Mode of delivery of Finnish dichorionic and monochorionic‐diamniotic twins: A retrospective observational study including a risk score for intrapartum cesarean birth

Trial of labor is considered safe also among twins, yet nearly 50% are born via cesarean section in Finland. While planned cesarean births have declined among twins, intrapartum cesarean deliveries have risen, postulating evaluation of criteria for trial of labor. The objective of this study was to create an outline of the mode of delivery of dichorionic and monochorionic‐diamniotic Finnish twins. By evaluating risk factors for intrapartum cesarean delivery (CD), we aimed at creating a risk score for intrapartum cesarean birth for twins.

[1]  N. Melamed,et al.  Guideline No. 428: Management of Dichorionic Twin Pregnancies. , 2022, Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC.

[2]  M. Gissler,et al.  Perinatal outcome of dichorionic and monochorionic‐diamniotic Finnish twins: a historical cohort study , 2021, Acta obstetricia et gynecologica Scandinavica.

[3]  Medically Indicated Late-Preterm and Early-Term Deliveries: ACOG Committee Opinion, Number 831. , 2021, Obstetrics and gynecology.

[4]  Jun Zhang,et al.  Trends and projections of caesarean section rates: global and regional estimates , 2021, BMJ Global Health.

[5]  Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin, Number 231. , 2021, Obstetrics and gynecology.

[6]  M. Rice,et al.  Prediction of vaginal birth after cesarean in term gestations: A calculator without race and ethnicity. , 2021, American journal of obstetrics and gynecology.

[7]  O. Palomäki,et al.  Risk factors of unsuccessful vaginal twin delivery , 2020, Acta obstetricia et gynecologica Scandinavica.

[8]  F. Goffinet,et al.  First Twin in Breech Presentation and Neonatal Mortality and Morbidity According to Planned Mode of Delivery. , 2020, Obstetrics and gynecology.

[9]  M. Gissler,et al.  Perinatal outcomes in Finnish twins: a retrospective study , 2019, BMC Pregnancy and Childbirth.

[10]  M. Gissler,et al.  Maternal complications in twin pregnancies in Finland during 1987–2014: a retrospective study , 2019, BMC Pregnancy and Childbirth.

[11]  F. Goffinet,et al.  Risk of cesarean after induction of labor in twin compared to singleton pregnancies. , 2019, European journal of obstetrics, gynecology, and reproductive biology.

[12]  Yvonne W. Cheng,et al.  Good clinical practice advice: Management of twin pregnancy , 2019, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[13]  E. Ferriman,et al.  Twin pregnancy. , 2018, Seminars in perinatology.

[14]  S. Porat,et al.  Risk factors for cesarean delivery and adverse neonatal outcome in twin pregnancies attempting vaginal delivery , 2018, Acta obstetricia et gynecologica Scandinavica.

[15]  C. Bibbo,et al.  Clinical Factors Associated With Presentation Change of the Second Twin After Vaginal Delivery of the First Twin. , 2017, Obstetrics and gynecology.

[16]  N. Winer,et al.  Association Between Planned Cesarean Delivery and Neonatal Mortality and Morbidity in Twin Pregnancies. , 2017, Obstetrics and gynecology.

[17]  Committee Opinion No 671: Perinatal Risks Associated With Assisted Reproductive Technology , 2016, Obstetrics and gynecology.

[18]  G. Riet,et al.  Prediction models in obstetrics: understanding the treatment paradox and potential solutions to the threat it poses , 2016, BJOG : an international journal of obstetrics and gynaecology.

[19]  A. Bhide,et al.  Prediction of vaginal birth after cesarean delivery , 2016, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[20]  A. Gafni,et al.  Twin Birth Study: 2-year neurodevelopmental follow-up of the randomized trial of planned cesarean or planned vaginal delivery for twin pregnancy. , 2016, American journal of obstetrics and gynecology.

[21]  C. Crowther,et al.  Planned caesarean section for women with a twin pregnancy. , 2015, The Cochrane database of systematic reviews.

[22]  A. Gafni,et al.  Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial , 2015, BJOG : an international journal of obstetrics and gynaecology.

[23]  A. Leminen,et al.  Risk-stratification of endometrial carcinomas revisited: a combined preoperative and intraoperative scoring system for a reliable prediction of an advanced disease. , 2015, Gynecologic oncology.

[24]  A. Duhamel,et al.  Intrapartum management of twin pregnancies: are uncomplicated monochorionic pregnancies more at risk of complications than dichorionic pregnancies? , 2015, Acta obstetricia et gynecologica Scandinavica.

[25]  A. Gafni,et al.  A Randomized Trial of Planned Cesarean or Vaginal Delivery for Twin Pregnancy , 2014 .

[26]  A. Rebarber,et al.  Induction of Labor in Twin Compared With Singleton Pregnancies , 2012, Obstetrics and gynecology.

[27]  A. May,et al.  Mode of delivery in non-cephalic presenting twins: a systematic review , 2012, Archives of Gynecology and Obstetrics.

[28]  R. Sultana,et al.  Outcomes in multiple gestation pregnancies among Canadian women age 35 years and older. , 2011, Healthcare quarterly.

[29]  R. Chmait,et al.  Neonatal outcomes of twins according to birth order, presentation and mode of delivery: a systematic review and meta‐analysis * , 2011, BJOG : an international journal of obstetrics and gynaecology.

[30]  T. Raudaskoski,et al.  Cesarean delivery in Finland: maternal complications and obstetric risk factors , 2010, Acta obstetricia et gynecologica Scandinavica.

[31]  A. Rebarber,et al.  Outcomes of multiple gestations with advanced maternal age , 2009, The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians.

[32]  B. Sibai,et al.  Cesarean Delivery for the Second Twin , 2008, Obstetrics and gynecology.

[33]  B. Misselwitz,et al.  Twin‐to‐twin delivery time interval: influencing factors and effect on short‐term outcome of the second twin , 2008, Acta obstetricia et gynecologica Scandinavica.

[34]  M. Clarke,et al.  Evaluating maternity care: a core set of outcome measures. , 2007, Birth.

[35]  K. Williams,et al.  Intrapartum influences on cesarean delivery in multiple gestation , 2003, Acta obstetricia et gynecologica Scandinavica.

[36]  E. Lieberman,et al.  Fetal presentation and successful twin vaginal delivery. , 2016, American journal of obstetrics and gynecology.

[37]  D. Hawks.  The American College of Obstetricians and Gynecologists (ACOG) , 2014 .