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Prediction of safe and successful vaginal twin birth.

Abstract：

OBJECTIVE:The objective of the study was to establish predictors of vaginal twin birth and evaluate perinatal morbidity according to mode of delivery. STUDY DESIGN:One thousand twenty-eight twin pregnancies were prospectively recruited. For this prespecified secondary analysis, obstetric characteristics and a composite of adverse perinatal outcome were compared according to the success or failure of a trial of labor and further compared with those undergoing elective cesarean delivery. Perinatal outcomes were adjusted for chorionicity and gestational age using a linear model for continuous data and logistic regression for binary data. RESULTS:Nine hundred seventy-one twin pregnancies met the criteria for inclusion. A trial of labor was considered for 441 (45%) and was successful in 338 of 441 (77%). The cesarean delivery rate for the second twin was 4% (14 of 351). Multiparity and spontaneous conception predicted vaginal birth. No statistically significant differences in perinatal morbidity were observed. CONCLUSION:A high prospect of successful and safe vaginal delivery can be achieved with trial of twin labor.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Breathnach FM,McAuliffe FM,Geary M,Daly S,Higgins JR,Dornan J,Morrison JJ,Burke G,Higgins S,Dicker P,Manning F,Carroll S,Malone FD,Perinatal Ireland Research Consortium.

doi

10.1016/j.ajog.2011.05.033

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

237.e1-7

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(11)00661-2

journal_volume

205

pub_type

杂志文章

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