Effect of Mode of Delivery on Neonatal Outcome of Monochorionic Diamniotic Twin Pregnancies A Retrospective Cohort Study

• Type: Article in International Scientific Journal
• Date: 2013

Authors

Pestana, I (Author) Other; loureiro, t (Author) FMUP; Almeida, A (Author) Other; Rocha, I (Author) Other; Rodrigues, RM (Author) Other; Rodrigues, T (Author) FMUP

Journal

Title: JOURNAL OF REPRODUCTIVE MEDICINE

Vol. 58

Pages: 15-18

ISSN: 0024-7758

Indexing

ISI Web of Knowledge - 11 Citations

Scopus - 10 Citations

Other information

Authenticus ID: P-002-1M4

Abstract (EN): OBJECTIVE: To assess whether vaginal delivery increases the risk of adverse neonatal outcome among uneventful monochorionic diamniotic twin pregnancies. STUDY DESIGN: We conducted a retrospective controlled cohort study on 112 uneventful monochorionic diamniotic twin pregnancies at >= 34 weeks' gestation. The outcomes of 52 monochorionic diamniotic twins delivered vaginally were compared with those of 172 monochorionic diamniotic twins delivered by cesarean section. RESULTS: Five babies (2.9%), in the cesarean section group had a 5-minute Apgar score <7 and needed orotracheal intubation, whereas in the vaginal delivery group no 5-minute Apgar score <7 or orotracheal intubation occurred (p = 0.002). Delivery by cesarean section presented higher rates of admission to neonatal intensive care unit (62 out of 172 babies delivered by cesarean section compared to 3 out of 52 babies delivered vaginally, p < 0.001). There were no cases of intrapartum twin-to-twin transfusion syndrome or neonatal death at time of hospital discharge in either group. CONCLUSION: Vaginal delivery appears to be a good management option in uneventful monochorionic diamniotic twin pregnancies after 34 weeks' gestation. (J Reprod Med 2013;58:15-18)

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 4