Document Detail


Randomized management of the second nonvertex twin: vaginal delivery or cesarean section.
MedLine Citation:
PMID:  3799768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sixty twin deliveries after the thirty-fifth gestational week with vertex-breech and vertex-transverse presentations were managed according to a randomization protocol. Thirty-three parturient women (21 vertex-breech and 12 vertex-transverse presentations) were allocated for vaginal delivery and 27 for cesarean section (18 vertex-breech and nine vertex-transverse). Six pairs of twins in the vaginal delivery group were delivered in a different mode than requested by the protocol (two women underwent cesarean section; in four cases the second twin spontaneously changed to vertex presentation). There were no significant differences between 1- and 5-minute Apgar scores and incidence of neonatal morbidity between the second-born twins in both study groups. Firstborn twins had higher 1-minute Apgar scores than the second-born infants irrespective of route of delivery (p less than 0.05). No case of birth trauma or neonatal death was recorded. Maternal febrile morbidity was significantly higher in the cesarean section group than in the vaginal delivery group (40.7% versus 11.1%, p less than 0.05). These results suggest that in twins with vertex-breech or vertex-transverse presentations after the thirty-fifth week of gestational age the neonatal outcome of the second twin was not significantly influenced by the route of delivery.
Authors:
J Rabinovici; G Barkai; B Reichman; D M Serr; S Mashiach
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  156     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-02-17     Completed Date:  1987-02-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  52-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Cesarean Section*
Delivery, Obstetric / methods*
Female
Gestational Age
Humans
Infant, Newborn
Labor Presentation*
Pregnancy
Random Allocation
Risk
Twins*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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