Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Schneuber, S; Magnet, E; Haas, J; Giuliani, A; Freidl, T; Lang, U; Bjelic-Radisic, V.
Twin-to-twin delivery time: neonatal outcome of the second twin.
Twin Res Hum Genet. 2011; 14(6):573-579
Doi: 10.1375/twin.14.6.573
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- Führende Autor*innen der Med Uni Graz
- Schneuber Susanne
- Co-Autor*innen der Med Uni Graz
- Bjelic-Radisic Vesna
- Freidl Thomas
- Giuliani Albrecht
- Haas Josef
- Lang Uwe
- Magnet Eva Maria Sieglinde
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- Abstract:
- To examine the effect of twin-to-twin delivery time (TTDT) on neonatal outcome. We evaluated twin deliveries >34 weeks of gestation. Twin pregnancies with both twins delivered by cesarean section and pregnancies with antenatal complications were excluded. We analyzed TTDT and neonatal outcomes of the second twin (umbilical arterial pH value (pH(art)), Apgar scores at 1, 5 and 10 minutes, need for intensive care). The study population was divided into two homogenous groups based on the mode of delivery: (A) vertex presentation and vaginal delivery of both twins, (B) vertex presentation and vaginal or vaginal operative delivery of twin I, breech or transverse presentation and vaginal breech delivery or cesarean section (CS) of twin II. A total of 207 twin pairs were included in our study. In Group A (n = 151) there were no significant correlations between TTDT and pH(art) or Apgar scores at 1,5 and 10 minutes of twin II (p = .156; 0.861; 0.151 and 0.384, respectively). In Group B (n = 56), the mean pH(art) of twin II was inversely correlated to TTDT, but not significantly (p = .417). TTDT was inversely related to 1-min and 5-min Apgar scores, but not significantly (p = .330; p = .138, respectively). The 10-min Apgar score showed no correlation with TTDT (p = .638). Increasing TTDT was not associated with adverse fetal outcome. Expectant management of the second twin appears possible and elapsed time alone does not appear to be an indication for intervention.
- Find related publications in this database (using NLM MeSH Indexing)
- Apgar Score -
- Cesarean Section -
- Delivery, Obstetric - methods
- Female -
- Gestational Age -
- Humans -
- Hydrogen-Ion Concentration -
- Infant, Newborn -
- Pregnancy -
- Pregnancy Outcome -
- Pregnancy, Twin -
- Time Factors -
- Find related publications in this database (Keywords)
- twins
- twin-to-twin delivery time
- umbilical arterial pH
- neonatal outcome