Twin births: Cesarean section or vaginal delivery?

Elise Hoffmann*, Anna Oldenburg, Line Rode, Ann Tabor, Steen Rasmussen, Lillian Skibsted

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstract

Objective. To assess morbidity and mortality in twin pregnancy deliveries, according to chorionicity and mode of delivery. Design. Population-based retrospective cohort. Setting. Fourteen obstetric departments in Denmark. Population. One thousand one hundred and seventy-five twin pregnancies with two live fetuses at 36 +0 weeks of gestation. Methods. Pregnancy outcomes assessed according to chorionicity and mode of delivery. Main outcome measures. Poor outcome defined as five min Apgar score ≤ 7, umbilical artery pH < 7.10, admission to neonatal unit for more than three days or death. Results. Dichorionic (DC) twins, delivered after 36 gestational weeks, with intended vaginal delivery (n= 689) compared with DC twins with planned cesarean section (n= 371) had an increased risk of poor outcome [odds ratio (OR) 1.47, p= 0.037] after adjustment for body mass index, parity and weight discordance. There was no increased risk for poor outcome in monochorionic (MC) twins with intended vaginal delivery (n= 63) compared with planned cesarean section (n= 52; OR 0.87, 95% confidence interval 0.26-2.96). Nulliparity increased the risk of poor outcome in DC (OR 1.5, p= 0.03) and in MC twins (OR 4.01, p= 0.02), as well as birthweight discordance >300 g (DC, OR 1.50, p= 0.02; and MC, OR 6.02, p= 0.002). For DC twins, we found a significantly higher risk of poor outcome of the second-born twin compared with the first (OR 1.64, p= 0.001). Conclusions. Dichorionic twins born after 36 weeks of gestation had a higher risk of poor outcome by intended vaginal delivery than by planned cesarean section. For MC twins, statistical differences in outcome by mode of delivery could not be seen.

OriginalsprogEngelsk
Sider (fra-til)463-469
Antal sider7
TidsskriftActa Obstetricia et Gynecologica Scandinavica
Vol/bind91
Udgave nummer4
DOI
StatusUdgivet - 1 apr. 2012

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