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Neonatal outcomes after planned vaginal delivery in monochorionic compared with dichorionic twin pregnancies

Ultrasound in Obstetrics & Gynecology Oct 23, 2020

Schmitz T, Korb D, Azria E, et al. - Twins’ perinatal outcomes after planned vaginal delivery were assessed according to chorionicity. From February 2014 to March 2015, JUMODA (JUmeaux MOde D'Accouchement), a national prospective population‐based cohort study of twin deliveries, was conducted in 176 maternity units in France. Researchers conducted a planned secondary analysis of 3,873 women at or after 32 weeks with a cephalic first twin and a planned vaginal delivery according to the Twin Birth Study criteria. Among these women, 729 (18.8%) were uncomplicated monochorionic and 3,144 (81.2%) dichorionic twin pregnancies. Outcomes suggest that in case of planned vaginal delivery at or after 32 weeks of gestation when the first twin is in cephalic presentation, no higher composite intrapartum mortality and neonatal morbidity and mortality occur in correlation with uncomplicated monochorionic twin pregnancies vs dichorionic twin pregnancies.

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