AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY

John Morrison

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY

John Morrison

Obstetrics & Gynaecology

Research output: Chapter in Book or Conference Publication/Proceeding › Conference Publication › peer-review

Abstract

OBJECTIVE: The objective of the study was to establish predictors of vaginal twin birth and evaluate perinatal morbidity according to mode of delivery.STUDY DESIGN: One thousand twenty-eight twin pregnancies were prospectively recruited. For this prespecified secondary analysis, obstetric characteristics and a composite of adverse perinatal outcome were compared according to the success or failure of a trial of labor and further compared with those undergoing elective cesarean delivery. Perinatal outcomes were adjusted for chorionicity and gestational age using a linear model for continuous data and logistic regression for binary data.RESULTS: Nine hundred seventy-one twin pregnancies met the criteria for inclusion. A trial of labor was considered for 441 (45%) and was successful in 338 of 441 (77%). The cesarean delivery rate for the second twin was 4% (14 of 351). Multiparity and spontaneous conception predicted vaginal birth. No statistically significant differences in perinatal morbidity were observed.CONCLUSION: A high prospect of successful and safe vaginal delivery can be achieved with trial of twin labor.

Original language	English (Ireland)
Title of host publication	Prediction of safe and successful vaginal twin birth
Volume	205
Publication status	Published - 1 Sep 2011

Authors (Note for portal: view the doc link for the full list of authors)

Authors
Breathnach, FM,McAuliffe, FM,Geary, M,Daly, S,Higgins, JR,Dornan, J,Morrison, JJ,Burke, G,Higgins, S,Dicker, P,Manning, F,Carroll, S,Malone, FD

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title = "AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY",

abstract = "OBJECTIVE: The objective of the study was to establish predictors of vaginal twin birth and evaluate perinatal morbidity according to mode of delivery.STUDY DESIGN: One thousand twenty-eight twin pregnancies were prospectively recruited. For this prespecified secondary analysis, obstetric characteristics and a composite of adverse perinatal outcome were compared according to the success or failure of a trial of labor and further compared with those undergoing elective cesarean delivery. Perinatal outcomes were adjusted for chorionicity and gestational age using a linear model for continuous data and logistic regression for binary data.RESULTS: Nine hundred seventy-one twin pregnancies met the criteria for inclusion. A trial of labor was considered for 441 (45\%) and was successful in 338 of 441 (77\%). The cesarean delivery rate for the second twin was 4\% (14 of 351). Multiparity and spontaneous conception predicted vaginal birth. No statistically significant differences in perinatal morbidity were observed.CONCLUSION: A high prospect of successful and safe vaginal delivery can be achieved with trial of twin labor.",

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year = "2011",

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language = "English (Ireland)",

volume = "205",

booktitle = "Prediction of safe and successful vaginal twin birth",

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PY - 2011/9/1

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N2 - OBJECTIVE: The objective of the study was to establish predictors of vaginal twin birth and evaluate perinatal morbidity according to mode of delivery.STUDY DESIGN: One thousand twenty-eight twin pregnancies were prospectively recruited. For this prespecified secondary analysis, obstetric characteristics and a composite of adverse perinatal outcome were compared according to the success or failure of a trial of labor and further compared with those undergoing elective cesarean delivery. Perinatal outcomes were adjusted for chorionicity and gestational age using a linear model for continuous data and logistic regression for binary data.RESULTS: Nine hundred seventy-one twin pregnancies met the criteria for inclusion. A trial of labor was considered for 441 (45%) and was successful in 338 of 441 (77%). The cesarean delivery rate for the second twin was 4% (14 of 351). Multiparity and spontaneous conception predicted vaginal birth. No statistically significant differences in perinatal morbidity were observed.CONCLUSION: A high prospect of successful and safe vaginal delivery can be achieved with trial of twin labor.

AB - OBJECTIVE: The objective of the study was to establish predictors of vaginal twin birth and evaluate perinatal morbidity according to mode of delivery.STUDY DESIGN: One thousand twenty-eight twin pregnancies were prospectively recruited. For this prespecified secondary analysis, obstetric characteristics and a composite of adverse perinatal outcome were compared according to the success or failure of a trial of labor and further compared with those undergoing elective cesarean delivery. Perinatal outcomes were adjusted for chorionicity and gestational age using a linear model for continuous data and logistic regression for binary data.RESULTS: Nine hundred seventy-one twin pregnancies met the criteria for inclusion. A trial of labor was considered for 441 (45%) and was successful in 338 of 441 (77%). The cesarean delivery rate for the second twin was 4% (14 of 351). Multiparity and spontaneous conception predicted vaginal birth. No statistically significant differences in perinatal morbidity were observed.CONCLUSION: A high prospect of successful and safe vaginal delivery can be achieved with trial of twin labor.

M3 - Conference Publication

VL - 205

BT - Prediction of safe and successful vaginal twin birth

ER -

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY

Abstract

Authors (Note for portal: view the doc link for the full list of authors)

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