Planned caesarean delivery may prevent deaths of twins

Planned caesarean delivery may be protective against perinatal death among twins, especially for the second twin. Smith and colleagues (p 1004) report data from the births of over 4500 twin pairs and show significantly increased risks of intrapartum stillbirth and neonatal deaths in second twins born at term. Intrapartum anoxia caused three quarters of deaths in second twins, mostly due to anoxia resulting from mechanical problems after vaginal delivery of first twins.


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Relevant Article

Birth order, gestational age, and risk of delivery related perinatal death in twins: retrospective cohort study
Gordon C S Smith, Jill P Pell, and Richard Dobbie
BMJ 2002 325: 1004. [Abstract] [Full Text] [PDF]

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