The effect of mode of delivery and gestational age on neonatal outcome of the non-cephalic-presenting second twin

2002 ◽  
Vol 187 (5) ◽  
pp. 1356-1361 ◽  
Author(s):  
Sarah Caukwell ◽  
Deirdre J. Murphy
Keyword(s):  
Gestational Age ◽  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Second Twin

OUTCOME OF SECOND BABY OF TWIN IN A RURAL TEACHING HOSPITAL OF WEST BENGAL, INDIA

2021 ◽  
pp. 4-7
Author(s):  
Kajal Kumar Patra ◽  
Anirban Mandal ◽  
Thyadi Himabindu
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Perinatal Outcome ◽  
West Bengal ◽  
Mode Of Delivery ◽  
Reproductive Technologies ◽  
Time Interval ◽  
Age Group ◽  
Multiple Pregnancies ◽  
Second Twin

Background: Multiple pregnancies are a high-risk situation because of its inherent risks to mother and the fetus. Twin or multiple pregnancies are gaining importance worldwide because of the attributable rise in treatment of infertility including assisted reproductive technologies. Twin pregnancies are associated with increased fetal loss, prematurity, structural abnormalities, and fetal growth restriction. Complications associated with twin pregnancy. The conduct of a twin delivery remains one of the most challenging events in the current obstetric practice. This Methods: study was an Hospital-based cross-sectional descriptive study conducted in the Department of Obstetrics & Gynaecology of Bankura Sammilani Medical College and Hospital, Bankura, West Bengal from January 2020 to December 2020. 238 patients were included in the study after informed consent from the patient about being a part of this study. Template was generated in MS excel sheet and analysis was done on SPSS software. Results: Majority 154 (64.7%) of women belonged to age group 21-30 years. Gestational age of 159 (66.8%) mothers were < 37 weeks. Perinatal outcome of second twin was highest in the maternal age group 20 years. Perinatal outcome of second twin was highest in the birth weight of the 2nd twin < 2500 grams. Delivery time interval between the babies was maximum 175 (73.5%) is < 10 minutes. Gestational age, Conclusions: presentation, mode of delivery, and birth weight are the signicant determinants of perinatal outcome of the second twin. The second twin is at higher risk of perinatal morbidity and mortality than the rst twin. Frequent antenatal care should be advised to the mothers.

Neonatal morbidity in second twin according to gestational age at birth and mode of delivery

2004 ◽  
Vol 191 (3) ◽  
pp. 773-777 ◽  
Author(s):  
Shi Wu Wen ◽  
Fung Karen Fung Kee ◽  
Oppenheimer Lawrence ◽  
Demissie Kitaw ◽  
Yang Qiuying ◽  
...  
Keyword(s):  
Gestational Age ◽  
Mode Of Delivery ◽  
Neonatal Morbidity ◽  
Gestational Age At Birth ◽  
Age At Birth ◽  
Second Twin

Neonatal mortality in second twin according to cause of death, gestational age, and mode of delivery

2004 ◽  
Vol 191 (3) ◽  
pp. 778-783 ◽  
Author(s):  
Shi Wu Wen ◽  
Karen Fung Kee Fung ◽  
Lawrence Oppenheimer ◽  
Kitaw Demissie ◽  
Qiuying Yang ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Cause Of Death ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Second Twin

scholarly journals The Relevance of Fetal Abdominal Subcutaneous Tissue Recording in Predicting Perinatal Outcome of GDM Pregnancies: A Retrospective Study

2020 ◽  
Vol 9 (10) ◽  
pp. 3375
Author(s):  
Friederike Weschenfelder ◽  
Nadin Baum ◽  
Thomas Lehmann ◽  
Ekkehard Schleußner ◽  
Tanja Groten
Keyword(s):  
Gestational Age ◽  
Predictive Power ◽  
Neonatal Outcome ◽  
Subcutaneous Tissue ◽  
Mode Of Delivery ◽  
Abdominal Circumference ◽  
Large For Gestational Age ◽  
Maternal Body Mass Index ◽  
Clinical Parameters ◽  
Ultrasound Parameters

