolerance and insulin response were not correlated with weight, family history of diabetes, age at diagnosis of diabetes in the affected twin, time since that diagnosis, nor with age at testing the unaffected twin. On retesting 12 of the twins after two years no significant differences were found from the first testing.We conclude that not all these twins are likely to develop diabetes, that the assumption that identical twins of diabetics are necessarily “prediabetic” is probably erroneous, and that factors other than genetic ones are important in the aetiology of diabetes.     

Multi-fetal pregnancy reduction does not influence perinatal results in twin pregnancies.

The objective of this study was to compare perinatal results in multifetal pregnancies where the reduction to twins was performed with non-reduced twin pregnancies. Perinatal results in 99 sets of twins after transabdominal multifetal pregnancy reduction of triple and higher-order multiple pregnancies performed in a single center were compared with a control group consisting of 151 twin pregnancies conceived in the same time period after infertility treatment, which were not a result of reduction. The main outcome measures were length of pregnancies, weight of the newborns, percentage of miscarriages and the mode of the delivery were analyzed. No significant difference could be found at a 5% level of significance regarding the average duration of pregnancy or average weight of the twins. Fisher test on 5% significance level did not ascertain any significant difference in the probability of miscarriage between the group with reduction (5.26%) and the group without reduction (12.84%). At a 5% level of statistical significance, no significant difference in probability of perinatal death of the fetus or delivery of a stillborn fetus was found. The percentage of cesarean sections did not differ significantly in both groups. The analysis of both groups demonstrated that reduction of multifetal pregnancies to twins may not influence perinatal results in comparison to twin pregnancies where reduction was not performed.     

Statistical Analyses of Twins Birth Data from a Nigerian Sample

In this paper, both the linear logistic model and its analogous linear model (weighted least squares) are fitted to twin birth data from a Nigerian sample. The logits of the observed perinatal mortality rates are fitted against the birthweight of breech infants for both first born and second born twins. Results show that a quadratic response model fits the data very well, and that the WLS procedure gives a better fit. The results further show that breech births necessarily result in 7.7% and 11.2% mortality rates respectively for first born and second born twins. The results of a log-linear model analysis on the 2×2×4 contingency table formed by the factors, ‘mode of birth’, and twins with the response variable ‘Apgar Scores’-an index of morbidity-also show that both factors play significant roles in explaining the variation of the response variable. It was found that the most important factor effecting the ability of a twin infant to survive as measured by the Apgar scores is the variable ‘mode of birth’ (vertex or breech). In other words, a vertex first twin infant has the best survival chance.