Optimal gestational age for twins remains unclear. The Objective of this study was to evaluate the timing of twin delivery associated with perinatal outcome in gestations of at least 36 weeks.
The study was a retrospective analysis of infant and maternal hospital records for a consecutive series of twin deliveries at El-Shatby Hospital. The inclusion criteria were delivery after 36 weeks' gestation during a two-year period, without congenital anomalies or early fetal demise. Adverse perinatal outcome was significantly higher among the twin pregnancies that delivered before 38 weeks' gestation. Twin pregnancies that delivered between 36 and 37 weeks' gestation were 13 times more likely to require neonatal intensive care compared with those who delivered at or after 38 weeks' gestation [95% confidence interval 1.8 to 95.9, p < 0.001] Conclusion : In uncomplicated twin gestations, delivery at between 36 and 37 weeks' gestation was not assonated with a reduction in neonatal complications compared with deliveries at or after 38 weeks' gestation
Ahmad Fayez Bakr ,Ahmad Fayez Bakr ,Tarek Karkour ,
What is the optimal gestational age for twin delivery,
Alex. J. Pediatr. 2003;
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