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

BJOG : an International Journal of Obstetrics and Gynaecology
E K HuttonTwin Birth Study Collaborative Group

Abstract

To compare outcomes at 3 months post partum for women randomised to give birth by planned caesarean section (CS) or by planned vaginal birth (VB) in the Twin Birth Study (TBS). We invited women in the TBS to complete a 3-month follow-up questionnaire. Two thousand and eight hundred and four women from 25 countries. Two thousand and five hundred and seventy women (92% response rate). Women randomised between 13 December 2003 and 4 April 2011 in the TBS completed a questionnaire and outcomes were compared using an intention-to-treat approach. Breastfeeding, quality of life, depression, fatigue and urinary incontinence. We found no clinically important differences between groups in any outcome. In the planned CS versus planned VB groups, breastfeeding at any time after birth was reported by 84.4% versus 86.4% (P = 0.13); the mean physical and mental Short Form (36) Health Survey (SF-36) quality of life scores were 51.8 versus 51.6 (P = 0.65) and 46.7 versus 46.0 (P = 0.09), respectively; the mean Multidimensional Assessment of Fatigue score was 20.3 versus 20.8 (P = 0.14); the frequency of probable depression on the Edinburgh Postnatal Depression Scale was 14.0% versus 14.8% (P = 0.57); the rate of problematic urinary incontinence...Continue Reading

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Citations

Jan 13, 2017·Obstetrics and Gynecology·Sarah Rae EasterDaniela Carusi
Jun 12, 2018·Obstetrics and Gynecology·Sarah Rae EasterJulian N Robinson
Jul 15, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·E K HuttonUNKNOWN Twin Birth Study Collaborative Group
Dec 20, 2015·The Cochrane Database of Systematic Reviews·G Justus HofmeyrCaroline A Crowther
May 15, 2019·Obstetrics and Gynecology·Hugo MadarCatherine Deneux-Tharaux
Oct 7, 2018·International Urogynecology Journal·Fanny BéchardRenaud de Tayrac
Oct 8, 2018·International Urogynecology Journal·Renaud de TayracThomas Schmitz
Sep 16, 2020·The Australian and New Zealand Journal of Psychiatry·Lei SunXi-Qian Li
May 29, 2019·Obstetrics and Gynecology·Hugo MadarCatherine Deneux-Tharaux
Oct 6, 2020·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Constantin von KaisenbergKurt Hecher
Nov 2, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M H ZafarmandUNKNOWN Twin Birth Study Collaborative Group
Nov 25, 2016·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Diane Thulier

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