Elective birth at 37 weeks’ gestation for women with an uncomplicated twin pregnancy

Twin Pregnancies Labour Modus and Timing

“…The rates of cerebral palsy are five times higher among twins and ten times higher among triplets, compared with other newborns. The case described in our study with persistent paraplegia was due to fetal hypoxia, cerebral palsy due to placental abruption in the 26th week of pregnancy [58][59][60][61][62][63][64][65].…”

“…Also, there are increased rates of residual development of one fetus, or both of them, congenital abnormalities and complications associated with the Twin to twin Transfusion Syndrome (TTTS). Twin pregnancies complicated by premature birth burden the family financially and psychologically, because it requires the transfer of the pregnant woman or the newborn to tertiary hospitals, which have special intensive care units [58][59][60][61][62][63][64][65]. The incidence of depression is increased in mothers of twins, which requires special attention from the clinical doctor.…”

Twin Pregnancies Labour Modus and Timing

“…The rates of cerebral palsy are five times higher among twins and ten times higher among triplets, compared with other newborns. The case described in our study with persistent paraplegia was due to fetal hypoxia, cerebral palsy due to placental abruption in the 26th week of pregnancy [58][59][60][61][62][63][64][65].…”

“…Also, there are increased rates of residual development of one fetus, or both of them, congenital abnormalities and complications associated with the Twin to twin Transfusion Syndrome (TTTS). Twin pregnancies complicated by premature birth burden the family financially and psychologically, because it requires the transfer of the pregnant woman or the newborn to tertiary hospitals, which have special intensive care units [58][59][60][61][62][63][64][65]. The incidence of depression is increased in mothers of twins, which requires special attention from the clinical doctor.…”

Neonatal respiratory complications in twins at 36–38 weeks of gestation

“…3 According to the Cochrane Review, elective birth at 37 weeks of gestation does not appear to be associated with an increased risk of harm compared with ongoing expectant management for women with uncomplicated twin pregnancies. 27 Stillbirths are more common in twin pregnancies than in singleton pregnancies. 28 In the present study, the rate of fetal deaths after 36 weeks of gestation was 1 (0.1%) and 2 (0.3%) in DCDA and MCDA twins, respectively.…”

“…According to a meta‐analysis on the prospective risk of stillbirth and neonatal complications, delivery should be considered at 37 and 36 weeks for DCDA and MCDA twin pregnancies, respectively 3 . According to the Cochrane Review, elective birth at 37 weeks of gestation does not appear to be associated with an increased risk of harm compared with ongoing expectant management for women with uncomplicated twin pregnancies 27 . Stillbirths are more common in twin pregnancies than in singleton pregnancies 28 .…”

Wide differences in mode of delivery within Europe: risk‐stratified analyses of aggregated routine data from the Euro‐Peristat study

“…In some specific situations, the need for intervention is clear. For others there is ongoing debate, for example about the use of caesarean section for breech presentation, [21][22][23][24][25][48][49][50] multiple births [26][27][28][29][30][31] and women with previous caesarean section. 20,30,31,51,52 The data presented here suggest that for breech births and twin births, practice is associated with factors that influence the overall rate of caesarean section, although the extent of association can differ between countries.…”

Twin Pregnancies Labour Modus and Timing

“…The rates of cerebral palsy are five times higher among twins and ten times higher among triplets, compared with other newborns. The case described in our study with persistent paraplegia was due to fetal hypoxia, cerebral palsy due to placental abruption in the 26th week of pregnancy [58][59][60][61][62][63][64][65].…”

“…Also, there are increased rates of residual development of one fetus, or both of them, congenital abnormalities and complications associated with the Twin to twin Transfusion Syndrome (TTTS). Twin pregnancies complicated by premature birth burden the family financially and psychologically, because it requires the transfer of the pregnant woman or the newborn to tertiary hospitals, which have special intensive care units [58][59][60][61][62][63][64][65]. The incidence of depression is increased in mothers of twins, which requires special attention from the clinical doctor.…”

