Neonatal Outcomes of Twin Pregnancy According to the Planned Mode of Delivery

2008 ◽  
Vol 111 (3) ◽  
pp. 695-703 ◽  
Author(s):  
Thomas Schmitz ◽  
Céline de Carné Carnavalet ◽  
Elie Azria ◽  
Emmanuel Lopez ◽  
Dominique Cabrol ◽  
...  
Keyword(s):  
Twin Pregnancy ◽  
Mode Of Delivery ◽  
Neonatal Outcomes

scholarly journals Maternal and Perinatal Outcomes in Spontaneous Twins versus Twins Conceived By Ovulation Induction and Assisted Reproductive Techniques: A Cross-Section Study

2021 ◽  
pp. 1-8
Author(s):  
Diana Yousif Rashid ◽  
◽  
Shahla Kareem Alalaf ◽  
Mohammed Yousif Rashid ◽  
◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Gestational Diabetes ◽  
Postpartum Hemorrhage ◽  
Twin Pregnancy ◽  
Demographic Data ◽  
Mode Of Delivery ◽  
Neonatal Outcomes ◽  
Obstetric Outcomes ◽  
Twin Pregnancies ◽  
Second Twin

Twin pregnancies have a higher perinatal mortality and morbidity and increased obstetrical complications compared with singleton pregnancies, and assisted reproduction techniques (ART) have increased twin pregnancy rates. This study was performed to compare perinatal and obstetric outcomes of dichorionic twin pregnancy following ART with those from spontaneous pregnancy. This cross-sectional study was performed in the Erbil Maternity Teaching Hospital. Two-hundred dichorionic twin pregnancies were classified into two groups: spontaneous (n = 121) and ART (n = 79) groups. Basic criteria included demographic data, gestational age, mode of delivery, pregnancy complications (preeclampsia, gestational diabetes, preterm labor, anemia, blood transfusion, postpartum hemorrhage), neonatal outcomes (weight, first and fifth minute Apgar score, neonatal intensive care unit admission, respiratory distress, and sepsis). The rates of pregnancy induced by hypertension, gestational diabetes, and pre-labor preterm rupture of membrane were significantly higher in the ART group, but postpartum hemorrhage, blood transfusion, anemia, were not significantly different. The majority of women in the ART group delivered by caesarean section. The risks of preterm birth, low neonatal birth weight and congenital malformation, and moderately depressed Apgar scores were higher in the ART group, while no significant differences were detected regarding other outcomes. In our study, the second twin had a worse outcome compared with the first twin in both groups of conception. Maternal and neonatal outcomes were poorer in the ART group. The second twin had a worse outcome compared with the first twin in both groups.

Neonatal Outcomes of Twin Pregnancy According to the Planned Mode of Delivery

2009 ◽  
Vol 29 (1) ◽  
pp. 17
Author(s):  
T. Schmitz ◽  
C. de Carné Carnavalet ◽  
E. Azria ◽  
E. Lopez ◽  
D. Cabrol ◽  
...  
Keyword(s):  
Twin Pregnancy ◽  
Mode Of Delivery ◽  
Neonatal Outcomes

Twin pregnancy: Neonatal outcome of second twins depending on presentation and mode of delivery

2006 ◽  
Vol 66 (S 01) ◽  
Author(s):  
D Schlembach ◽  
V Bjelic-Radisic ◽  
G Pristauz-Telsnigg ◽  
J Haas ◽  
A Guliani ◽  
...  
Keyword(s):  
Twin Pregnancy ◽  
Neonatal Outcome ◽  
Mode Of Delivery

814: Nulliparous women in the second stage of labor: changes in neonatal outcomes over the past 10 years stratified by mode of delivery

