Timing of Delivery for Twins
- PMID: 37910137
- DOI: 10.1097/GRF.0000000000000813
Timing of Delivery for Twins
Abstract
The optimal gestational age for delivery of twin gestations balances the risk to the mother with the risks to the fetus and newborn. Primary considerations should include chorionicity and the presence or absence of other obstetrical complications such as fetal growth restriction or hypertensive disorders of pregnancy. More than half of twin gestations will deliver preterm, and a significant portion will be due to spontaneous labor or medical indications, such that the timing of delivery for twins is typically less determined by the provider discretion. Future studies are needed to assist in clarifying the optimal timing for delivery of twin pregnancies.
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
References
-
- Osterman MJK, Hamilton BE, Martin JA, et al. Births: Final Data for 2021. Natl Vital Statist Rep. 2023;72:1–10.
-
- Gestations Multifetal. Twin, triplet, and higher-order multifetal pregnancies. ACOG Pract Bull Number 231. 2021;137:e145–e162.
-
- Minakami H, Sato I. Re-estimating the date of delivery in multifetal pregnancies. JAMA. 1996;275:1432–1434.
-
- Vilchez GA, Dai J, Hoyos LR, et al. Optimal timing for term delivery of twin pregnancies: a population-based study. Am J Perinatol. 2015;32:487–496.
-
- Hack KEA, Derks JB, Elias SG, et al. Increased perinatal mortality and morbidity in monochorionic versus dichorionic twin pregnancies: clinical implications of a large Dutch cohort study. BJOG An Int J Obstet Gynaecol. 2008;115:58–67.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
