scholarly journals Time and Mode of Delivery in Twin Pregnancies

2019 ◽  
Author(s):  
Eduardo Félix Martins Santana ◽  
Vivian Melo Corrêa ◽  
Isabela Bottura ◽  
José Pedro Parise Filho
Keyword(s):  
Mode Of Delivery ◽  
Twin Pregnancies

scholarly journals Neonatal and Maternal Outcomes in Spontaneously-Conceived Twin Pregnancies According to Mode of Delivery

Folia Medica ◽  
2020 ◽  
Vol 62 (3) ◽  
pp. 468-476
Author(s):  
Samantha Mc Kenzie Stancu ◽  
Manuela Cristina Russu
Keyword(s):  
Neonatal Intensive Care ◽  
Statistical Significance ◽  
Mode Of Delivery ◽  
Statistical Correlation ◽  
P Value ◽  
Maternal Outcomes ◽  
Chi Square ◽  
Chi Square Test ◽  
Nicu Admission ◽  
Twin Pregnancies

Introduction: Appropriate intrapartum conduct in a twin delivery remains a challenging aspect of obstetric practice. The objective of this study was to compare neonatal and maternal outcomes in twin pregnancies according to mode of delivery.&nbsp; Materials and methods: This is a single centre retrospective cohort study of all consecutive spontaneously-conceived twin deliver-ies (&ge; 24 weeks, estimated fetal weight &ge; 500 grams) over a nine-year period between 01/01/2007 - 31/12/2016 at a tertiary-level centre. Neonatal outcomes included survival, APGAR score, prematurity-associated pathology (PAP), admission to the neonatal intensive care unit (NICU) and length of stay (LOS). Maternal outcomes included postpartum complications and LOS. Statistical analysis comprised Chi-square test with subsequent p-value and odds-ratio with 95% confidence interval. Statistical significance was set at p<0.05. Results: A total of 173 consecutive women with spontaneously-conceived twin deliveries were enrolled in this study, 129 (74.6%) women delivered by caesarean section (CS). The success rate of vaginal delivery (VD) was 93.6% (44/47). A strong statistical correlation was identified between CS and NICU admission; 53.2% vs. 1.5% (p=0.0001). Neonatal LOS in the NICU was significantly longer in the CS group. Prematurity-associated pathology (PAP) was noted in 75 pairs of twins (75/173); 61 pairs were delivered by CS, bearing strong statistical significance (p<0.0001). Postpartum complications occurred in 14.7% of CS compared to 13.6% of VDs.&nbsp; Conclusion: Neonates delivered by CS had a higher rate of PAP, NICU admission, lower birth weight and longer LOS. This study showed that VD is safe, especially when the first twin is in cephalic presentation

scholarly journals Study of maternal and perinatal outcome among twin pregnancies with one twin demise

2019 ◽  
Vol 8 (7) ◽  
pp. 2622
Author(s):  
Sunanda N. ◽  
Akhila M. V.
Keyword(s):  
Gestational Age ◽  
Perinatal Outcome ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Time Interval ◽  
Delivery Mode ◽  
Care Hospital ◽  
Monochorionic Twins ◽  
Medical College ◽  
Twin Pregnancies

Background: To study the incidence, management and to determine maternal and perinatal outcome in cases of twin pregnancy with one twin demise in the second half of the pregnancy.Methods: This retrospective study was carried out at Cheluvamba Hospital, a tertiary care hospital attached to Mysore medical college and research institute between September 2009 and 2014. 19 twin pregnancies complicated by single intrauterine fetal demise (IUFD) after 20 weeks of gestation were identified from the hospital records. Data collected included maternal age, parity, antenatal complications, cause of IUFD, gestational age at diagnosis, time interval between diagnosis of IUFD and delivery, mode of delivery, birth details, type of placentation and neonatal complications.Results: The incidence of twin with one twin demise was 2.056%. Mean gestational age at presentation was 33.86 weeks. Most common cause of death was growth discordance in 7 cases followed by placental insufficiency in 4 cases. 57.89% of cases had monochorionic placentation. Neonatal course was most commonly complicated by prematurity. Maternal course was uneventful in majority (63.15%) of cases with two maternal deaths due to intravascular coagulopathy sequelae.Conclusions: Single fetal death occurs more often in monochorionic twins. The main problem for the surviving twin is prematurity. It is very important to identify the chorionicity by ultrasound examination in early pregnancy and implement specific surveillance of monochorial pregnancies.

