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Review
. 2009 Dec;38(8 Suppl):S104-13.
doi: 10.1016/S0368-2315(09)73567-7.

[What type of delivery for twins?]

[Article in French]
F Vendittelli  1 , M Accoceberry, D Savary, H Laurichesse-Delmas, D Gallot, B Jacquetin, D Lémery
Affiliations
Free article
Review

[What type of delivery for twins?]

[Article in French]
F Vendittelli et al. J Gynecol Obstet Biol Reprod (Paris). 2009 Dec.
Free article

Abstract

Objectives: To determine if perinatal and neonatal morbidity and mortality is improved by a planned caesarean section for twins before and at term.

Methods: A systematic search was conducted in Medline between May 2001 and December 2008. Randomised controlled studies and meta-analysis were researched at first.

Results: There is no evidence to support a policy of planned caesarean section or vaginal delivery for twins before term or at term whatever the presentation of the first twin. There is also no evidence to support a policy of caesarean section or vaginal delivery for a patient with a history of prior caesarean section. Vaginal delivery must be made in the presence of an obstetrician, an anaesthesiologist, and a paediatrician in a level maternity adapted to the risks of the future newborn.

Conclusion: Otherwise, there is no evidence to support a policy of planned caesarean delivery for twins but the type of delivery has to be decided with the informed patient.

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