{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T10:45:19Z","timestamp":1791801919998,"version":"4.3.4"},"reference-count":0,"publisher":"Sultan Qaboos University","issue":"1","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sultan Qaboos University Medical Journal"],"abstract":"<jats:p>Objectives: This study aimed to evaluate neonatal outcomes associated with birthweight discordance in twin pregnancies managed at a regional tertiary care centre in Oman. Methods: This five-year retrospective cohort study (2020\u20132024) was conducted at Nizwa Hospital, Nizwa, Oman, and included twin pregnancies of \u2265 24 weeks' gestation. Birthweight discordance was defined as \u2265 20%. Multivariable logistic regression analysis was performed, adjusting for gestational age at delivery, chorionicity, preeclampsia and gestational diabetes mellitus. Results: A total of 226 twin pregnancies were included, of which 45 (19.9%) had birthweight discordance \u2265 20%. Discordant pregnancies were delivered at an earlier gestational age than non-discordant pregnancies (34.2 \u00b1 2.9 versus 35.3 \u00b1 2.2 weeks; P = 0.017). NICU admission was more frequent in the discordant group (60.0% versus 31.5%; P &lt;0.001), as was the composite adverse neonatal outcome (62.2% versus 33.1%; P &lt;0.001). Birthweight discordance \u2265 20% remained independently associated with the composite adverse neonatal outcome (adjusted odds ratio [aOR] = 2.74, 95% CI: 1.21\u20136.25; P = 0.016), while increasing gestational age at delivery was protective (aOR = 0.47 per additional week, 95% CI: 0.37\u20130.59; P &lt;0.001). Conclusion: Birthweight discordance \u2265 20% was associated with adverse neonatal outcomes in twin pregnancies, with this association largely mediated by prematurity.<\/jats:p>","DOI":"10.18295\/2075-0528.3011","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:13:11Z","timestamp":1790039591000},"page":"515-521","source":"Crossref","is-referenced-by-count":0,"title":["Neonatal Outcomes in Twin Pregnancies with Birthweight Discordance: &lt;i&gt;A five-year retrospective cohort study&lt;\/i&gt;"],"prefix":"10.18295","volume":"26","author":[{"given":"Marjan","family":"Mahboubi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nizwa Hospital, Nizwa, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadya Mohammed Salim Al","family":"Saeghi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nizwa Hospital, Nizwa, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansa","family":"Dhar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nizwa Hospital, Nizwa, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina Mohamed Abd El","family":"Fatah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nizwa Hospital, Nizwa, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rowaida Elraih Omran","family":"Mensour","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nizwa Hospital, Nizwa, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qamariya Khalfan Saud","family":"Ambu-Saeidi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nizwa Hospital, Nizwa, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7681","published-online":{"date-parts":[[2026,9,16]]},"container-title":["Sultan Qaboos University Medical Journal"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:54:38Z","timestamp":1791798878000},"score":1,"resource":{"primary":{"URL":"https:\/\/mjournal.squ.edu.om\/home\/vol26\/iss1\/64"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,9,16]]}},"URL":"https:\/\/doi.org\/10.18295\/2075-0528.3011","relation":{},"ISSN":["2075-0528"],"issn-type":[{"value":"2075-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]}}}