Controversies in the Intrapartum Management of Twin Gestations

Stone, Joanne; Eddleman, Keith; Patel, Shefali

doi:10.1016/s0889-8545(05)70078-4

Cited by 5 publications

(2 citation statements)

References 49 publications

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“…While it seems intuitive that the fetal presentation of twins would influence the optimal mode of delivery, large‐scale studies investigating these issues have been lacking. Some of these matters were discussed by Stone et al [1], and it was Blickstein [2] who described potential benefits of cesarean deliveries for twin gestations, yet they recognized the limited evidence supporting this mode of delivery. It is the purpose of this study, therefore, to try and answer the questions that have been raised within the literature by utilizing a large database of information.…”

Section: Introductionmentioning

confidence: 99%

Delivery of the second twin

Ginsberg

Levine

2005

Intl J Gynecology & Obste

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Section: Introductionmentioning

confidence: 99%

Delivery of the second twin

Ginsberg

Levine

2005

Intl J Gynecology & Obste

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“…Significantly more second born twins in the unaffected group were breech presentations. Breech birth of the second born twin has been described as a safe alternative to a cesarean section in twins born less than 24 weeks and 1500 g [64], although there is some controversy about this [65].…”

Section: First Vs Second Born Twinsmentioning

confidence: 99%

A monozygotic twin design to investigate etiological factors for DCD and ADHD

et al. 2015

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The high level of comorbidity between Developmental Coordination Disorder (DCD) and Attention Deficit Hyperactivity Disorder (ADHD) suggests that these disorders may have a shared etiology. We used a co-twin control design to study monozygotic (MZ) twins concordant and discordant for DCD and ADHD. In a total of 922 sets of MZ twins, 866 sets were eligible. We found equal numbers of DCD concordant and discordant sets; more ADHD concordant than discordant sets; nine sets in which both twins met criteria for DCD+ADHD; 773 sets of twins did not meet criteria for either DCD or ADHD. The only significant sex difference between groups was for ADHD discordant sets, with more males than females. For DCD groups there were no significant sex differences, with slightly more girls than boys affected in both groups. There was a greater number of oxygen perfusion complications in DCD affected than unaffected twins, suggesting that, given equal numbers of DCD concordant and discordant sets and a similar number of DCD girls and boys, the role of pre- and perinatal environmental factors is stronger in the etiology of DCD than in ADHD. Factors such as placental difficulties and hypoxia have also been related to cerebral palsy, which suggests that DCD may fall on the upper end of a continuum of movement disorder that includes cerebral palsy. The results suggest different etiological pathways for DCD and ADHD. Second born twins were at greater risk for oxygen perfusion difficulties in sets concordant for DCD, ADHD, and unaffected for either.

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Multigestational Pregnancy

Obstetrics in Family Medicine

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Controversies in the Intrapartum Management of Twin Gestations

Cited by 5 publications

References 49 publications

Delivery of the second twin

Delivery of the second twin

A monozygotic twin design to investigate etiological factors for DCD and ADHD

Multigestational Pregnancy

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