368: The mode of delivery in twin pregnancies

2008 ◽  
Vol 199 (6) ◽  
pp. S112
Author(s):  
Jennifer Hogan ◽  
Nadine Farah ◽  
Bernard Stuart ◽  
Sean Daly
Keyword(s):  
Mode Of Delivery ◽  
Twin Pregnancies

scholarly journals PROFIL PERSALINAN KEHAMILAN KEMBAR DI BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE 01 JANUARI 2010 – 31 DESEMBER 2011

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Angelina Tuange ◽  
Hermie M. M. Tendean ◽  
Freddy W. Wagey
Keyword(s):  
Medical Records ◽  
Mode Of Delivery ◽  
Multiple Pregnancy ◽  
Sectio Caesarea ◽  
Doctor Who ◽  
Factors Affecting ◽  
Labor Complications ◽  
The Family ◽  
Main Factors ◽  
Twin Pregnancies

Abstract: Background: Twin pregnancies is the pregnancies with two fetues or more. Nation, heredity, age and parity of mother are all factors affecting twin pregnancies. The main factors that increase the the possibilities of multiple pregnancy is the treatment of infertility. This study uses a retrospective descriptive through medical records at BLU RSUP Prof. Dr. R. D. Kandou in period January 01, 2010 – December 31, 2011. Conclusion: It is already found 97 cases of twin pregnancy deliveries from 7265 total deliveries. There are 85 cases with a history af multiple pregnancies in the family. Best mode of delivery by Sectio Caesarea as many as 47 cases. Perinatal mortality still occur due to complications and complications that occur during labor. Complications can occur at any time, so it is important with the availability of doctor who are experienced in handling complications of twin pregnancies, to produce the maximum infant output and minimize morbidity and mortality. Keyword: Maternity of twin pregnancies, number of incidence Abstrak: Latar belakang: Kehamilan kembar adalah kehamilan dengan dua janin atau lebih. Bangsa, hereditas, umur, dan paritas ibu merupakan faktor-faktor yang mempengaruhi kehamilan kembar. Faktor utama yang meningkatkan kemungkinan terjadinya kehamilan kembar adalah terapi infertilitas. Penelitian ini menggunakan metode retrospektif deskriptif melalui rekam medik di BLU RSUP Prof. Dr. R. D. Kandou periode 01 Januari 2010 – 31 Desember 2011. Simpulan: Ditemukan 97 kasus persalinan kehamilan kembar dari 7265 total persalinan. Paling banyak ditemukan pada umur 21 – 25 tahun. Terdapat 85 kasus yang memiliki riwayat kehamilan kembar dalam keluarga. Cara persalinan yang paling banyak dengan cara Seksio Sesarea sebanyak 47 kasus. Angka kematian perinatal masih saja terjadi disebabkan oleh komplikasi dan penyulit yang terjadi saat persalinan. Komplikasi dapat terjadi kapan saja, sehingga sangat penting akan tersedianya dokter yang berpengalaman dalam penanganan komplikasi dari kehamilan kembar untuk menghasilkan luaran bayi yang maksimal dan meminimalkan morbiditas dan mortalitas. Kata kunci: Persalinan kehamilan kembar, angka kejadian

scholarly journals HIV transmission in twin pregnancy: Maternal and perinatal outcomes

2017 ◽  
Vol 32 (2) ◽  
pp. 54-56
Author(s):  
L. L. Makunyane ◽  
J. Moodley ◽  
M. J. Titus
Keyword(s):  
Highly Active Antiretroviral Therapy ◽  
Twin Pregnancy ◽  
Hiv Transmission ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Dual Therapy ◽  
Highly Active ◽  
Gestational Age At Delivery ◽  
One Year ◽  
Twin Pregnancies

Background: Despite over two decades of studies of mother-to-child transmission (MTCT) of HIV, very little data is available on HIV transmission in twin pregnancies in Africa.Objective: To determine transmission rates of the HIV virus between twins and the maternal and perinatal outcomes in HIV positive twin pregnancies.Methods: An audit involving 186 sets of twin pregnancies delivered at two hospitals in KwaZulu-Natal, South Africa was conducted over a one year period. Relevant data included maternal age, parity, obstetric history, foetal presentation, gestational age at delivery, Apgar scores, birth weight and pregnancy complications.Results: Of 9521 deliveries, 186 (1.95%) women were identified with a twin pregnancy; 80 (43%) of these mothers were HIV infected. One twin was HIV infected giving an incidence of 0.9%. The infected twin was the first-born twin (or twin 1) and was delivered by Caesarean delivery. Based on mode of delivery, there was no transmission for twin 1 or twin 2 via vaginal delivery, but a 1.4% transmission for twin 1 and 0% for twin 2 following Caesarean delivery.Conclusion: Twin pregnancies are at low risk of MTCT of HIV provided the mother is on highly active antiretroviral therapy (HAART) or has taken effective antiretroviral (ARV) treatment (dual therapy) in the antenatal period.