2015 ◽  
Vol 212 (1) ◽  
pp. S392
Author(s):  
Joseph Fitzwater ◽  
Nana-Ama Ankumah ◽  
Sukhkamal Campbell ◽  
Joseph Biggio ◽  
John Owen ◽  
...  
Keyword(s):  
Mode Of Delivery ◽  
Neonatal Outcomes ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
The Past ◽  
Nulliparous Women

scholarly journals MODE OF DELIVERY AND ITS IMPACT ON NEONATAL OUTCOMES IN PRETERM INFANTS

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e27-e27
Author(s):  
Sarah McKnight ◽  
Bishal Gautam ◽  
Michael Miller ◽  
Bryan S Richardson ◽  
Orlando da Silva
Keyword(s):  
Caesarean Section ◽  
Preterm Infants ◽  
Periventricular Leukomalacia ◽  
Ductus Arteriosus ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Breech Presentation ◽  
Neonatal Outcomes ◽  
Care Hospital ◽  
Significant Difference

Abstract BACKGROUND The optimal mode of delivery for preterm infants remains controversial, and routine Caesarean sections (C/S) are not recommended, except for maternal indications. Nonetheless, many preterm infants are delivered by C/S, particularly those in breech presentation, and recent retrospective data have suggested that these infants may have improved outcomes. OBJECTIVES To examine whether C/S as the mode of preterm delivery is associated with decreased mortality and improved short term outcomes. DESIGN/METHODS This retrospective, population-based cohort study examined infants with a gestational age between 23 0/7 weeks and 32 6/7 weeks, born between January 1, 2007 and December 31, 2016, and admitted to the Neonatal Intensive Care Unit at a single Canadian Tertiary Care hospital. Infants with major congenital anomalies were excluded. Data were abstracted from the local Neonatal-Perinatal database for all infants. Two groups, those delivered vaginally and those delivered by C/S, were compared for major neonatal outcomes including the primary outcomes of death and severe intraventricular hemorrhage (IVH), defined as grade 3 or higher. RESULTS A total of 1442 infants met inclusion criteria (784 born by C/S and 658 vaginally). There was no significant difference in neonatal mortality (7.0% vs 7.1%, p=0.925) or severe IVH (6.1% vs 7.4%, p=0.317). There was, however, a significant difference in the incidence of IVH, any grade (19.9% vs 27.5%, p=0.001), which remained after controlling for other significant predictors. There were no other significant differences in the secondary outcomes examined including need for extensive resuscitation, respiratory distress syndrome, bronchopulmonary dysplasia, patent ductus arteriosus, necrotizing enterocolitis, periventricular leukomalacia, or retinopathy of prematurity. CONCLUSION Caesarean section was not associated with decreased mortality in preterm infants, relative to vaginal births. Caesarean section was associated with a reduced rate of IVH (any grade) and there was a trend towards decreased severe IVH which may warrant further study.

Mode of Delivery at Term and Adverse Neonatal Outcomes

2013 ◽  
Vol 68 (5) ◽  
pp. 331-332
Author(s):  
Colin A. Walsh ◽  
Michael Robson ◽  
Fionnuala M. McAuliffe
Keyword(s):  
Mode Of Delivery ◽  
Neonatal Outcomes ◽  
Adverse Neonatal Outcomes

scholarly journals 489: Mode of delivery and neonatal outcomes in nulliparas with a prolonged second stage

2016 ◽  
Vol 214 (1) ◽  
pp. S267-S268 ◽  
Author(s):  
Todd Stanhope ◽  
Methodius Tuuli ◽  
Aaron Caughey ◽  
George Macones ◽  
Alison Cahill
Keyword(s):  
Mode Of Delivery ◽  
Neonatal Outcomes ◽  
Second Stage

scholarly journals Outcome of Twin Pregnancy in a Periurban Hospital

2016 ◽  
Vol 27 (2) ◽  
pp. 57-62
Author(s):  
Saria Tasnim ◽  
FM Anamul Haque ◽  
Sameena Chowdhury
Keyword(s):  
Birth Weight ◽  
Twin Pregnancy ◽  
Perinatal Death ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Labor Pain ◽  
Maternal Complications ◽  
Management Options ◽  
History Of ◽  
Second Twin

