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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252881/
These findings led the authors to conclude that mode of delivery for twins weighing less than 1500 g is unrelated to perinatal mortality or long-term adverse outcome. The data with respect to perinatal outcome are inconsistent regarding mode of delivery for preterm twins weighing less than 1500 g.Author: Diane Christopher, Barrett K Robinson, Alan M Peaceman
https://www.ncbi.nlm.nih.gov/pubmed/30531574
Planned Mode of Delivery of Preterm Twins and Neonatal and 2-Year Outcomes. Sentilhes L(1), Lorthe E, Marchand-Martin L, Marret S, Ancel PY, Delorme P, Goffinet F, Quere M, Kayem G; Etude Epidémiologique sur les Petits Ages Gestationnels (EPIPAGE) 2 Obstetric Writing Group.Author: Sentilhes L, Lorthe E, Marchand-Martin L, Marret S, Ancel Py, Delorme P, Goffinet F, Quere M, Kayem ...
https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/j.1479-828X.1988.tb01605.x
Furthermore, there were no significant associations between mode of delivery and the condition of the infants at birth, or the presence of respiratory distress in the nursery. Because Caesarean section carries substantial risks for the mother our practice of predominantly vaginal deliveries for preterm twins …Author: L. W. Doyle, C. D. Hughes, R.L. Guaran, M. A. Quinn, W. H. Kitchen
https://obgyn.onlinelibrary.wiley.com/doi/abs/10.1111/j.1479-828X.1988.tb01605.x
EDITORIAL COMMENT: This paper concludes that the vaginal route is appropriate, in terms of perinatal mortality and immediate morbidity, for the delivery of approximately 80% of twins born before 33 weeks' gestation. The trend towards Caesarean section in multiple pregnancy should be scrutinized as for singleton pregnancies.Author: L. W. Doyle, C. D. Hughes, R.L. Guaran, M. A. Quinn, W. H. Kitchen
https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
Uncomplicated twin pregnancies — The optimum time to deliver uncomplicated twin pregnancies depends on chorionicity and amnionicity. However, spontaneous or medically indicated preterm birth complicates over 50 percent of twin pregnancies; thus, scheduling the timing of delivery is not at the discretion of the obstetrician in most cases [ 1 ].
https://www.researchgate.net/publication/329461693_Planned_Mode_of_Delivery_of_Preterm_Twins_and_Neonatal_and_2-Year_Outcomes
Results: Among the 932 women with a twin pregnancy, 549 were excluded mainly as a result of the first twin in noncephalic presentation, cause of delivery other than preterm labor or preterm ...
https://www.tandfonline.com/doi/abs/10.1080/14767058.2017.1295441
Mar 09, 2017 · Conclusions: Preterm twin infants born via CS experienced less severe neurological injury when compared to those delivered vaginally, but had an increase in respiratory distress syndrome. Keywords: Infant , premature , multiple pregnancy , mortality , neurological injury , respiratory distress syndrome , mode of deliveryAuthor: Tiffany Hunter, Jyotsna Shah, Anne Synnes, Sandesh Shivananda, Greg Ryan, Prakesh S. Shah, Kellie E....
https://www.verywellfamily.com/reasons-twins-are-born-early-2447302
But sometimes the sac ruptures early, known as PROM (Premature Rupture of Membranes) or PPROM (Preterm Premature Rupture of Membranes) if it happens prior to 37 weeks gestation. Once the bag of waters breaks, it presents an opportunity for infection if delivery isn't imminent, and may prompt an early delivery of twins.
https://www.webmd.com/baby/premature-labor-twins
Also called preterm labor, premature labor is when you start having contractions and true labor after your 20th week of pregnancy and more than 3 weeks before you expect to deliver your babies.Author: Annie Stuart
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-017-1554-7
Nov 29, 2017 · These observations suggest that in very preterm twins and likely extremely preterm twins, in contrast to higher gestational ages, the mode of delivery may interact in a different manner with birth order and presentation to influence mortality and morbidity.Author: Catherine Dagenais, Anne-Mary Lewis-Mikhael, Marinela Grabovac, Amit Mukerji, Sarah D. McDonald
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