scholarly journals Incidence and Risk Factors of Postpartum Hemorrhage in China: A Multicenter Retrospective Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Sijian Li ◽  
Jinsong Gao ◽  
Juntao Liu ◽  
Jing Hu ◽  
Xiaoxu Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Cesarean Section ◽  
Subgroup Analysis ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Mode Of Delivery ◽  
Predictive Performance ◽  
Vaginal Deliveries ◽  
Twin Pregnancies

Background: Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide but the incidence and its risk factors in China is limited. The objective of this study is to investigate the incidence and the risk factors of PPH in Chinese women.Methods: A multi-center retrospective study of pregnant women at ≥28 weeks of gestation was conducted. Logistic regression was used to identify potential risk factors of PPH and receiver operating characteristic curve was used to evaluate the predictive performance of the identified risk factors. Subgroup analysis focusing on the number of fetus and the mode of delivery was conducted.Results: A total of 99,253 pregnant women were enrolled and 804 (0.81%) experienced PPH. The subgroup analysis revealed that the incidence of PPH was 0.75, 2.65, 1.40, and 0.31% in singletons, twin pregnancies, cesarean sections, and vaginal deliveries, respectively. Placenta previa and placenta accreta were the predominant risk factors of PPH in the overall population and all subgroups. A twin pregnancy was a risk factor for PPH regardless of the mode of delivery. Obesity, and multiparity were risk factors for PPH in both singletons and cesarean section cases, but the latter predicted a reduced probability of PPH in vaginal deliveries. Macrosomia was associated with increased risk of PPH in singletons or vaginal deliveries. In women who delivered vaginally, preeclampsia was associated with a higher risk of PPH. The areas under the curve for the overall cohort, singletons, twin pregnancies, cesarean section cases, and vaginal deliveries were 0.832 (95% confidence interval [CI] 0.813–0.851), 0.824 (95% CI 0.803–0.845), 0.686 (95% CI 0.617–0.755), 0.854 (95% CI 0.834–0.874), and 0.690 (95% CI 0.646–0.735), respectively.Conclusions: The risk factors of PPH varied slightly based on the number of fetuses and the mode of delivery, while placenta previa and placenta accreta were the two major risk factors. A combination of the identified risk factors yielded a satisfactory predictive performance in determining PPH in the overall cohort, singletons pregnancies, and women who delivered by cesarean section, whereas the performance was moderate in twin pregnancies and in women delivering vaginally.

Anal Sphincter Injury Associated with Vaginal Twin Delivery

2019 ◽  
Vol 37 (11) ◽  
pp. 1134-1139
Author(s):  
Bobby D. O'Leary ◽  
Tariq Bholah ◽  
Tamara Kalisse ◽  
Mark P. Hehir ◽  
Michael P. Geary
Keyword(s):  
Risk Factors ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Univariate Analysis ◽  
Mode Of Delivery ◽  
Significant Risk ◽  
Sphincter Injury ◽  
Anal Sphincter Injury ◽  
Vaginal Deliveries ◽  
Twin Pregnancies

Abstract Objective Obstetric anal sphincter injury remains the most common cause of fecal incontinence in women, and research in twin pregnancies is sparse. This study aimed to examine risk factors for sphincter injury in twin deliveries over a 10-year period. Study Design This was a retrospective study of twin vaginal deliveries in a tertiary-level hospital over 10 years. We examined the demographics of women who had a vaginal delivery of at least one twin. Logistic regression analysis was used to examine risk factors. Results There were 1,783 (2.1%) twin pregnancies, of which 556 (31%) had a vaginal delivery of at least one twin. Sphincter injury occurred in 1.1% (6/556) women with twins compared with 2.9% (1720/59,944) singleton vaginal deliveries. Women with sphincter injury had more instrumental deliveries (83.3 vs. 27.6%; p = 0.008). On univariate analysis, only instrumental delivery was a significant risk factor (odds ratio: 2.93; p = 0.019). Conclusion Sphincter injury occurs at a lower rate in vaginal twin pregnancies than in singletons. No twin-specific risk factors were identified. Discussion of the risk of sphincter injury should form part of patient counseling with regard to the mode of delivery.

Mode of Delivery in Monochorionic Compared With Dichorionic Twin Pregnancies

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Henry N. Lesser ◽  
Andrei Rebarber ◽  
Nathan S. Fox
Keyword(s):  
Mode Of Delivery ◽  
Twin Pregnancies
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