Jan 1, 1976

The significance of the time interval in twin delivery

Journal of Perinatal Medicine
W Müller-HolveM Schwarz

Abstract

In order to evaluate the influence of the time interval on the second twin in twin deliveries, we have used more precise criteria than have been used in the literature to date. In the period from July 1, 1970 to December 31, 1974, 35 twin deliveries in our hospital were analyzed, in which both twins fulfilled the following criteria: 1. vertex presentation 2. vaginal deliveries 3. birth weight above 2000 g. We analyzed various parameters in the clinical and acidity score of the second twin alone as well as in comparison to the first twin. The following points of view were considered: 1. The more sensitive aspect of morbidity was utilized by including the assessment of the state of the newborn rather than just mortality. 2. Since Caesarean sections in twins are often performed for a fetal indication, short time intervals between the birth of both infants correlate intrinsically with a higher risk for the second twin. Therefore we considered only vaginal deliveries in order to exclude this intrinsic correlation. 3. By excluding infants below a birth weight of 2000 g, the influence of the low birth weight of the second twin was eliminated. 4. The frequently occurring positional anomalies of the second twin will deteriorate the cond...Continue Reading

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References

  • References1
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Citations

Mentioned in this Paper

Metabolic Process, Cellular
Morbidity Aspects
Birth
Fetal Hypoxia
Entire Umbilical Artery
Twin Sibling
Acids
Fetus
Low Birth Weight Infant
Umbilical Cord Blood

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