Guidelines on the management of gestational diabetes (GDM) instruct physicians to involve ultrasound-based monitoring of fetal growth in addition to blood glucose. So far, glucose control besides clinical parameters like maternal body mass index (BMI) and gestational weight gain have been shown to predict neonatal outcome. We aimed to evaluate the discriminative ability of fetal abdominal subcutaneous tissue (FAST) in addition to standard ultrasound parameters like abdominal circumference (AC) and estimated fetal weight (EFW) for perinatal complications like large for gestational age (LGA), hypoglycemia, hyperbilirubinemia, mode of delivery and admission to neonatal intensive care unit (NICU). Ultrasound data and neonatal outcome was collected of 805 GDM cases from 2012 to 2016: 3205 FAST, 3195 AC-measurements and 3190 EFW calculations were included. AC, EFW and FAST increased linear with gestational age. Combining ultrasound and clinical parameters improved predictive power for LGA. In the subgroup where fetuses grow with an AC > 75th additional adding of FAST to standard ultrasound parameters increased predictive power for hypoglycemia. Our results confirm inclusion of ultrasound parameters to be beneficial in monitoring GDM pregnancies. Additional FAST determination revealed to be of potential clinical relevance in the subgroup AC > 75th percentile.

Twin-to-Twin Delivery Time: Neonatal Outcome of the Second Twin

2011 ◽  
Vol 14 (6) ◽  
pp. 573-579 ◽  
Author(s):  
Susanne Schneuber ◽  
Eva Magnet ◽  
Josef Haas ◽  
Albrecht Giuliani ◽  
Thomas Freidl ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Expectant Management ◽  
Delivery Time ◽  
Apgar Scores ◽  
Breech Delivery ◽  
Twin Delivery ◽  
Vertex Presentation ◽  
Second Twin

Objective: To examine the effect of twin-to-twin delivery time (TTDT) on neonatal outcome. Methods: We evaluated twin deliveries >34 weeks of gestation. Twin pregnancies with both twins delivered by cesarean section and pregnancies with antenatal complications were excluded. We analyzed TTDT and neonatal outcomes of the second twin (umbilical arterial pH value (pHart), Apgar scores at 1, 5 and 10 minutes, need for intensive care). The study population was divided into two homogenous groups based on the mode of delivery: (A) vertex presentation and vaginal delivery of both twins, (B) vertex presentation and vaginal or vaginal operative delivery of twin I, breech or transverse presentation and vaginal breech delivery or cesarean section (CS) of twin II. Results: A total of 207 twin pairs were included in our study. In Group A (n = 151) there were no significant correlations between TTDT and pHart or Apgar scores at 1, 5 and 10 minutes of twin II (p = .156; 0.861; 0.151 and 0.384, respectively). In Group B (n = 56), the mean pHart of twin II was inversely correlated to TTDT, but not significantly (p = .417). TTDT was inversely related to 1-min and 5-min Apgar scores, but not significantly (p = .330; p = .138, respectively). The 10-min Apgar score showed no correlation with TTDT (p = .638). Conclusion: Increasing TTDT was not associated with adverse fetal outcome. Expectant management of the second twin appears possible and elapsed time alone does not appear to be an indication for intervention.

Neonatal Outcome of Second Twins Depending on Presentation and Mode of Delivery

2007 ◽  
Vol 10 (3) ◽  
pp. 521-527 ◽  
Author(s):  
Vesna Bjelic-Radisic ◽  
Gunda Pristauz ◽  
Josef Haas ◽  
Albrecht Giuliani ◽  
Karl Tamussino ◽  
...  
Keyword(s):  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Neonatal Morbidity ◽  
Delivery Mode ◽  
Short Term ◽  
Term Outcome ◽  
Apgar Scores ◽  
Trial Of Labor ◽  
Twin Pregnancies ◽  
Second Twin

