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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue3
Subject Area: Medicine
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DOI: 10.5272/jimab.2023293.5085
Published online: 08 September 2023
Original article
J of IMAB. 2023 Jul-Sep;29(3):5085-5088
METHOD OF DELIVERY IN MULTIPLE PREGNANCY
Svilen Lazarov1
, Nikolay Lazarov2,
1) Department of Health Care, Faculty of Medicine, Trakia University, Stara Zagora, Bulgaria.
2) Department of Obstetrics and Gynecology, Faculty of Medecine, Trakia University, Stara Zagora, Bulgaria.
ABSTRACT:
Purpose: To study the methods of delivery, vaginal or with Caesarean section (CS), in women with multiple pregnancy (MP), according to the method of conception: spontaneous or assisted reproductive techniques (ART).
Material/Methods: Data on the method of delivery were analyzed for a total of 356 women with MP, 261 of which were after spontaneous conception and 95 after ART/IVF conception
Results: Out of a total of 261 women with MP after spontaneous conception, 87 ended up with a normal (vaginal) delivery (33.3%) and 174 (66.7%) by Caesarean section (CS). A total of 95 MP after ART, 100% were delivered with CS.
Conclusions: Among women with multiple pregnancy after spontaneous conception, Caesarean section delivery predominates. All women with MP after ART gave birth by Cesarean section delivery (100%). Among women with MP and vaginal delivery, 80% delivered after Oxytocin induction. The most common indication for Caesarean section in spontaneous MP was malpresentation of the fetus / mutual placement of the two twins (50%), followed by fetal asphyxia (33%) and other indications.
Keywords: vaginal delivery, multiple pregnancy, method of delivery, Caesarean section,
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Please cite this article as: Lazarov S, Lazarov N. Method of delivery in multiple pregnancy. J of IMAB. 2023 Jul-Sep;29(3):5085-5088. [Crossref - 10.5272/jimab.2023293.5085]
Correspondence to: Dr Svilen Lazarov, Department of Health Care, Faculty of medicine, Trakia University, Stara Zagora; 11, Armejska str., Stara Zagora 6000, Bulgaria; E-mail: svilenlazarov06@gmail.com
REFERENCES:
1. Meyer R, Orvieto R, Israel A, Mohr-Sasson A, Timerman Y, Gorodesky T, et al. Outcomes of singleton versus twin pregnancies in the fifth and sixth decades. Eur J Obstet Gynecol Reprod Biol. 2018 Dec;231:255-261. [PubMed]
2. Esteves-Pereira AP, da Cunha AJLA, Nakamura-Pereira M, Moreira ME, Domingues RMSM, Viellas EF, et al. Twin pregnancy and perinatal outcomes: Data from 'Birth in Brazil Study'. PLoS One. 2021 Jan 11;16(1):e0245152. [PubMed]
3. Stambolov BI. [Multiple pregnancy.] [monograph] Sofiia: Meditsina I fizkultura.1988. [in Bulgarian]
4. Blondel B, Macfarlane A, Gissler M, Breart G, Zeitlin J. Preterm birth and multiple pregnancy in European countries participating in the PERISTAT project. BJOG. 2006 May;113(5):528-35. [PubMed]
5. Pestana I, Loureiro T, Almeida A, Rocha I, Rodrigues RM, Rodrigues T. Effect of mode of delivery on neonatal outcome of monochorionic diamniotic twin pregnancies: a retrospective cohort study. J Reprod Med. 2013 Jan-Feb;58(1-2):15-8. [PubMed]
6. Khalil1 A, Liu B. Controversies in the management of twin pregnancy. Ultrasound Obstet Gynecol. 2021 Jun;57(6): 888-902 [Crossref].
