| Twin delivery after a previous caesarean: a twelve-year experience. | |
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MedLine Citation:
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PMID: 12679821 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To compare maternal and neonatal morbidities between trial of labour (TOL) and elective Caesarean section in women with twin pregnancies who have had a prior Caesarean. METHODS: An observational study was conducted of women with a prior Caesarean who delivered twins at 28 weeks gestation or greater in Ste-Justine Hospital between 1988 and 2001. Maternal and neonatal outcomes were compared between women who had a TOL (group 1) and those who had an elective Caesarean delivery (group 2). RESULTS: Twenty-six women and 52 fetuses were included in group 1 and compared to the 71 women and 142 fetuses in group 2. Maternal age, gestational age, and birth weight were comparable in both groups. In group 1, 22 (85%) out of 26 women delivered twin A vaginally and 19 (73%) delivered both vaginally. There was no significant difference in the umbilical artery cord pH, Apgar score, ventilatory support, and admission to the neonatal intensive care unit between the 2 groups. There was also no significant difference in the rate of postpartum maternal fever or decrease of serum hemoglobin between the 2 groups, but the median hospital stay was higher in the group with elective Caesarean (5.0 vs. 3.0 days, p <0.001). There were no uterine ruptures or other major complications in either group. CONCLUSION: There were no significant differences in maternal and neonatal morbidity outcomes between births by trial of labour and by elective Caesarean, in twin pregnancies after a prior Caesarean section. A trial of labour is associated with a shorter hospital stay. |
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Authors:
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Andrée Sansregret; Emmanuel Bujold; Robert J Gauthier |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC Volume: 25 ISSN: 1701-2163 ISO Abbreviation: J Obstet Gynaecol Can Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-04-07 Completed Date: 2003-06-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 101126664 Medline TA: J Obstet Gynaecol Can Country: Canada |
Other Details:
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Languages: eng Pagination: 294-8 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Ste-Justine Hospital, University of Montreal, Montreal, QC, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section, Repeat* Female Humans Infant, Newborn Labor Presentation Length of Stay Morbidity Pregnancy Pregnancy Outcome Retrospective Studies Trial of Labor* Twins* Vaginal Birth after Cesarean* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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