Retrospective evaluation of attempted vaginal deliveries in dichorionic twin pregnancies
| Autor: | Omar Shebl, Richard Bernhard Mayer, SH Enzelsberger, Sabine Enengl, Birgit Brandl, Peter Oppelt, Philip Sebastian Trautner |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Twins Birth mode Retrospective data Maternal-Fetal Medicine Twin delivery 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors medicine.artery medicine Humans Clinical significance 030212 general & internal medicine Retrospective Studies 030219 obstetrics & reproductive medicine Second twin Vaginal delivery business.industry Obstetrics Cesarean Section Multiple pregnancies Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Umbilical artery Preterm birth General Medicine Delivery Obstetric Outcome parameter Austria Apgar Score Pregnancy Twin Female Pregnancy Multiple business |
| Zdroj: | Archives of Gynecology and Obstetrics |
| ISSN: | 1432-0711 |
| Popis: | PurposeNumbers of planned cesarean deliveries are increasing in twin pregnancies, despite the lack of evidence for this approach, and the second twin is thought to be at risk for a poorer outcome. The aim of this study was to examine whether twins have a poorer outcome if an attempted vaginal delivery is changed to a cesarean section or combined delivery.MethodsThis retrospective data analysis included all women with dichorionic twin pregnancies attempting vaginal delivery over a 10-year period. Outcome parameters for the first and second twins relative to their mode of birth were compared. A correlation model between the interdelivery time interval and Apgar scores was calculated. Subgroup analyses assessing the birth mode of the first and second twins were conducted.ResultsA total of 248 women were enrolled in the study. The second twins had significantly lower values for outcome parameters, such as umbilical artery cord pH and Apgar scores in comparison with the first twins (P P P P > 0.05).ConclusionAlthough outcome parameters were significantly lower in second twins and twins born via secondary cesarean section, the clinical relevance of this appears to be negligible. |
| Databáze: | OpenAIRE |
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