Vol 91, No 10 (2020)
Research paper
Published online: 2020-10-30

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A randomized trial in comparison between planned cesarean and vaginal delivery on twin pregnancy

Yu Tong12, Qiang Sun2, Xiaoguang Shao2, Feng Han3
Pubmed: 33184828
Ginekol Pol 2020;91(10):600-606.


Objective: We explored the planned cesarean to vaginal delivery at the risk of fetal or neonatal death or serious neonatal
morbidity in women with twin pregnancies.
Material and methods: Three hundred and forty-three pregnant women were divided into planned cesarean delivery
(PCD) and vaginal delivery (PVD) groups (208 vs 135). In the planned-cesarean-delivery group, the rate of cesarean delivery
was 98.82%. Meanwhile, the rate of vaginal delivery was 51.27% in PVD group.
Results: Women in the PCD group delivered earlier than that in the PVD group. However, the composite primary outcome
of the PCD group was like that of the PVD group. Certainly, the odds ratio of planned cesarean delivery and confidence
interval of the PCD group was also like those of the PVD group.
Conclusions: The risk of fetal or neonatal death or serious neonatal morbidity of planned-vaginal-delivery was like those
of planned-vaginal-delivery in pregnant women with twin pregnancies.

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