Risk factors predicting an emergency cesarean delivery for the second twin after vaginal delivery of the first twin

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• 作者：Efrat Spiegel ; Roy Kessous ; Ruslan Sergienko…
• 关键词：Cesarean Section ; Second twin
• 刊名：Archives of Gynecology and Obstetrics
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：292
• 期：3
• 页码：531-536
• 全文大小：339 KB
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• 作者单位：Efrat Spiegel (1)
  Roy Kessous (1)
  Ruslan Sergienko (2)
  Eyal Sheiner (1)
  
  1. Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, POB 151, 84101, Beer-Sheva, Israel
  2. Epidemiology and Health Services Evaluation, Ben-Gurion University of the Negev, Beer-Sheva, Israel
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gynecology
  Obstetrics and Perinatology
  Endocrinology
  Human Genetics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-0711

文摘

Objective To investigate obstetrical risk factors predicting failure of vaginal delivery and an emergency cesarean section (CS) for the second twin after vaginal delivery of the first twin. In addition, the study was aimed to define perinatal outcomes of the second twin. Study design A retrospective study was conducted, comparing all deliveries of twins in which CS was performed for the second twin to those in which both twins were delivered vaginally during the years 1988-010. Women with multiple gestations in which a CS was performed for both twins were excluded from the study. Results During the study period, 1966 vaginal deliveries of the first twin were recorded; 192 involved emergency CS for the second twin. Risk factors for emergency CS of the second twin were preterm delivery, previous CS, placental abruption and breech presentation of the second twin. Perinatal outcomes did not differ between the groups. Conclusion Risk factors for emergency cesarean section of the second twin are preterm delivery, previous CS, placental abruption and breech presentation. Nevertheless, short-term perinatal outcomes are comparable to twins delivered vaginally.