International Journal of Gynecology & Obstetrics
Volume 91, Issue 3 , Pages 217-220, December 2005

Delivery of the second twin

  • N.A. Ginsberg

      Affiliations

    • Northwestern University Medical School, Chicago, IL, USA
    • Corresponding Author InformationCorresponding author. 30 N. Michigan Avenue, Suite 607, Chicago, IL 60602, USA. Tel.: +1 312 726 3917; fax: +1 312 726 9338.
    • ,
  • E.M. Levine

      Affiliations

    • Advocate Illinois Masonic Medical Center, Chicago, IL, USA

Received 19 May 2005; received in revised form 26 August 2005; accepted 31 August 2005.

Abstract 

Objective

To determine the likelihood of cesarean for the second twin after vaginal delivery of the first and the risk of vaginal delivery.

Method

A retrospective analysis of twin deliveries was performed on 10,365 live born twin pairs (20,730 births), using birth certificate data from the State of Illinois from 1997 through 2000.

Result

The incidence of cesarean for the second twin after vaginal delivery of the first was 10.1%. The greatest incidence of failed vaginal delivery of the second twin was in the vertex/non-vertex group. Five-minute Apgar scores <4 were significantly more frequent in vaginally delivered twins <2000 g compared to those delivered via cesarean (p<0.001).

Conclusion

Twin presentation type is predictive of the likelihood of a failed vaginal delivery of the second twin. Cesarean appears to significantly reduce the incidence of Apgars <4 for neonates <2000 g.

Keywords: Twins, Delivery method, Cesarean, Birth weight

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PII: S0020-7292(05)00483-2

doi:10.1016/j.ijgo.2005.08.017

International Journal of Gynecology & Obstetrics
Volume 91, Issue 3 , Pages 217-220, December 2005

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