Elective birth at 37 weeks of gestation versus standard care for women with an uncomplicated twin pregnancy at term: the Twins Timing of Birth Randomised Trial

Optimal Timing for Term Delivery of Twin Pregnancies: A Population-Based Study

“…It took a long time to recruit enough cases for the trials and yielded inconsistent results most likely due to the small samples and consequently low power. [25][26][27] Different groups have previously attempted to shed light on the relationship between neonatal morbidity and gestational age at delivery in term twin pregnancies. In 2012, Dodd et al 22 presented the results of a multicenter randomized controlled trial that compared elective birth at 37 weeks of gestation versus birth after 38 weeks using a composite of serious adverse outcomes for the infant.…”

“…They found that neonates in an elective birth group at 37 weeks of gestation were at significantly lower risk of morbidity when compared with neonates not electively induced at 37 weeks. Although the methodology and results of the study have been questioned, 25,27 other authors have highlighted the conclusions and the contribution of that article. 23 The current study adds to our knowledge base concerning term twin birth.…”

Twin Pregnancies Labour Modus and Timing

“…The explanation for this lies in the fact that the duration of multiple pregnancies after a period of time increases the likelihood of endometrial death. In triplets, in particular, it is reported that after 34 weeks, fetal mortality increases significantly and requires close obstetric monitoring [65][66][67][68].…”

“…Systematic monitoring of multiple pregnancies and the correct guidance of the doctor to the pregnant woman for a conservative lifestyle, are the cornerstone for avoiding prematurity. Ultrasound plays an irreplaceable role in the monitoring of multiple pregnancies, with the timely determination of the number of fetuses, the chorionic villus sampling, the position of the placenta and the continuous assessment of the development of the fetus in terms of weight [65][66][67][68][69][70][71][72][73][74].…”

Authors' response to: Elective birth at 37 weeks of gestation versus standard care for women with an uncomplicated twin pregnancy at term: the Twins Timing of Birth Randomised Trial

“…We thank Dr Dias and Professor Thilaganathan 1 and Professor Welch et al 2 . for their comments on our article 3 …”