Back to Search
Start Over
Outcomes of vertex‐vertex vs. vertex‐breech presentation in twin pregnancy after vaginal delivery in China.
- Source :
- Birth: Issues in Perinatal Care; Dec2023, Vol. 50 Issue 4, p978-987, 10p
- Publication Year :
- 2023
-
Abstract
- Objective: To compare the maternal and neonatal outcomes of twin pregnancies between vertex and nonvertex presentations of the second twin in vaginal delivery. Methods: In this unicentric retrospective cohort study, we collected data from 213 cases of vaginal twin deliveries from January 2016 to July 2020. Participants were divided into the vertex‐vertex presentation group (VV) and vertex‐breech presentation group (VB). Data on maternal and neonatal outcomes were compared between groups. Results: Among the 213 mothers and 426 infants (213 twin pairs), there were 140 women in the VV group and 73 women in the VB group (65.73% vs. 34.27%). Infants in the VB group had a higher incidence of admission to NICU (51.43% vs. 68.49%, p = 0.017), lower 1‐min (11.43% vs. 28.77%, p < 0.001) and 5‐minute Apgar scores (1.43% vs. 4.11%, p = 0.043) for the second twin. However, after the adjustment for sex of the twin, birth weight, chorionicity, and gestational age, the greater risk of admission to NICU and low 5‐min Apgar score was no longer significantly different. Conclusion: VB twins are at no greater overall risk of a poor outcome due to breech presentation in the second twin. However, the presentation of the second fetus represents a risk factor for a low 1‐min Apgar score. Obstetricians and midwives should consider appropriate interventions for second twins who present breech versus vertex. [ABSTRACT FROM AUTHOR]
- Subjects :
- MOTHERS
NEONATAL intensive care
ACADEMIC medical centers
ANALYSIS of variance
PREMATURE infants
BREECH delivery
TWINS
NEONATAL intensive care units
PATIENTS
RETROSPECTIVE studies
GESTATIONAL age
CASE-control method
VAGINA
PREGNANCY outcomes
HOSPITAL admission & discharge
SEX distribution
FETAL presentation
DESCRIPTIVE statistics
BIRTH weight
RESEARCH funding
DELIVERY (Obstetrics)
APGAR score
DATA analysis software
MULTIPLE pregnancy
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 07307659
- Volume :
- 50
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Birth: Issues in Perinatal Care
- Publication Type :
- Academic Journal
- Accession number :
- 173586583
- Full Text :
- https://doi.org/10.1111/birt.12737