Planned Vaginal Delivery vs Planned Cesarean Delivery in Preterm Twins

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

204 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-07-01

Study Completion Date

2020-03-01

Brief Summary

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The incidence of twin pregnancies has increased and currently accounts for 1.8% of all deliveries. 47.5% of twins are born prematurely (vs. 6% for singletons) of which 9.9% before 32SA. Caesarean section rates are also higher than for singletons (53.7% vs 19.2%) and 31.8% of caesarean sections are performed before delivery.

The optimal mode of delivery for preterm twins remains controversial. The latest recommendations for clinical practice emphasize that it is not appropriate to recommend one mode of delivery rather than another in the case of twin pregnancies at any term.

In view of all these elements, we wished to carry out a retrospective study at the Montpellier University Hospital in order to compare the neonatal outcome of preterms twins according to their mode of delivery : planned vaginal delivery versus planned cesarean delivery.

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Detailed Description

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Conditions

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Twin Pregnancy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Planned vaginal delivery

Survival at discharge

Intervention Type OTHER

Survival at discharge

Survival without severe morbidity

Intervention Type OTHER

Survival without severe morbidity (IVH, severe BPD, NEC, ROP)

Planned cesarean delivery

Survival at discharge

Intervention Type OTHER

Survival at discharge

Survival without severe morbidity

Intervention Type OTHER

Survival without severe morbidity (IVH, severe BPD, NEC, ROP)

Interventions

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Survival at discharge

Intervention Type OTHER

Survival without severe morbidity

Survival without severe morbidity (IVH, severe BPD, NEC, ROP)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* twins born at Montpellier University Hospital
* between 24SA and 32SA+6
* January 2010 to July 2019
* The mothers must have gone into labour spontaneously or after preterm rupture of membranes
* first twin in cephalic presentation

Exclusion Criteria

* twin to twin transfusion syndrome
* monoamniotic pregnancies
* cause of delivery other than preterm labor or preterm rupture of membranes
* lethal malformation
* first twin in breech or transverse presentation

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No