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Related Experiment Videos

[Indication for caesarean section for multiple pregnancy (author's transl)]

G Schulze, H Radzuweit

    Zentralblatt Fur Gynakologie
    |January 1, 1981
    PubMed
    Summary

    Caesarean section rates for multiple pregnancies were similar to single pregnancies. Expanding caesarean indications for malpresentation can reduce twin perinatal mortality, especially for higher-order multiples beyond 34 weeks.

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    Area of Science:

    • Obstetrics and Gynecology
    • Perinatology
    • Maternal-Fetal Medicine

    Context:

    • Retrospective analysis of 213 multiple pregnancy cases between 1969 and 1980.
    • Comparison of caesarean section rates in multiple vs. singleton pregnancies.

    Purpose:

    • To analyze indications for caesarean section in multiple pregnancies.
    • To evaluate the impact of caesarean section on perinatal mortality in multiple births.
    • To establish recommendations for delivery mode in advanced multiple gestations.

    Summary:

    • The average caesarean section rate for multiple pregnancies was 6.1%, comparable to singleton pregnancies (5.9%).
    • Expanded caesarean section indications for malpresentation in multiple pregnancies can decrease perinatal mortality, particularly for the second twin.
    • Primary caesarean section is advised for multiple pregnancies with three or more fetuses after 34 weeks gestation.

    Impact:

    • Potential reduction in perinatal mortality for multiple births through strategic caesarean section implementation.
    • Improved management protocols for high-risk pregnancies involving multiple fetuses.
    • Guidance for obstetricians on optimizing delivery timing and mode for multiple gestations.

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