Sep 18, 2007

Twin-to-twin delivery interval: is a time limit justified?

Gynécologie, obstétrique & fertilité
N GourheuxD Subtil

Abstract

To assess the effect of the twin-to-twin delivery interval on the umbilical cord blood gas status and the neonatal outcome of the second twin following vaginal delivery. Retrospective study of twin deliveries at or beyond 34 weeks of gestation over a period of five years. The correlation between the twin-to-twin delivery interval, and the umbilical arterial blood gas parameters of the second twin, including pH, PO(2), PCO(2), HCO(3-) and base excess, was studied. A second analysis was performed after exclusion of non-vertex presentation, need for general anesthesia, growth restriction and weight difference between the twin>30%. Two hundred and thirty-nine patients were studied. The mean twin-to-twin delivery interval was 11.3+/-6.4 minutes (between 6 and 14 minutes in 56.1% of cases). The second twin had more Apgar score<7 at 1 minute (P<0.02) and more arterial ombilical pH<7.20 (P<0.01) than the first twin. Over 15 minutes, the mean arterial pH was lower (P<0.01) and the number of arterial pH<7.20 increased (P<0.03). In contrast, the mean Apgar score and the rate of neonatal transfer did not differ significantly. There were significant negative correlations between arterial pH, base excess and bicarbonates and the twin-to-twin...Continue Reading

  • References19
  • Citations8

References

  • References19
  • Citations8

Citations

Mentioned in this Paper

Uncus of Hippocampus
Arterial Blood pH Measurement
Dioxygen
Umbilicus (Anatomy)
tat Genes
Base Excess Measurement
Placenta Specimen
Avant
Chemical Extraction
Placenta

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