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Management of Some Aspects of Twin Labor and Delivery

Published online by Cambridge University Press:  01 August 2014

F. Leroy*
Affiliation:
Department of Obstetrics and Gynecology, Saint Pierre University Hospital, Brussels, Belgium
*
Clinique de Gynécologie et d'Obstétrique, Hôpital Universitaire Saint-Pierre, 322 rue Haute, 1000 Bruxelles, Belgium

Abstract

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Our data show that oxytocic perfusion should be liberally given during twin pregnancy labor, since its use is correlated with lower fetal mortality, especially of the second premature twin. This therapy might act, namely, by reducing the number of second-twin abnormal presentations. In our series, the higher mortality rate associated with lengthening of time interval between both births could be attributed to second-twin abnormal presentations. However, mortality rate versus time interval in spontaneous twin deliveries warrants obstetrical management providing second-twin birth within 15 minutes.

Type
1. Multiple Pregnancy as a High-Risk Pregnancy
Copyright
Copyright © The International Society for Twin Studies 1972