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Does structured obstetric management play a role in the delivery mode and neonatal outcome of twin pregnancies?


ABSTRACT:

Purpose

While the optimal delivery method of twin pregnancies is debated, the rate of cesarean deliveries is increasing. This retrospective study evaluates delivery methods and neonatal outcome of twin pregnancies during two time periods and aims to identify predictive factors for the delivery outcome.

Methods

553 twin pregnancies were identified in the institutional database of the University Women's Hospital Freiburg, Germany. 230 and 323 deliveries occurred in period I (2009-2014) and period II (2015-2021), respectively. Cesarean births due to non-vertex position of the first fetus were excluded. In period II, the management of twin pregnancies was reviewed; adjusted and systematic training with standardized procedures was implemented.

Results

Period II showed sign

SUBMITTER: Ge I 

PROVIDER: S-EPMC10894101 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature