Retrospective evaluation of attempted vaginal deliveries in dichorionic twin pregnancies.
Birth mode
Multiple pregnancies
Preterm birth
Twin delivery
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
23
08
2020
accepted:
04
11
2020
pubmed:
23
11
2020
medline:
5
10
2021
entrez:
22
11
2020
Statut:
ppublish
Résumé
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. 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. 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). 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.
Identifiants
pubmed: 33222039
doi: 10.1007/s00404-020-05882-y
pii: 10.1007/s00404-020-05882-y
pmc: PMC8087563
doi:
Types de publication
Journal Article
Twin Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1461-1468Références
Asztalos EV, Hannah ME, Hutton EK et al (2016) Twin Birth Study: 2-year neurodevelopmental follow-up of the randomized trial of planned cesarean or planned vaginal delivery for twin pregnancy. Am J Obstet Gynecol 214(3):371.e1-371.e19
doi: 10.1016/j.ajog.2015.12.051
Reynolds MA, Schieve LA, Martin JA, Jeng G, Macaluso M (2003) Trends in multiple births conceived using assisted reproductive technology, United States, 1997–2000. Pediatrics 111(5 Pt 2):1159–1162
pubmed: 12728130
Arabin B, Kyvernitakis I (2011) Vaginal delivery of the second nonvertex twin: avoiding a poor outcome when the presenting part is not engaged. Obstet Gynecol 118(4):950–954
doi: 10.1097/AOG.0b013e31822f0f8a
Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Mathews TJ (2017) Births: final data for 2015. Natl Vital Stat Rep 66(1):1
pubmed: 28135188
Lindroos L, Elfvin A, Ladfors L, Wennerholm U-B (2018) The effect of twin-to-twin delivery time intervals on neonatal outcome for second twins. BMC Pregnancy Childbirth 18(1):36
doi: 10.1186/s12884-018-1668-6
Armson BA, O’Connell C, Persad V, Joseph KS, Young DC, Baskett TF (2006) Determinants of perinatal mortality and serious neonatal morbidity in the second twin. Obstet Gynecol 108(3 Pt 1):556–564
doi: 10.1097/01.AOG.0000227747.37184.0a
Hack KEA, Derks JB, Elias SG et al (2008) Increased perinatal mortality and morbidity in monochorionic versus dichorionic twin pregnancies: clinical implications of a large Dutch cohort study. BJOG 115(1):58–67
doi: 10.1111/j.1471-0528.2007.01556.x
Townsend R, D’Antonio F, Sileo FG, Kumbay H, Thilaganathan B, Khalil A (2019) Perinatal outcome of monochorionic twin pregnancy complicated by selective fetal growth restriction according to management: systematic review and meta-analysis. Ultrasound Obstet Gynecol 53(1):36–46
doi: 10.1002/uog.20114
Farghali M, Abdelazim I, Abdelrazek K (2019) Delayed second twin delivery: benefits and risks. J Matern Fetal Neonatal Med 32(10):1626–1632
doi: 10.1080/14767058.2017.1413547
Rossi AC, Mullin PM, Chmait RH (2011) Neonatal outcomes of twins according to birth order, presentation and mode of delivery: a systematic review and meta-analysis. BJOG 118(5):523–532
doi: 10.1111/j.1471-0528.2010.02836.x
Greene MF (2013) Delivering twins. N Engl J Med 369(14):1365–1366
doi: 10.1056/NEJMe1310744
Blickstein I (2016) Delivery of vertex/nonvertex twins: did the horses already leave the barn? Am J Obstet Gynecol 214(3):308–310
doi: 10.1016/j.ajog.2016.01.008
Bibbo C, Robinson JN (2015) Management of twins: vaginal or cesarean delivery? Clin Obstet Gynecol 58(2):294–308
doi: 10.1097/GRF.0000000000000105
Murray-Davis B, McVittie J, Barrett JF, Hutton EK, Twin Birth Study Collaborative Group (2016) Exploring women’s preferences for the mode of delivery in twin gestations: results of the Twin Birth Study. Birth. 43(4):285–292
doi: 10.1111/birt.12238
Barrett JFR, Hannah ME, Hutton EK et al (2013) A randomized trial of planned cesarean or vaginal delivery for twin pregnancy. N Engl J Med 369(14):1295–1305
doi: 10.1056/NEJMoa1214939
Ylilehto E, Palomäki O, Huhtala H, Uotila J (2017) Term twin birth—impact of mode of delivery on outcome. Acta Obstet Gynecol Scand 96(5):589–596
doi: 10.1111/aogs.13122
Smith GCS, Shah I, White IR, Pell JP, Dobbie R (2005) Mode of delivery and the risk of delivery-related perinatal death among twins at term: a retrospective cohort study of 8073 births. BJOG 112(8):1139–1144
doi: 10.1111/j.1471-0528.2005.00631.x
Bogner G, Wallner V, Fazelnia C et al (2018) Delivery of the second twin: influence of presentation on neonatal outcome, a case controlled study. BMC Pregnancy Childbirth 18(1):176
doi: 10.1186/s12884-018-1815-0
Stein W, Misselwitz B, Schmidt S (2008) Twin-to-twin delivery time interval: influencing factors and effect on short-term outcome of the second twin. Acta Obstet Gynecol Scand 87(3):346–353
doi: 10.1080/00016340801934276
Cruikshank DP (2007) Intrapartum management of twin gestations. Obstet Gynecol 109(5):1167–1176
doi: 10.1097/01.AOG.0000260387.69720.5d
Reitter A, Daviss BA, Krimphove MJ et al (2018) Mode of birth in twins: data and reflections. J Obstet Gynaecol 38(4):502–510
doi: 10.1080/01443615.2017.1393402
Joseph KS, Marcoux S, Ohlsson A et al (2001) Changes in stillbirth and infant mortality associated with increases in preterm birth among twins. Pediatrics 108(5):1055–1061
doi: 10.1542/peds.108.5.1055
Sheay W, Ananth CV, Kinzler WL (2004) Perinatal mortality in first- and second-born twins in the United States. Obstet Gynecol 103(1):63–70
doi: 10.1097/01.AOG.0000101291.14773.F0
Leung T-Y, Lok IH, Tam W-H, Leung T-N, Lau T-K (2004) Deterioration in cord blood gas status during the second stage of labour is more rapid in the second twin than in the first twin. BJOG 111(6):546–549
doi: 10.1111/j.1471-0528.2004.00133.x
Axelsdóttir Í, Ajne G (2019) Short-term outcome of the second twin during vaginal delivery is dependent on delivery time interval but not chorionicity. J Obstet Gynaecol 39(3):308–312
doi: 10.1080/01443615.2018.1514490
Hirnle P, Franz HB, Sulkarnejewa E, Pfeiffer KH, Kiesel L (2000) Caesarean section for the second twin after vaginal delivery of first. J Obstet Gynaecol 20(4):392–395
doi: 10.1080/01443610050112048
Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR (2000) Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial. Term Breech Trial Collaborative Group. Lancet 356(9239):1375–1383
doi: 10.1016/S0140-6736(00)02840-3