Impact of epidural on labor duration and vacuum deliveries in twin gestations

Peretz, Hadar; A, Tal; Garmi, Gali; Zafran, Noah; Romano, Shabtai; Salim, Raed

doi:10.1016/j.midw.2019.03.025

Cited by 2 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As we described in a previous report, 19 the policy at our institution is to support women's decision for a trial of vaginal delivery in cases of vertex presentation of the first twin. Induction of labor, when required, is accomplished by a balloon catheter or amniotomy with or without intravenous oxytocin.…”

Section: Methodsmentioning

confidence: 99%

Neonatal condition at birth of twins conceived by medically assisted reproductive technology compared to those conceived spontaneously: A retrospective study

Nofal

Elgani

Zafran

et al. 2023

Intl J Gynecology & Obste

Self Cite

View full text Add to dashboard Cite

ObjectiveTo examine neonatal outcomes at birth among twins conceived spontaneously or by medically assisted reproduction (MAR).MethodsA retrospective study was conducted at a single university teaching hospital on data collected between January 1995 and September 2019. Live twin deliveries at more than 24 weeks of pregnancy were included. The study group consisted of women who conceived by MAR and the controls were spontaneously conceived twins. The study group was further divided into two groups: in vitro fertilization (IVF) and ovulation induction (OI) groups. The primary outcomes were umbilical artery pH less than 7.1 and/or Apgar score less than 7 of any twin 5 min after birth.ResultsOverall, 2235 eligible twin gestations were included, corresponding to a total of 4470 live neonates; 1009 (45.1%) conceived by MAR (762 [75.5%] IVF and 247 [24.5%] OI) and 1226 (54.9%) conceived spontaneously. Incidence of the primary outcome was 5.3% and 5.1% in the study and control groups, respectively (P = 0.71). The primary outcome was comparable among the IVF (5%), OI (6.2%), and control (5.1%) groups. The results did not change even after adjusting for demographic and obstetric variables, including mode of delivery, which differed between the groups.ConclusionNeonatal condition of twin pregnancies at birth among MAR subgroups is similar to spontaneously conceived twins.

show abstract

Section: Methodsmentioning

confidence: 99%

Neonatal condition at birth of twins conceived by medically assisted reproductive technology compared to those conceived spontaneously: A retrospective study

Nofal

Elgani

Zafran

et al. 2023

Intl J Gynecology & Obste

Self Cite

View full text Add to dashboard Cite

show abstract

An Evidence-Based Approach to Vaginal Birth

Tannous,

Warffuel,

Van Backle

et al. 2024

O&G Open

View full text Add to dashboard Cite

This is a review of evidence-based management of vaginal birth, which is critical to optimizing the outcomes of birthing people and neonates. The current literature supports the use of immediate pushing in the second stage of labor, neuraxial anesthesia administration for vaginal birth for adequate pain control, use of warm compresses in labor to prevent obstetric lacerations, delayed cord clamping for term and preterm neonates, the utility of umbilical cord milking in neonates who require immediate resuscitation, and active management of the third stage of labor with oxytocin administration. In addition, the routine use of episiotomy is shown to increase morbidity without clear evidence of benefit in the setting of spontaneous vaginal delivery or operative vaginal delivery.

show abstract

Impact of epidural on labor duration and vacuum deliveries in twin gestations

Cited by 2 publications

References 12 publications

Neonatal condition at birth of twins conceived by medically assisted reproductive technology compared to those conceived spontaneously: A retrospective study

Neonatal condition at birth of twins conceived by medically assisted reproductive technology compared to those conceived spontaneously: A retrospective study

An Evidence-Based Approach to Vaginal Birth

Contact Info

Product

Resources

About