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Related Experiment Videos

Optimal gestational age for twin delivery.

I Udom-Rice1, S R Inglis, D Skupski

  • 1Department of Obstetrics and Gynecology, New York Hospital-Cornell Medical Center, NY, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|July 6, 2000
PubMed
Summary
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Delivering twins between 36 and 37 weeks does not reduce neonatal complications. Twin pregnancies delivered at 38 weeks or later showed better perinatal outcomes.

Area of Science:

  • Maternal-Fetal Medicine
  • Neonatology
  • Obstetrics

Background:

  • Optimal timing for twin delivery is crucial for perinatal outcomes.
  • Previous studies have yielded conflicting results regarding the benefits of early-term delivery for twins.

Purpose of the Study:

  • To evaluate the association between the timing of twin delivery and perinatal outcomes in gestations of at least 36 weeks.
  • To compare adverse perinatal outcomes in twin pregnancies delivered before 38 weeks versus at or after 38 weeks' gestation.

Main Methods:

  • Retrospective analysis of 776 consecutive twin deliveries from 1987-1993.
  • Inclusion criteria: delivery after 36 weeks' gestation, no congenital anomalies or early fetal demise.
  • Comparison of adverse perinatal outcomes between delivery groups: <38 weeks vs. ≥38 weeks' gestation.

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Main Results:

  • 329 twin deliveries met inclusion criteria.
  • Significantly higher adverse perinatal outcomes in pregnancies delivered before 38 weeks.
  • Deliveries between 36-37 weeks were 13 times more likely to require neonatal intensive care (NICU) compared to those at ≥38 weeks (p < 0.001).

Conclusions:

  • In uncomplicated twin gestations, delivery between 36-37 weeks is not associated with reduced neonatal complications.
  • Delivery at or after 38 weeks' gestation appears to be associated with improved perinatal outcomes for twins.