Risk factors for cesarean delivery in twin pregnancies attempting vaginal delivery

Fox, Nathan S.; Gupta, Simi; Melka, Stephanie; Silverstein, Michael; Bender, Samuel; Saltzman, Daniel H.; Klauser, Chad K.; Rebarber, Andrei

doi:10.1016/j.ajog.2014.07.056

Cited by 26 publications

(20 citation statements)

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“…The association between nulliparity and a failed trial of vaginal delivery in twin gestation was previously established but, similar to the aforementioned comment, was not assessed separately for combined delivery and cesarean delivery of both twins .…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for cesarean delivery and adverse neonatal outcome in twin pregnancies attempting vaginal delivery

Schachter-Safrai

Karavani

Haj-Yahya

et al. 2018

Acta Obstet Gynecol Scand

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Section: Discussionmentioning

confidence: 99%

“…In a more recent study, 286 women with twin pregnancy attempting vaginal delivery were enrolled, of whom 82.8% delivered both twins vaginally and none of them underwent combined vaginal‐cesarean delivery. Nulliparity and advanced maternal age were found as independent risk factors for cesarean delivery .…”

Section: Introductionmentioning

confidence: 92%

Risk factors for cesarean delivery and adverse neonatal outcome in twin pregnancies attempting vaginal delivery

Schachter-Safrai

Karavani

Haj-Yahya

et al. 2018

Acta Obstet Gynecol Scand

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“…Counseling for women who conceive with infertility treatments may be needed to decrease unnecessary cesarean deliveries [35]. Furthermore, women with multifetal pregnancies are encouranged to try vaginal delivery [36, 37] or undergo multifetal pregnancy reduction (MFPR) [38–40]. …”

Section: Discussionmentioning

confidence: 99%

In-vitro fertilization and spontaneous pregnancies: matching outcomes in Douala, Cameroon

Egbe

Sandjon

Ourtchingh

et al. 2016

Fertil Res and Pract

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BackgroundCouples are considered infertile if they do not conceive over a 12-month period of unprotected intercourse. Studies have shown that female causes accounted for between 25 to 37 percent of infertility worldwide (with larger proportions in sub-Saharan Africa and Southeast Asia) and male causes accounted for between 8 to 22 percent. Both male and female causes accounted for between 21 to 38 percent. Although the majority of ART children are normal, there are concerns about the increased risk for adverse pregnancy outcomes. More than 30 % of ART pregnancies are twins or higher-order multiple gestations (triplets or greater) and more than one half of all ART neonates are the products of multifetal gestations, with an attendant increase in prematurity complications. The aim of this study was to evaiuate the outcome of pregnancies conceived by In-vitro fertilisation compared to those conceived naturally in two hospitals in Douala, Cameroon.MethodsThis was a prospective study carried out from October 1, 2011 to September 30, 2012. Participants were recruited from two hospitals: the Douala General Hospital (DGH) and the Clinique de l’ Aéroport (CDA), also in Douala. A total of 102 women were recruited for study: 51 who conceived by IVF (cases) and 51 who conceived naturally (controls). Of the 102 women, 52.9 % were between 31 – 39 years of age, while 21.6 % were above 40.ResultsParticipants who conceived through IVF-ET were 4.1 times more likely to undergo cesarean delivery than those who conceived naturally [OR 4.10, 95 % CI 1.78–9.42]. Similarly, a higher percentage of patients in the IVF group than those in the control group have never given birth (33.3 % vs 2.0 %) (P < 0.0001). The percentage of multiple pregnancies was 7.5 times higher in the IVF group than in the control group (14.7 % vs.1.96 %) (P = 0.000).The leading indication for cesarean delivery was advanced maternal age (27.3 %) followed by IVF or precious pregnancy (18.2 %).ConclusionsCesarean delivery was more frequent amongst the IVF group than in the control group. The leading indications for cesarean delivery were advanced maternal age and IVF or precious pregnancy.The long-term neonatal outcomes of IVF babies beyond 5-min Apgar scores should be studied in Cameroon and follow-up beyond 1 year encouraged.

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“…12 Practices that are experienced with internal podalic version quote a VD-CD rate 1.0%, a rate that is consistent with our results. [13][14][15] The lower rate of transfusion among women who intended to labor in our study compared with the rate seen in Easter et al may be related to our use of internal podalic version and breech extraction, and consequently, decreased rates of VD-CD delivery. In this way, our findings may not be generalizable to practices that do not perform breech extraction and internal podalic version.…”

Section: Commentmentioning

confidence: 45%

The Association between Intended Mode of Delivery and Maternal Morbidity in Twin Pregnancies

et al. 2018

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Objective To compare maternal morbidity between women undergoing delivery of twins who intend to labor with those women who do not intend to labor. Study Design This was a retrospective cohort study of women undergoing delivery of twins in a single maternal–fetal medicine practice between January 2005 and February 2018. We identified women with a twin delivery at gestational age ≥24 weeks and determined if they intended or did not intend to labor. Maternal outcomes were compared between the groups. Results A total of 788 patients were included, of whom 404 (51.3%) intended to labor and 384 (48.7%) did not intend to labor. Women who intended to labor had a high rate of vaginal delivery (VD; 79.7%). Overall, 45 (5.7%) women required blood transfusion; this was not significantly different between the groups (6.2 vs. 5.2%, p = 0.54). Women who intended to labor had a shorter hospital stay and lower blood loss. There were no significant differences for all other maternal outcomes. Conclusion In patients undergoing twin delivery, women who intend to labor have similar maternal morbidity compared with women who do not intend to labor. This supports current guidelines recommending providers offer a trial of VD for twin pregnancies.

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Risk factors for cesarean delivery in twin pregnancies attempting vaginal delivery

Cited by 26 publications

References 14 publications

Risk factors for cesarean delivery and adverse neonatal outcome in twin pregnancies attempting vaginal delivery

Risk factors for cesarean delivery and adverse neonatal outcome in twin pregnancies attempting vaginal delivery

In-vitro fertilization and spontaneous pregnancies: matching outcomes in Douala, Cameroon

The Association between Intended Mode of Delivery and Maternal Morbidity in Twin Pregnancies

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