Retrospective evaluation of attempted vaginal deliveries in dichorionic twin pregnancies
Purpose Numbers of planned cesarean deliveries are increasing in twin pregnancies, despite the lack of evidence for this approach, and the second twin is thought to be at risk for a poorer outcome. The aim of this study was to examine whether twins have a poorer outcome if an attempted vaginal delivery is changed to a cesarean section or combined delivery. Methods This retrospective data analysis included all women with dichorionic twin pregnancies attempting vaginal delivery over a 10-year period. Outcome parameters for the first and second twins relative to their mode of birth were compared. A correlation model between the interdelivery time interval and Apgar scores was calculated. Subgroup analyses assessing the birth mode of the first and second twins were conducted. Results A total of 248 women were enrolled in the study. The second twins had significantly lower values for outcome parameters, such as umbilical artery cord pH and Apgar scores in comparison with the first twins (P < 0.01). The subgroup analysis of birth modes in first and second twins showed a significantly poorer outcome in the cesarean section and combined delivery group (P < 0.05). The interdelivery time interval was significantly longer in the second twin cesarean section group (P < 0.01). There was no significant correlation between the interdelivery time intervals and Apgar scores (P > 0.05). Conclusion Although outcome parameters were significantly lower in second twins and twins born via secondary cesarean section, the clinical relevance of this appears to be negligible..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:303 |
|---|---|
| Enthalten in: |
Archives of gynecology and obstetrics - 303(2020), 6 vom: 21. Nov., Seite 1461-1468 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Enengl, Sabine [VerfasserIn] |
|---|
| Links: |
Volltext [lizenzpflichtig] |
|---|
| Themen: |
|---|
| Anmerkungen: |
© The Author(s) 2020 |
|---|
| doi: |
10.1007/s00404-020-05882-y |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
OLC212521976X |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | OLC212521976X | ||
| 003 | DE-627 | ||
| 005 | 20230505100525.0 | ||
| 007 | tu | ||
| 008 | 230505s2020 xx ||||| 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00404-020-05882-y |2 doi | |
| 035 | |a (DE-627)OLC212521976X | ||
| 035 | |a (DE-He213)s00404-020-05882-y-p | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |q VZ |
| 082 | 0 | 4 | |a 610 |q VZ |
| 100 | 1 | |a Enengl, Sabine |e verfasserin |0 (orcid)0000-0002-5320-4141 |4 aut | |
| 245 | 1 | 0 | |a Retrospective evaluation of attempted vaginal deliveries in dichorionic twin pregnancies |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a © The Author(s) 2020 | ||
| 520 | |a Purpose Numbers of planned cesarean deliveries are increasing in twin pregnancies, despite the lack of evidence for this approach, and the second twin is thought to be at risk for a poorer outcome. The aim of this study was to examine whether twins have a poorer outcome if an attempted vaginal delivery is changed to a cesarean section or combined delivery. Methods This retrospective data analysis included all women with dichorionic twin pregnancies attempting vaginal delivery over a 10-year period. Outcome parameters for the first and second twins relative to their mode of birth were compared. A correlation model between the interdelivery time interval and Apgar scores was calculated. Subgroup analyses assessing the birth mode of the first and second twins were conducted. Results A total of 248 women were enrolled in the study. The second twins had significantly lower values for outcome parameters, such as umbilical artery cord pH and Apgar scores in comparison with the first twins (P < 0.01). The subgroup analysis of birth modes in first and second twins showed a significantly poorer outcome in the cesarean section and combined delivery group (P < 0.05). The interdelivery time interval was significantly longer in the second twin cesarean section group (P < 0.01). There was no significant correlation between the interdelivery time intervals and Apgar scores (P > 0.05). Conclusion Although outcome parameters were significantly lower in second twins and twins born via secondary cesarean section, the clinical relevance of this appears to be negligible. | ||
| 650 | 4 | |a Multiple pregnancies | |
| 650 | 4 | |a Twin delivery | |
| 650 | 4 | |a Birth mode | |
| 650 | 4 | |a Preterm birth | |
| 700 | 1 | |a Oppelt, Peter |4 aut | |
| 700 | 1 | |a Enzelsberger, Simon-Hermann |4 aut | |
| 700 | 1 | |a Trautner, Philip Sebastian |4 aut | |
| 700 | 1 | |a Shebl, Omar |4 aut | |
| 700 | 1 | |a Brandl, Birgit |4 aut | |
| 700 | 1 | |a Mayer, Richard Bernhard |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Archives of gynecology and obstetrics |d Springer Berlin Heidelberg, 1987 |g 303(2020), 6 vom: 21. Nov., Seite 1461-1468 |w (DE-627)130684236 |w (DE-600)896455-5 |w (DE-576)016233751 |x 0932-0067 |7 nnns |
| 773 | 1 | 8 | |g volume:303 |g year:2020 |g number:6 |g day:21 |g month:11 |g pages:1461-1468 |
| 856 | 4 | 1 | |u https://doi.org/10.1007/s00404-020-05882-y |z lizenzpflichtig |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 951 | |a AR | ||
| 952 | |d 303 |j 2020 |e 6 |b 21 |c 11 |h 1461-1468 | ||