Increased elective caesarean section rate is not associated with a decreased serious morbidity rate for twins ≥ 32 weeks' gestation

被引:7
作者
van der Garde, M. [1 ]
Winkens, B. [2 ]
Roumen, F. J. M. E. [1 ]
机构
[1] Atrium Med Ctr Parkstad, Dept Obstet & Gynaecol, NL-6401 CX Heerlen, Netherlands
[2] Maastricht Univ, Dept Methodol & Stat, Maastricht, Netherlands
关键词
Caesarean section; maternal morbidity; neonatal morbidity; twins; twin delivery; twin pregnancies; VAGINAL DELIVERY; 2ND TWIN; NEONATAL MORBIDITY; PLANNED MODE; MORTALITY; OUTCOMES; AGE; PREGNANCIES; POPULATION; MANAGEMENT;
D O I
10.3109/01443615.2012.669431
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
To assess neonatal and maternal morbidity in twins >= 32 weeks' gestation, related to the changes in planned mode of delivery, a retrospective cohort study was performed, including 185 twin births delivered in the Atrium Medical Centre, Heerlen, during the years 2003-2008. The results were compared with those of an earlier study from our department during the period 1999-2002. Compared with the 1999-2002 cohort, the elective caesarean section rate significantly increased from 17.7% to 36.8%. The secondary caesarean rate significantly decreased from 15.9% to 8.8%, but increased from 1.2% to 3.3% for only twin B. No significant differences in serious neonatal morbidity rates for twins A and B were found between both study periods, neither in the elective caesarean group, nor in the planned vaginal birth group. Serious maternal morbidity was not significantly increased in both groups compared with the 1999-2002 cohort.
引用
收藏
页码:453 / 457
页数:5
相关论文
共 28 条
[11]   Neonatal and maternal outcomes in twin gestations ≥32 weeks according to the planned mode of delivery [J].
Haest, KMJ ;
Roumen, FJME ;
Nijhuis, JG .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2005, 123 (01) :17-21
[12]   Influence of mode of delivery on neonatal mortality in the second twin, at and before term [J].
Herbst, A. ;
Kallen, K. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2008, 115 (12) :1512-1517
[13]   Cesarean delivery for twins: A systematic review and meta-analysis [J].
Hogle, KL ;
Hutton, E ;
McBrien, KA ;
Barrett, JFR ;
Hannah, ME .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 188 (01) :220-227
[14]   Infant mortality among singletons and twins in the United States during 2 decades: Effects of maternal age [J].
Misra, DP ;
Ananth, CV .
PEDIATRICS, 2002, 110 (06) :1163-1168
[15]   Breech presenting twin A: is vaginal delivery safe? [J].
Nassar, AH ;
Maarouf, HH ;
Hobeika, EM ;
Abd Essamad, HM ;
Usta, IM .
JOURNAL OF PERINATAL MEDICINE, 2004, 32 (06) :470-474
[16]   Infant morbidity and mortality associated with vaginal delivery in twin gestations [J].
Peaceman, Alan M. ;
Kuo, Lindsay ;
Feinglass, Joe .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2009, 200 (04) :462.e1-462.e6
[17]   Obstetric complications of twin pregnancies [J].
Rao, A ;
Sairam, S ;
Shehta, H .
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY, 2004, 18 (04) :557-576
[18]   Mortality of twin and singleton livebirths under 30 weeks' gestation: a population-based study [J].
Ray, B. ;
Platt, M. P. Ward .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2009, 94 (02) :F140-F143
[19]  
Rydhstroem H, 2001, Twin Res, V4, P156, DOI 10.1375/twin.4.3.156
[20]   Neonatal outcomes of twin pregnancy according to the planned mode of delivery [J].
Schmitz, Thomas ;
de Carne Carnavalet, Celine ;
Azria, Elie ;
Lopez, Emmanuel ;
Cabrol, Dominique ;
Goffinet, Francois .
OBSTETRICS AND GYNECOLOGY, 2008, 111 (03) :695-703