Maternal and infant outcomes of planned mode of delivery in twin pregnancies: A systematic review and meta-analysis.

ABSTRACT:

Introduction

The optimal mode of delivery for twins has been debated for decades. The objective of this study is to compare maternal and perinatal outcomes between planned cesarean birth and planned vaginal delivery in twin pregnancies.

Material and methods

We conducted searches across MedLine, CINAHL, Cochrane CENTRAL, Web of Science, Scopus, and Embase, from database inception to June 13, 2025, for studies that compared planned vaginal delivery with planned cesarean birth regarding maternal and/or neonatal outcomes in twin gestations. Random-effects models were used to estimate pooled odds ratios (OR) with 95% confidence intervals (CI), and heterogeneity was assessed using the I² statistic. The Downs and Black scale was used to assess study quality and risk of b

SUBMITTER: Callado GY 

PROVIDER: S-EPMC12668818 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature