Comparison of maternal and neonatal outcomes in twin pregnancies according to delivery types: vaginal delivery or Cesarean delivery?

IF 0.6 Q3 EDUCATION & EDUCATIONAL RESEARCH
G. Turan, Berna Aslan Çetin, E. Turgut, Zelal Aydın, E. Demirdağ, Tamella Taghiyeva
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Abstract

Objective: Our aim was to compare the maternal and neonatal outcomes of twin pregnancies, which result in vaginal delivery (VD) and Cesarean section (CS), and the factors affecting the decision of CS. Methods: Twin pregnancies between 30 and 39 weeks who gave birth in a tertiary center were included in the present study. The demographic data and maternal and neonatal outcomes of the patient groups who gave birth <32 weeks, 32–37 weeks, and >37 weeks were recorded and compared according to the type of birth. Results: A total of 1209 patients were included in the study. The 1- and 5-minute Apgar scores of the 1st and 2nd fetuses in twin pregnancies <32 weeks of gestation were higher in the CS group at a statistically significant level (p=0.007, p=0.010, p=0.001, and p=0.003, respectively). The 1- and 5-minute Apgar scores of the 2nd fetuses of the pregnant women >37 weeks of age were higher in the VD group at a statistically significant level (p=0.039 and p=0.032, respectively). The newborn intensive care unit (NICU) admission rates of 1st fetus and 2nd fetus in the groups of <32 weeks, 32–37 weeks, and >37 weeks were higher in those born by CS at a statistically significant level when compared to those born by VD (1st fetus p<0.001, p<0.001, p=0.016, respectively; 2nd fetus p<0.001, p<0.001, p=0.012, respectively). Conclusion: It must be kept in mind that twin pregnancies have high risks. However, vaginal delivery can be considered as a safe and reasonable option in appropriately selected cases and in the presence of experienced obstetricians by being careful about maternal and neonatal complications which might occur.
根据分娩方式对双胎妊娠产妇和新生儿结局的比较:阴道分娩还是剖宫产?
目的:比较双胎妊娠阴道分娩(VD)和剖宫产(CS)的产妇和新生儿结局,以及影响选择剖宫产的因素。方法:在三级医院分娩的30 ~ 39周的双胎妊娠纳入本研究。记录分娩37周患者组的人口学资料和母婴结局,并按分娩类型进行比较。结果:共纳入1209例患者。双胎妊娠37周龄时,VD组第一胎和第二胎1、5分钟Apgar评分高于对照组,差异有统计学意义(p=0.039、p=0.032)。新生儿重症监护病房(NICU)住院率37周时,CS组第一胎和第二胎高于VD组(第一胎p<0.001, p<0.001, p=0.016;第二胎p<0.001, p<0.001, p=0.012)。结论:双胎妊娠有较高的危险性。然而,在适当选择的病例和有经验的产科医生在场的情况下,通过小心可能发生的孕产妇和新生儿并发症,阴道分娩可以被认为是一种安全合理的选择。
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来源期刊
Journal of Perinatal Education
Journal of Perinatal Education EDUCATION & EDUCATIONAL RESEARCH-
CiteScore
0.70
自引率
16.70%
发文量
51
期刊介绍: The Journal of Perinatal Education (JPE) is the leading peer-reviewed journal specifically for childbirth educators. Through evidence-based articles, the JPE advances the knowledge of aspiring and seasoned educators in any setting-independent or private practice, community, hospital, nursing or midwifery school-and informs educators and other health care professionals on research that will improve their practice and their efforts to support natural, safe, and healthy birth. The JPE also publishes features that provide practical resources and advice health care professionals can use to enhance the quality and effectiveness of their care or teaching to prepare expectant parents for birth. The journal''s content focuses on pregnancy, childbirth, the postpartum period, breastfeeding, neonatal care, early parenting, and young family development. In addition to childbirth educators, the JPE''s readers include nurses, midwives, physicians, and other professionals involved with perinatal education and maternal-child health care.
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