Neonatal respiratory complications in twins at 36–38 weeks of gestation

“…3 According to the Cochrane Review, elective birth at 37 weeks of gestation does not appear to be associated with an increased risk of harm compared with ongoing expectant management for women with uncomplicated twin pregnancies. 27 Stillbirths are more common in twin pregnancies than in singleton pregnancies. 28 In the present study, the rate of fetal deaths after 36 weeks of gestation was 1 (0.1%) and 2 (0.3%) in DCDA and MCDA twins, respectively.…”

“…According to a meta‐analysis on the prospective risk of stillbirth and neonatal complications, delivery should be considered at 37 and 36 weeks for DCDA and MCDA twin pregnancies, respectively 3 . According to the Cochrane Review, elective birth at 37 weeks of gestation does not appear to be associated with an increased risk of harm compared with ongoing expectant management for women with uncomplicated twin pregnancies 27 . Stillbirths are more common in twin pregnancies than in singleton pregnancies 28 .…”

Wide differences in mode of delivery within Europe: risk‐stratified analyses of aggregated routine data from the Euro‐Peristat study

“…In some specific situations, the need for intervention is clear. For others there is ongoing debate, for example about the use of caesarean section for breech presentation, [21][22][23][24][25][48][49][50] multiple births [26][27][28][29][30][31] and women with previous caesarean section. 20,30,31,51,52 The data presented here suggest that for breech births and twin births, practice is associated with factors that influence the overall rate of caesarean section, although the extent of association can differ between countries.…”

Twin Pregnancies Labour Modus and Timing

“…The rates of cerebral palsy are five times higher among twins and ten times higher among triplets, compared with other newborns. The case described in our study with persistent paraplegia was due to fetal hypoxia, cerebral palsy due to placental abruption in the 26th week of pregnancy [58][59][60][61][62][63][64][65].…”

“…Also, there are increased rates of residual development of one fetus, or both of them, congenital abnormalities and complications associated with the Twin to twin Transfusion Syndrome (TTTS). Twin pregnancies complicated by premature birth burden the family financially and psychologically, because it requires the transfer of the pregnant woman or the newborn to tertiary hospitals, which have special intensive care units [58][59][60][61][62][63][64][65]. The incidence of depression is increased in mothers of twins, which requires special attention from the clinical doctor.…”

Neonatal respiratory complications in twins at 36–38 weeks of gestation

“…3 According to the Cochrane Review, elective birth at 37 weeks of gestation does not appear to be associated with an increased risk of harm compared with ongoing expectant management for women with uncomplicated twin pregnancies. 27 Stillbirths are more common in twin pregnancies than in singleton pregnancies. 28 In the present study, the rate of fetal deaths after 36 weeks of gestation was 1 (0.1%) and 2 (0.3%) in DCDA and MCDA twins, respectively.…”

“…According to a meta‐analysis on the prospective risk of stillbirth and neonatal complications, delivery should be considered at 37 and 36 weeks for DCDA and MCDA twin pregnancies, respectively 3 . According to the Cochrane Review, elective birth at 37 weeks of gestation does not appear to be associated with an increased risk of harm compared with ongoing expectant management for women with uncomplicated twin pregnancies 27 . Stillbirths are more common in twin pregnancies than in singleton pregnancies 28 .…”

Wide differences in mode of delivery within Europe: risk‐stratified analyses of aggregated routine data from the Euro‐Peristat study

“…In some specific situations, the need for intervention is clear. For others there is ongoing debate, for example about the use of caesarean section for breech presentation, [21][22][23][24][25][48][49][50] multiple births [26][27][28][29][30][31] and women with previous caesarean section. 20,30,31,51,52 The data presented here suggest that for breech births and twin births, practice is associated with factors that influence the overall rate of caesarean section, although the extent of association can differ between countries.…”