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Purpose While the optimal delivery method of twin pregnancies is heavily debated, the rate of cesarean deliveries is increasing. This retrospective study evaluates delivery methods and neonatal outcome of twin pregnancies during two time-periods and aims to identify predictive factors for the delivery outcome. Methods 553 twin pregnancies were identified in the institutional database of the University Women’s Hospital Freiburg, Germany. 230 and 323 deliveries occurred in period I (2009–2014) and period II (2015–2021) respectively. Cesarean births due to non-vertex position of the first fetus were excluded. In period II, the management of twin pregnancies was reviewed and adjusted and systematic training and standardized procedures were implemented. Results Period II showed significantly lower rates of planned cesarean deliveries (44.0% vs. 63.5%, p 40 years, nullipara, previous cesarean birth (HR:11.3, p |