7. Cagan M, Tanacan A, Aydin Hakli D, Beksac MS. Changing rates of the modes of delivery over the decades (1976, 1986, 1996, 2006, and 2016) based on the Robson-10 group classification system in a single tertiary health care center. J Matern Fetal Neonatal Med. 2021 Jun;34(11):1695-1702. [PubMed]
8. Tan JK, Tan EL, Kanagalingam D, Yu SL, Tan LK. Multiple pregnancy is the leading contributor to cesarean sections in in vitro fertilization pregnancies: An analysis using the Robson 10-group classification system. J Obstet Gynaecol Res. 2016 Sep;42(9):1141-5. [PubMed]
9. Mahindra MP, Sampurna MTA, Mapindra MP, Putri AMS, Krisbiyantoro A, Aryananda RA. Factors affecting elective cesarean section in women with multiple pregnancy in Caruban, Indonesia. F1000 Research. 2020; 9:1481. [Crossref]
10. Peleg D, Ferber A, Orvieto R, Bar-Hava I, Ben-Rafael Z. Single intrauterine fetal death (fetus papyraceus) due to uterine trauma in a twin pregnancy. Eur J Obstet Gynecol Reprod Biol. 1998 Oct;80(2):175-6. [PubMed]
11. Dorji T, Wangmo K, Dorjey Y, Dorji N, Kiran Chhetri D, Tshering S, et al. Indications and factors associated with cesarean section in Bhutan: A hospital-based study. Int J Gynaecol Obstet. 2021 Jun;153(3):520-526. [PubMed]
12. Kundariya KR, Shan JM, Mewada BN, Shah MM, Patel AS. Fetomaternal Outcome in Twin Pregnancy. J South Asian Feder Obst Gynae. 2022 Nov-Dec;14(6):663-6. [Crossref]
13. Zhang Y, Zhou J, Ma Y, Liu L, Xia Q, Fan D, et al. Mode of delivery and preterm birth in subsequent births: A systematic review and meta-analysis. PLoS One. 2019 Mar 14;14(3):e0213784. [ PubMed]
14. Avnon T, Ovental A, Many A. Twin versus singleton pregnancy in women ≥ 45 years of age: comparison of maternal and neonatal outcomes. J Matern Fetal Neonatal Med. 2021 Jan;34(2):201-206. [PubMed]
15. Thanh BYL, Lumbiganon P, Pattanittum P, Laopaiboon M, Vogel JP, Oladapo OT et al. Mode of delivery and pregnancy outcomes in preterm birth: a secondary analysis of the WHO Global and Multi-country Surveys. Sci Rep. 2019 Oct 29;9(1):15556. [PubMed]
16. Wang M, Chai J. Comparison of outcomes of monochorionic twin pregnancies conceived by assisted reproductive technology vs. spontaneous conceptions: A systematic review and meta-analysis. Front Pediatr. 2022 Oct 13;10:962190. [PubMed]
17. Graham ME, Jelin A, Hoon AH Jr, Wilms Floet AM, Levey E, Graham EM. Assisted reproductive technology: Short- and long-term outcomes. Dev Med Child Neurol. 2023 Jan;65(1):38-49. [PubMed]
18. Tan JK, Tan EL, Kanagalingam D, Yu SL, Tan LK. Multiple pregnancy is the leading contributor to cesarean sections in in vitro fertilization pregnancies: An analysis using the Robson 10-group classification system. J Obstet Gynaecol Res. 2016 Sep;42(9):1141-5. [PubMed]
19. Zafarmand MH, Goossens SMTA, Tajik P, Bossuyt PMM, Asztalos EV, Gardener GJ, et al. Planned Cesarean or planned vaginal delivery for twins: secondary analysis of randomized controlled trial. Ultrasound Obstet Gynecol. 2021 Apr;57(4):582-591. [PubMed]
20. Hofmeyr GJ, Barrett JF, Crowther CA. Planned caesarean section for women with a twin pregnancy. Cochrane Database Syst Rev. 2015 Dec 19;2015(12):CD006553. [PubMed]
21. Wang Y, Shi H, Chen L, Zheng D, Long X, Zhang Y, et al. Absolute Risk of Adverse Obstetric Outcomes Among Twin Pregnancies After In Vitro Fertilization by Maternal Age. JAMA Netw Open. 2021 Sep 1;4(9):e2123634. [PubMed].
Received: 21 Marh 2023
Published online: 08 September 2023