Features | Partner Sites | Information | LinkXpress
Sign In
Schiller
Soredex
Ampronix

Cesarean Section No Safer for Twins Delivery

By HospiMedica International staff writers
Posted on 25 Feb 2013
A new study concludes that planned cesarean section (SC) delivery is no better than with planned vaginal birth (VB) for twins, when the first baby is in a good position.

Researchers at Sunnybrook Health Sciences Centre (Toronto, Canada) and other institutions conducted a trial involving 2,804 women from 26 countries randomized to planned induced VB or planned CS of twins at 32-38 weeks' gestation; only those with the first twin situated head first, and both weighing 1,500–4,000 gram by ultrasound within a week of randomization were included. Centers had to have emergency cesarean available and participating practitioners had to be vouched as skilled at vaginal twin delivery. The primary composite endpoint was perinatal or neonatal mortality or serious neonatal morbidity.

The results showed that death or serious neonatal morbidity occurred in 2% of cases, irrespective of how the birth was planned. The second twin to be delivered had a poorer outcome than the first, but there was no interaction with treatment group. The planned CS group had some crossover to VB (9%), while 40% of the planned VB ended up as CS delivery for both twins, and 4% got vaginal delivery of one and cesarean for the other. None of the components showed a significant difference, but there tended to be more bone fractures in the planned VB group. The study was presented at the Society for Maternal-Fetal Medicine (SMFM) annual meeting, held during February 2013 in San Francisco (CA, USA).

“Skill at operational vaginal birth is considered a fading art, as many of the newer generation of obstetricians haven't been trained in it, but vaginal twin delivery is still common enough a skill that it shouldn't be a barrier to applicability of the results in the community,” concluded lead author Jon Barrett, MBBch, MD, and colleagues. “The data I think will preserve the art and skill of operative vaginal delivery and will serve all of us as a warning lesson that before we trend to what is seemingly an easier and safer option, cesarean section, we should think twice.”

Related Links:

Sunnybrook Health Sciences Center



ECR
Anetic Aid
Cincinnati Sub-Zero

Channels

Critical Care

view channel

Identification System Reduces Neonatal ICU Errors

A unique naming system reduces confusion and miscommunication in the neonatal intensive care unit (nICU), according to a new study. Developed by researchers at Montefiore Medical Center (New York, NY, USA), the naming system helps reduce near miss wrong-patient orders in the electronic medical record (EMR) by more clearly... Read more

Health IT

view channel

Doctors Claim EHRs Do Not Save Money or Time

A recent survey claims that 75% of physicians in the United States who use electronic health records (EHRs) say they are not cost- or time-effective, but do have value in terms of providing data. The Deloitte (New York, NY, USA) 2014 Survey examined US physicians’ current use and overall views of mobile health (mHealth)... Read more

Hospital News

view channel
Image: Aerial view of Fiona Stanley Hospital (Photo courtesy of the Government of Western Australia).

Fiona Stanley Hospital Opens in Southern Perth

Western Australia (WA) has officially opened its newest health care facility, the state's first new-build tertiary hospital project in more than 50 years. Fiona Stanley Hospital (FSH; Murdoch, Australia)... Read more

Business

view channel

Steris to Buy British Sterilization Services Provider Synergy Health

Steris (Mentor, OH, USA) will also shift is headquarters to a new, UK-based company, thus joining a growing list of companies that are trying to cut taxes by shifting their corporate domicile from the United States. Steris said the combined company, to be called Steris, will be incorporated in the United Kingdom, but... Read more
 
Copyright © 2000-2014 Globetech Media. All rights reserved.