Objective: To determine the socio demographic characteristics, clinical presentation and obstetric outcome at delivery and immediate postpartum period of twin gestation in a periurban hospitalMaterial & Methods: An observational study was conducted between January 2000 to December 2004 at Institute of Child and Mother Health. All twin pregnancy irrespective of gestational age admitted in the in-patient department of Institute of Child and Mother Health for delivery and also those undiagnosed cases found to have twin birth were enrolled in the study consecutively from January 2001 to December 2004. Data on socio-demographic factors, predisposing factors for twin gestation and obstetric characteristics was collected using a structured questionnaire. Hospital records were consulted for recording the investigation reports and management options. The outcome variables were maternal complications during antenatal, intranatal and immediate postnatal period, mode of delivery, birth weight and sex of newborn and fetal outcome. All twin pregnancies from the admitted obstetric patients were enrolled consecutivelyResults: During the study period there were 11,185 deliveries and among them 107 were twin gestation. About 22% were primigravida, 78.5% multigravida, 27.1% were illiterate. Most common age group were 24-29 years (39.4%). Antenatal care was availed by 71% of patients and 27.1% twins were not diagnosed till delivery. Family history of twin on maternal side was present in 58.1% and 31.8% had history of taking oral contraceptive immediately before the pregnancy. Ovulation inducing agents were given to 8.3% of twin. Presentations of fetus were both vertex 54.2%, 1st vertex and second breech 16%, and both breech 5.7%. About 55.1% were admitted with labor pain, 6.5% were undelivered second twin. Preterm birth was 27.2% and low birth weight of 1st baby 79.6% and second baby 80.9% respectively. Mode of delivery was vaginal delivery of both fetus 41.6%, caesarean section of both fetus 62.4%, and caesarean for second twin 3.1%. Same sex of both twins was found in 78% and male-male pair was 50%. There was one stillbirth, one conjoined twin and perinatal death was 11.2% Complications encountered during perinatal period were severe abdominal pain 9.3%, retained placenta in 7.3%; and post partum hemorrhage in 4.6% cases.Conclusion: Twin pregnancy is quite common and warrants specialized care during ante partum, intrapartum and postpartum period.Bangladesh J Obstet Gynaecol, 2012; Vol. 27(2) : 57-62

scholarly journals Twin pregnancy in each half of a didelphys uterus with delayed delivery and review of literature

2015 ◽  
Vol 0 (0) ◽  
pp. 1-4
Author(s):  
Galya Levy ◽  
Nicolas Mottet ◽  
Marianne Fourel ◽  
Anne-Sarah Tholozan ◽  
Astrid Eckman ◽  
...  
Keyword(s):  
Twin Pregnancy ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Fetal Lung ◽  
Incomplete Fusion ◽  
Class Iii ◽  
Mullerian Ducts ◽  
Risk Patients ◽  
The Right ◽  
Second Twin

Abstract Didelphys uterus results from an incomplete fusion of mullerian ducts and corresponds to the class III of mullerian abnormalities of the American Fertility Society. We describe the case of a spontaneous twin pregnancy developed in each cavity of a didelphys uterus. At 29 weeks of gestation and 6 days, the patient had preterm rupture of membranes in the right horn. She went into spontaneous labor and delivered vaginally the first “right” twin. Delivery was complicated with post-partum hemorrhage on uterine atonia treated with a Bakri balloon. She was tocolyzed to pursue the fetal lung maturity of the second twin. She had a rupture of the second membranes at 30 weeks and 3 days and had a preterm vaginal delivery at 32 weeks and 1 day of the second twin. Twin pregnancy in both horns of a uterus is extremely rare, about 1 in 1,000,000. Pregnancies on congenital abnormalities of the paramesonephric duct present frequently poor obstetrical outcomes and many complications. There are no guidelines about the follow-up of these high-risk patients or the mode of delivery.

Sign in / Sign up

Export Citation Format

Share Document