Is a planned cesarean necessary in twin pregnancies?
| Autor: | Vendittelli , Françoise, Rivière , Olivier, Crenn-Hébert , Catherine, Riethmuller , Didier, Schaal , Jean-Patrick, Dreyfus , Michel, Renseigné , Non |
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| Přispěvatelé: | Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement (PEPRADE), CHU Clermont-Ferrand-Université d'Auvergne - Clermont-Ferrand I (UdA), Chirurgie Gynécologique et Obstétrique (CGO), Hôpital Louis Mourier - AP-HP [Colombes], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Service de Gynécologie-Obstétrique et Médecine de la Reproduction [CHU Caen], Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN)-Tumorothèque de Caen Basse-Normandie (TCBN), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (UR 3181) (CEF2P / CARCINO), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement ( PEPRADE ), Université d'Auvergne - Clermont-Ferrand I ( UdA ) -CHU Clermont-Ferrand, Chirurgie Gynécologique et Obstétrique ( CGO ), Hopital Louis Mourier - AP-HP [Colombes], Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ), Service de Gynécologie - Obstétrique et médecine de la reproduction [Caen], CHU Caen |
| Rok vydání: | 2011 |
| Předmět: |
Databases
Factual Twins Labor Presentation Cohort Studies MESH: Pregnancy Pregnancy MESH: Gestational Age Infant Mortality MESH : Female MESH: Infant Mortality MESH: Surgical Procedures Elective MESH: Cohort Studies reproductive and urinary physiology MESH : Pregnancy Outcome MESH: Infant Newborn Pregnancy Outcome Prenatal Care MESH: Follow-Up Studies MESH : Maternal Age MESH: Cesarean Section [ SDV.BDLR ] Life Sciences [q-bio]/Reproductive Biology MESH: Labor Presentation Elective Surgical Procedures MESH : Delivery Obstetric Female MESH : Sensitivity and Specificity Pregnancy Multiple Maternal Age MESH : Labor Presentation MESH : Surgical Procedures Elective MESH : Cohort Studies MESH: Pregnancy Multiple Gestational Age MESH : Databases Factual MESH : Infant Newborn Sensitivity and Specificity MESH : Prenatal Care MESH : Cesarean Section Humans MESH : Infant Mortality MESH: Prenatal Care MESH: Humans MESH: Twins Cesarean Section MESH : Pregnancy Multiple MESH : Humans Infant Newborn MESH : Follow-Up Studies [SDV.BDLR]Life Sciences [q-bio]/Reproductive Biology MESH: Pregnancy Outcome Delivery Obstetric MESH: Databases Factual MESH : Twins MESH: Sensitivity and Specificity MESH : Pregnancy MESH: Maternal Age MESH: Delivery Obstetric MESH: Female MESH : Gestational Age Follow-Up Studies |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica Acta Obstetricia et Gynecologica Scandinavica, Wiley, 2011, 90 (10), pp.1147-56. ⟨10.1111/j.1600-0412.2011.01130.x⟩ Acta Obstetricia et Gynecologica Scandinavica, 2011, 90 (10), pp.1147-56. ⟨10.1111/j.1600-0412.2011.01130.x⟩ Acta Obstetricia et Gynecologica Scandinavica, Wiley, 2011, 90 (10), pp.1147-56. 〈10.1111/j.1600-0412.2011.01130.x〉 |
| ISSN: | 1600-0412 0001-6349 |
| DOI: | 10.1111/j.1600-0412.2011.01130.x⟩ |
| Popis: | International audience; OBJECTIVE: Evaluation of elective cesarean section for twin delivery as a standard of care. DESIGN: Historical cohort in a national database (2 597 twin pregnancies). SETTING: France. SAMPLE: Twins with first child in cephalic presentation. METHODS: Decision analysis. MAIN OUTCOME MEASURES: All neonatal complications, i.e. death, whether intrapartum or in the delivery room or the immediate postpartum period, or neonatal transfer to intensive (or special) care, or trauma, of one or both twins. RESULTS: When we focused on neonatal complications for either or both twins, the strategy of planned vaginal delivery was preferable; the weight of its decision tree branch was lower than that for planned cesarean (26.5 vs. 31.7). If only twin 2 was considered, vaginal delivery was also preferred (weight of vaginal delivery=27.6 vs. 32.7 for planned cesarean). As long as the morbidity and mortality of twin 1 or twin 2 or both during a cesarean for twin 2 in the case of planned vaginal delivery does not exceed 31.5%, all else being equal, vaginal delivery should be preferred to a planned cesarean for twin 1 and twin 2. The two-variable sensitivity analysis confirmed the robustness of the results. CONCLUSIONS: The results of our study do not support a policy of planned cesarean delivery for twin pregnancies at and after 34 weeks of gestation. Level of evidence: II. |
| Databáze: | OpenAIRE |
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