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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464260/
Attempts for delayed interval delivery should be made when the first neonate is born before the 24th week of gestation, aiming the prolongation of second twin's delivery until the 28th -32nd week 1, 2, 8, 9. Continuation of the pregnancy after the 32nd week is not recommended, due to the high risk of sequels for the mother and the fetus, disproportionately to the expected benefits.
https://about-twins.com/birth/inter-twin-delivery-interval/
Jun 24, 2019 · The inter-twin delivery interval is the time between the delivery of the first and second twin. Their results were published in the The Journal of Maternal-Fetal & Neonatal Medicine in May 2018. 400 twin pregnancies between January 2000 and July 2017 were included. Only pregnancies where the mothers had given birth to the first twin vaginally were included. The mothers were divided into two groups depending on the inter-twin delivery …
https://www.tuftsmedicalcenter.org/News-Events-Media/News/Web/Delayed-Interval-Delivery
And so are her twin boys. But they’re not your typical twins; Alexandre and Ronaldo were born 24 days apart. After being pregnant for just 24 weeks, DaSilva’s amniotic sac around baby Alexandre broke on February 26, 2014, three and a half months before her scheduled delivery date, June 18.
https://www.uptodate.com/contents/delayed-interval-delivery-in-multifetal-pregnancy
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https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1668-6
Median twin-to-twin delivery interval was 34 min (8–78 min) for the second twin with a primary outcome, and 19 min (2–399 min) for the second twin with no primary outcome (p = 0.028). Second twins delivered within a twin-to-twin interval of 0–30 min had a higher pH in umbilical artery blood gas than those delivered after 30 min (pH 7.23 and pH 7.20, p < 0.0001).Author: L. Lindroos, A. Elfvin, L. Ladfors, U.-B. Wennerholm
https://www.hindawi.com/journals/criog/2012/573824/
However, for intervals ≥4 weeks or when the first twin was delivered at 24 to 28 weeks (regardless of delivery interval), there was no benefit in perinatal or infant mortality. Delayed delivery of ≥4 weeks was associated with increased risk of small-for-gestational-age birth in the second twin, regardless of gestational age at delivery of the first.Author: Yunus Aydin, Murat Celiloglu
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