Should we deliver twins electively at 37 weeks' gestation?

The purpose of this review is to assess the available literature to answer the question, should we deliver twins electively at 37 weeks' gestation?

There are retrospective studies indicating that the lowest risk of perinatal morbidity and mortality occurs in twins at 37 weeks' gestation. A single, small, randomized trial has been identified comparing elective birth at 37 weeks' gestation with continued expectant management. However, there is currently insufficient information available from randomized controlled trials to indicate whether the benefits of elective birth outweigh the potential harms for both women and their infants.

Whereas elective birth at 37 weeks' gestation may be a safe and effective way to reduce the perinatal mortality and morbidity in twins, further information is required from randomized controlled trials to answer the question of whether we should deliver twins electively at 37 weeks' gestation.