The Planned Mode of Delivery and Neonatal Outcomes of Uncomplicated Dichorionic Twin pregnancies

Abstract

Background: The incidence of twins worldwide continues to increase. The intrapartum management of twins is a major area of risk in obstetrics, and the optimal mode of delivery is a subject of continuing debate, this can affect the physician counseling, and maternal requests for elective cesarean delivery. Planned caesarean delivery could theoretically avoid some of the risks but direct evidence of a protective effect is currently lacking. Moreover, cesarean delivery before the onset of labor is associated with an increased risk of neonatal respiratory morbidity.