[Neonatal prognosis of second twin]
Sonia Ben Hamouda1, Walid Daaloul, Imène Ayadi
1Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle, Tunis.
Background:
Twin pregnancy is associated to high neonatal morbidity particularly for the second twin.
Aim:
To assess twin delivery practice in our department and prognosis of second twin.
Methods:
Retrospective study of medical files of parturition women with twin pregnancy between January 2003 and December 2006. Were excluded women delivered before 28 weeks gestation, twin pregnancies with death or malformation of one of twins. Descriptive and comparative analyses were realised.
Results:
One hundred forty six twin pregnancies were counted. Vaginal delivery was attempted with 90 parturition women with 85.5% of success. Caesarean section delivery rate was 47.2%. Overall there's no difference between twins considering neonatal complication. In case of vaginal delivery, the second twin's 5 minutes Apgar score was statistically under the one of the 1st twin if compared to the caesarean section delivery. This difference was no more significant if regarding the Apgar score under 7 at 5 minutes. Apgar score of the second twin was also under the one of the first twin in non cephalic presentation.
Conclusion:
Vaginal delivery of twin pregnancy was noot associated to high risk for twins. Obstetrical manoeuvres should be well controlled to reduce obstetrical trauma.
