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Chapter 13 - Twin Delivery

from Section 3 - Intrapartum Emergencies

Published online by Cambridge University Press:  06 May 2021

Edwin Chandraharan
Affiliation:
St George's University of London
Sir Sabaratnam Arulkumaran
Affiliation:
St George's University of London
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Summary

Cerebral palsy is nearly three times more common and perinatal mortality is four times higher in twins compared with singleton pregnancies. Perinatal mortality is two to three times higher in monochorionic twins compared with dichorionic twins due to the presence of placental vascular anastomoses. Monochorionic diamniotic twins carry a 25% risk of twin-to-twin transfusion syndrome (TTTS) [1].

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Chapter
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Obstetric and Intrapartum Emergencies
A Practical Guide to Management
, pp. 92 - 97
Publisher: Cambridge University Press
Print publication year: 2021

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References

Royal College of Obstetricians & Gynaecologists. Monochorionic Twin Pregnancy, Management. Green-top Guideline No 51. London: RCOG, 2008.Google Scholar
Chudleigh, T, Thilaganathan, B (eds). Obstetrics Ultrasound: How, When and Why. Edinburgh: Elsevier, Churchill Livingstone, 2004.Google Scholar
Howell, C, Grady, K, Cox, C. Managing Obstetric Emergencies and Trauma: The MOET Course Manual, 2nd ed. London: RCOG, 2007.Google Scholar
Webster, SNE, Loughney, AD. Internal podalic version and breech extraction. Obstet Gynaecol. 2011;13:714.Google Scholar
Barrett, JF, Hannah, ME, Hutton, EK, Willan, AR, Allen, AC, Armson, BA, et al.; Twin Birth Study Collaborative Group. A randomized trial of planned cesarean or vaginal delivery for twin pregnancy. N Engl J Med. 2013;369(14):1295–305.CrossRefGoogle ScholarPubMed
Korb, D, Deneux-Tharaux, C, Seco, A, Goffinet, F, Schmitz, T; JUmeaux MODe dʼAccouchement (JUMODA) study group and the Groupe de Recherche en Obstétrique et Gynécologie (GROG). Risk of severe acute maternal morbidity according to planned mode of delivery in twin pregnancies. Obstet Gynecol. 2018;132(3):647–55.Google ScholarPubMed
Shinar, S, Agrawal, S, Hasan, H, Berger, H. Trial of labor versus elective repeat cesarean delivery in twin pregnancies after a previous cesarean delivery: a systematic review and meta‐analysis. Birth. 2019;46:550–9. https://doi.org/10.1111/birt.12434Google ScholarPubMed

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