Planned Cesarean or planned vaginal delivery for twins: secondary analysis of randomized controlled trial.

ABSTRACT:

Objective

To evaluate whether there is a differential benefit of planned Cesarean delivery (CD) over planned vaginal delivery (VD) in women with a twin pregnancy and the first twin in cephalic presentation, depending on prespecified baseline maternal and pregnancy characteristics, and/or gestational age (GA) at delivery.

Methods

This was a secondary analysis of the Twin Birth Study, which included 2804 women with a twin pregnancy and the first twin (Twin A) in cephalic presentation between 32 + 0 and 38 + 6 weeks' gestation at 106 centers in 25 countries. Women were assigned randomly to either planned CD or planned VD. The main outcome measure was composite adverse perinatal outcome, defined as the occurrence of perinatal mortality or serious neonatal morbidity in at least o

SUBMITTER: Zafarmand MH 

PROVIDER: S-EPMC8048696 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature