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Mode of delivery for vertex-nonvertex twin gestations

Show simple item record Usta I.M. Rechdan J.B. Khalil A.M. Nassar A.H.
dc.contributor.editor Jan-2005 2017-10-05T15:46:51Z 2017-10-05T15:46:51Z 2005
dc.identifier 10.1016/j.ijgo.2004.09.013
dc.identifier.issn 00207292
dc.description.abstract To compare the neonatal outcome of vaginally delivered (VD) to that of abdominally delivered (CS) vertex-nonvertex (Vx-NVx) twins. Vx-NVx live nonanomalous twin gestations ≥25 weeks delivered from 1984 to 2000 were divided into two groups: VD (N=138), and CS (N=79). The outcome of the second twin was compared. The vaginal delivery rate for the Vx-NVx twins was 63.6percent. The median Apgar scores at 1 and 5 min, respectively, were significantly lower in VD [7 (0-9) and 9 (1-10)] compared to CS [8 (2-10) and 9 (2-10)]. The neonatal mortality was also higher in VD (109-1000 vs. 38-1000, p=0.040). Differences in the 1-min Apgar scores persisted when infants 1500 g were excluded. All other neonatal outcome variables studied including respiratory distress syndrome, necrotizing enterocolitis, intraventricular hemorrhage, trauma, seizures, and length of nursery stay were similar. On logistic regression analysis, vaginal delivery of Vx-NVx twins marginally increased low 5-min Apgar scores and neonatal deaths. Vaginal delivery in vertex-nonvertex twins was achieved in 63.6percent of cases at the expense of a higher incidence of low 1- and 5-min Apgar scores and neonatal death. © 2004 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd.
dc.format.extent Pages: (9-14)
dc.language English
dc.publisher CLARE
dc.relation.ispartof Publication Name: International Journal of Gynecology and Obstetrics; Publication Year: 2005; Volume: 88; no. 1; Pages: (9-14);
dc.source Scopus
dc.title Mode of delivery for vertex-nonvertex twin gestations
dc.type Article
dc.contributor.affiliation Usta, I.M., Dept. of Obstetrics and Gynecology, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon, Lebanon
dc.contributor.affiliation Rechdan, J.B., Dept. of Obstetrics and Gynecology, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon, Lebanon
dc.contributor.affiliation Khalil, A.M., Dept. of Obstetrics and Gynecology, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon, Lebanon
dc.contributor.affiliation Nassar, A.H., Dept. of Obstetrics and Gynecology, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon, Lebanon
dc.contributor.authorAddress Dept. of Obstetrics and Gynecology, Amer. Univ. of Beirut Medical Center, Beirut, LebanonLebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Obstetrics and Gynecology;
dc.contributor.authorDepartment Obstetrics and Gynecology
dc.contributor.Faculty Faculty of Medicine
dc.contributor.authorInitials Usta, IM
dc.contributor.authorInitials Rechdan, JB
dc.contributor.authorInitials Khalil, AM
dc.contributor.authorInitials Nassar, AH
dc.contributor.authorReprintAddress Usta, IM (reprint author), Amer Univ Beirut, Med Ctr, Dept Obstet and Gynecol, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 8
dc.description.citedTotWOSCount 5
dc.description.citedWOSCount 5
dc.format.extentCount 6
dc.identifier.coden IJGOA
dc.identifier.pubmedID 15617698
dc.identifier.scopusID 11144261511
dc.relation.ispartOfISOAbbr Int. J. Gynecol. Obstet.
dc.relation.ispartOfIssue 1
dc.relation.ispartofPubTitle International Journal of Gynecology and Obstetrics
dc.relation.ispartofPubTitleAbbr Int. J. Gynecol. Obstet.
dc.relation.ispartOfVolume 88
dc.source.ID WOS:000226540300003
dc.type.publication Journal
dc.subject.otherAuthKeyword Mode of delivery
dc.subject.otherAuthKeyword Outcome
dc.subject.otherAuthKeyword Presentation
dc.subject.otherAuthKeyword Twins
dc.subject.otherIndex adult
dc.subject.otherIndex Apgar score
dc.subject.otherIndex article
dc.subject.otherIndex birth injury
dc.subject.otherIndex brain hemorrhage
dc.subject.otherIndex cesarean section
dc.subject.otherIndex controlled study
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex incidence
dc.subject.otherIndex logistic regression analysis
dc.subject.otherIndex major clinical study
dc.subject.otherIndex mortality
dc.subject.otherIndex necrotizing enterocolitis
dc.subject.otherIndex newborn death
dc.subject.otherIndex nursery
dc.subject.otherIndex pregnancy complication
dc.subject.otherIndex priority journal
dc.subject.otherIndex respiratory distress syndrome
dc.subject.otherIndex seizure
dc.subject.otherIndex twin pregnancy
dc.subject.otherIndex vaginal delivery
dc.subject.otherIndex Adult
dc.subject.otherIndex Apgar Score
dc.subject.otherIndex Cesarean Section
dc.subject.otherIndex Delivery, Obstetric
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Infant Mortality
dc.subject.otherIndex Infant, Newborn
dc.subject.otherIndex Labor Presentation
dc.subject.otherIndex Logistic Models
dc.subject.otherIndex Pregnancy
dc.subject.otherIndex Pregnancy Outcome
dc.subject.otherIndex Pregnancy, Multiple
dc.subject.otherIndex Twins
dc.subject.otherKeywordPlus 2ND TWIN
dc.subject.otherKeywordPlus CESAREAN-SECTION
dc.subject.otherKeywordPlus INTRAPARTUM MANAGEMENT
dc.subject.otherKeywordPlus VAGINAL DELIVERY
dc.subject.otherKeywordPlus BIRTH
dc.subject.otherKeywordPlus BREECH
dc.subject.otherWOS Obstetrics and Gynecology

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