AbstractOur objective was to examine the neonatal outcome of second twins depending on presentation and mode of delivery. Using a database we analyzed the short-term neonatal outcome in twin pregnancies offered a trial of labor with special emphasis on the second twin depending on presentation and mode of delivery. Neonatal outcome was evaluated by Apgar scores, umbilical cord blood pH values, and perinatal or neonatal morbidity and mortality. Overall, in 219 (78%) of 281 pregnancies successful vaginal birth (VB) of both twins (VB–VB) was possible, 48 (17%) women had to be delivered by cesarean section (CS) of both twins (CS–CS), and in 14 (5%) women the second twin had to be delivered by CS after VB of the first twin (VB–CS). Successful VB was most common for vertex-vertex (V/V; n = 171, 82%) and vertex-nonvertex (n = 48, 75%) presentation (V/NV). Twins delivered by VB–CS had the lowest values for pHart (p = .006) and pHven (p = .010). pHart less than or equal to 7.00 values occurred only in second twins delivered VB–VB or VB–CS. Lower Apgar scores of the second twin occurred more frequently in the VB–CS and in the VB–VB than in the CS–CS groups (ps < .05). Lower levels of pHart (p = .002) and frequency of pHart less than or equal to 7.00 occurred more often in nonvertex second twins than in vertex second twins (p < .022). The high CS rate in V/NV presentation and the significantly worse perinatal short-term outcome of NV second twins after VB of the first twin underline that randomized studies are necessary to evaluate the best delivery mode for V/NV twins.

The effect of presentation and mode of delivery on neonatal outcome in the second twin

1992 ◽  
Vol 167 (4) ◽  
pp. 901-906 ◽  
Author(s):  
Phillip C. Greig ◽  
Jean-Claude Veille ◽  
Timothy Morgan ◽  
Linda Henderson
Keyword(s):  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Second Twin

129: Neonatal outcome of vertex-breech second twin according to mode of delivery

2011 ◽  
Vol 204 (1) ◽  
pp. S65
Author(s):  
Jeong Woo Park ◽  
Hye Sim Kang ◽  
Eun Seon Im ◽  
Chan-Wook Park ◽  
Joong Shin Park ◽  
...  
Keyword(s):  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Second Twin

scholarly journals Maternal and neonatal outcome in premature rupture of membranes: a retrospective study

2021 ◽  
Vol 10 (3) ◽  
pp. 1046
Author(s):  
Shery Angel Rajakumar ◽  
Sindhura Myneni ◽  
Ajay Nickson Samuel
Keyword(s):  
Retrospective Study ◽  
Gestational Age ◽  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Obstetrics And Gynaecology ◽  
High Incidence ◽  
Maternal And Neonatal Outcomes ◽  
Nicu Admission

Background: Premature rupture of membranes (PROM) is one of the most challenging and controversial obstetric dilemma which occur even in low risk pregnancies. This study was done to analyse the maternal and neonatal outcomes in PROM cases.Methods: This was a retrospective study conducted in the department of Obstetrics and Gynaecology at Chettinad Hospital and Research Institute, during a period of 3 years from August 2017 to August 2020. All the women who admitted with PROM were included in the study. The data regarding parity, gestational age, number of fetuses, presentation, duration of PROM, PROM to delivery interval, mode of delivery, weight of the baby, NICU admission was collected from the hospital records and analysed.Results: A total of 115 cases of PROM were recorded. High incidence is found in the age group of 20-30 years. Among them 73.04% were admitted at term. 71.3% were primigravida. 58.26% of them delivered vaginally where as 41.74% delivered by LSCS. Majority of them admitted within 6 hours of PROM. Majority of them delivered within 12 hours of PROM. High APGAR scores in majority of the cases. Most of the babies had birth weight >2.5 kg. 16 babies were admitted in NICU. There was no maternal mortality in our study though we had one neonatal mortality.Conclusions: Careful identification of present or impending complications and individualizing the management based on gestational age and presence of complications holds good in optimising fetomaternal outcome in PROM. 

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