Time and Mode of Delivery in Twin Pregnancies

Santana, Eduardo Félix Martins; Corrêa, Vivian Melo; Bottura, Isabela; Filho, José Pedro Parise

doi:10.5772/intechopen.80092

Cited by 5 publications

(8 citation statements)

References 58 publications

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“…Delayed childbearing, higher birth orders, and advancements to medically assisted reproduction are widely accepted as reasons for the increasing rates 1 . Twin births are more likely to have complications during birth, to be born prematurely 1–3 and to be born by cesarean section (CS) 3,4 . Additionally, twin births pose a significantly higher risk for maternal complications, including pre‐eclampsia 5 and postpartum hemorrhage 1–3,6 …”

Section: Introductionmentioning

confidence: 99%

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Twin birth rates and obstetric interventions in Iceland: A nationwide study from 1997 to 2018

Ontiveros

Gunnarsdottir

Guðnadóttir

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTwin pregnancies are associated with increased antepartum and intrapartum risks. Limited multiple embryo transfers are associated with decreased twin birth rates. We aimed to study the effect of 2009 Icelandic regulations on twin birth rates and examine obstetric intervention rates for twin births during the study period.MethodsThe study included all births (N = 94 028) in Iceland during 1997–2018. Twin birth rates and obstetric intervention rates were compared over birth year periods using modified Poisson regression adjusted for confounders.ResultsAn observed decrease in the twin birth rate trend was most notable from 2006 until 2009. Twin birth decreased in 2009–2013 (prevalence ratio [PR] 0.74, 95% confidence interval [CI] 0.64–0.86) and in 2014–2018 (PR 0.74, 95% CI 0.64–0.86) compared with 1997–2002. This decrease was only evident for women aged 30+ years in stratified analysis. Induction of labor rates increased from 26% in 1997–2002 to 44% in 2014–2018 (adjusted rate ratio [ARR] 2.10, 95% CI 1.72–2.57) whereas elective cesarean section (ARR 0.80, 95% CI 0.59–1.07) and urgent cesarean section (ARR 0.79, 95% CI 0.63–1.00) rates appeared to decline.ConclusionTwin births decreased during the study period. International guidelines published before the Icelandic regulations may have affected twin birth rates in Iceland. Induction of labor rates for twins increased while cesarean section rates decreased.

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Section: Introductionmentioning

confidence: 99%

“…Twin births are more likely to have complications during birth, to be born prematurely 1–3 and to be born by cesarean section (CS) 3,4 . Additionally, twin births pose a significantly higher risk for maternal complications, including pre‐eclampsia 5 and postpartum hemorrhage 1–3,6 …”

Section: Introductionmentioning

confidence: 99%

Twin birth rates and obstetric interventions in Iceland: A nationwide study from 1997 to 2018

Ontiveros

Gunnarsdottir

Guðnadóttir

et al. 2023

Intl J Gynecology & Obste

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“…Many important factors are involved when determining the delivery method, including women's parity, foetal weight, foetal presentation, inter-twin weight discordance and maternal clinical conditions 6 . Some studies have explained that if both foetuses are in a cephalic presentation, the vaginal mode is preferred 7 . Vaginal delivery is possible if the foetus weighs more than 1500 grams.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting elective cesarean section in women with multiple pregnancy in Caruban, Indonesia

et al. 2022

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Background: Caesarean sections have become the most popular method for delivering twin babies because of the safety concerns associated with a natural birth. This study aims to identify the maternal characteristics and obstetric parameters that serve as risk factors influencing caesarean delivery in twin pregnancies by comparing women delivering via caesarean section and vaginal birth. Methods: A retrospective chart review design was used to analyse 47 women with multiple pregnancies from the medical records at a primary referral hospital in East Java, Indonesia. Women delivering vaginally were then compared with women who underwent a caesarean section to identify any differences between the groups. Results: In our study, more women delivered by caesarean section than by vaginal birth. Women were more likely to undergo a caesarean section if they had a previous history of undergoing a caesarean section. Similar to previous studies, we found that foetal malpresentation significantly increase the risk of caesarean delivery, while labour augmentation decrease the likelihood of caesarean section. There was also a significant difference in maternal age between groups. Conclusions: The percentage of multiple pregnancies delivered via caesarean section is quite high. Other larger cohort study are warranted, since many factors were involved in the decision of caesarean section.

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“…7 Several studies have recommended dichorionic pregnancies around 38 weeks, at 36 weeks for monochorionic (devoid of complications), and 32-34 weeks in cases of single amniotic. 8 The main causes of adverse neonatal outcomes in multiple pregnancies are related to prematurity, fetal growth restriction, and low birth weight.…”

Section: Introductionmentioning

confidence: 99%

Perinatal Outcome of Twins Delivered Vaginally in a Tertiary Care Hospital

Zulfiqar¹,

Sadaf²,

Abbasi³

et al. 2021

JRMC

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Objective: To determine the perinatal outcome of first and second twin delivered vaginally in terms of frequency of poor APGAR score and NICU admission in the patient at term in a tertiary care health facility.Introduction: This study aims to improve the perinatal outcome of twin pregnancies through awareness of the need for antenatal care, the recommendation of regular antenatal visits, early recognition of complications, and the presence of neonatal intensive care facilities to improve neonatal outcome by knowing the burden of adverse outcomes in our population.Materials and Methods: This is a descriptive study, conducted at the Department of Obstetrics and Gynaecology at DHQ Hospital, Rawalpindi from January 2019 to June 2019.A total of 91 individuals (female pregnant ladies) who delivered twins (Dichorionic Diamniotic) babies through normal vaginally were selected for descriptive study in the Department of Obstetrics and Gynaecology, DHQ hospital Rawalpindi. All consecutive patients admitted in the labour ward with twin pregnancies were included. Before delivery, the fetal wellbeing of both the twins was evaluated also by ultrasonography. Data collection was done by interview schedule from the patients. Data were analyzed using descriptive statistics using SPSS version 17. For all the quantitative variables like age, gestational age and intertwine interval in seconds.Results: Out of 6278 deliveries during the study period, 91 twin births gave a frequency of 15.16/1000 births. Patients' mean age was 30.14+2.64 years, and mean gestational age was 37.47+0.72 weeks. The mean inter twin delivery interval (mins) in the study was 23.74+4.75. Perinatal outcome of first and second twin in terms of frequency of poor APGAR score and NICU admission in a patient at term was 09 (9.9%) and 27 (29.7%), (p<0.001) respectively.Conclusion: The study concludes that there was a high risk of perinatal outcomes in the second twin as compared to the first twin delivered vaginally. Poor Apgar score and neonatal intensive care admission were more so for the second twin.

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Time and Mode of Delivery in Twin Pregnancies

Cited by 5 publications

References 58 publications

Twin birth rates and obstetric interventions in Iceland: A nationwide study from 1997 to 2018

Twin birth rates and obstetric interventions in Iceland: A nationwide study from 1997 to 2018

Factors affecting elective cesarean section in women with multiple pregnancy in Caruban, Indonesia

Perinatal Outcome of Twins Delivered Vaginally in a Tertiary Care Hospital

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