Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation

Freke A. Wilmink, Chantal W P M Hukkelhoven, Ben Willem J Mol, Joris A M Van Der Post, Eric A P Steegers, Dimitri N M Papatsonis

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: We sought to assess neonatal morbidity and mortality of elective cesarean section (CS) of uncomplicated twin pregnancies per week of gestation >35+0. Study Design: We performed a retrospective cohort study in our nationwide database including all elective CS of twin pregnancies. Two main composite outcome measures were defined, ie, severe adverse neonatal outcome and mild neonatal morbidity. Results: We report on 2228 neonates. More than 17% were born <37+0 weeks of gestation. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for severe adverse neonatal outcome at 35 +0-6, 36+0-6, and 37+0-6 weeks were, OR, 9.4; 95% CI, 3.2-27.6; OR, 1.7; 95% CI, 0.5-5.3; and OR, 0.7; 95% CI, 0.2-2.0, respectively; and for mild neonatal morbidity, OR, 4.7; 95% CI, 2.6-8.7; OR, 4.9; 95% CI, 3.1-7.9; and 1.4; 95% CI, 0.9-2.1, respectively, compared to neonates born <38+0 weeks of gestation. Conclusion: In uncomplicated twin pregnancies elective CS can best be performed between 37 +0 and 39+6 weeks of gestation.

LanguageEnglish
Pages480.e1-480.e7
JournalAmerican journal of obstetrics and gynecology
Volume207
Issue number6
DOIs
Publication statusPublished - 2012

Keywords

  • cesarean section
  • neonatal morbidity
  • timing
  • twin

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Wilmink, F. A., Hukkelhoven, C. W. P. M., Mol, B. W. J., Van Der Post, J. A. M., Steegers, E. A. P., & Papatsonis, D. N. M. (2012). Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation. American journal of obstetrics and gynecology, 207(6), 480.e1-480.e7. https://doi.org/10.1016/j.ajog.2012.09.006
Wilmink, Freke A. ; Hukkelhoven, Chantal W P M ; Mol, Ben Willem J ; Van Der Post, Joris A M ; Steegers, Eric A P ; Papatsonis, Dimitri N M. / Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation. In: American journal of obstetrics and gynecology. 2012 ; Vol. 207, No. 6. pp. 480.e1-480.e7.
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Wilmink, FA, Hukkelhoven, CWPM, Mol, BWJ, Van Der Post, JAM, Steegers, EAP & Papatsonis, DNM 2012, 'Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation', American journal of obstetrics and gynecology, vol. 207, no. 6, pp. 480.e1-480.e7. https://doi.org/10.1016/j.ajog.2012.09.006

Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation. / Wilmink, Freke A.; Hukkelhoven, Chantal W P M; Mol, Ben Willem J; Van Der Post, Joris A M; Steegers, Eric A P; Papatsonis, Dimitri N M.

In: American journal of obstetrics and gynecology, Vol. 207, No. 6, 2012, p. 480.e1-480.e7.

Research output: Contribution to journalArticle

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T1 - Neonatal outcome following elective cesarean section of twin pregnancies beyond 35 weeks of gestation

AU - Wilmink, Freke A.

AU - Hukkelhoven, Chantal W P M

AU - Mol, Ben Willem J

AU - Van Der Post, Joris A M

AU - Steegers, Eric A P

AU - Papatsonis, Dimitri N M

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N2 - Objective: We sought to assess neonatal morbidity and mortality of elective cesarean section (CS) of uncomplicated twin pregnancies per week of gestation >35+0. Study Design: We performed a retrospective cohort study in our nationwide database including all elective CS of twin pregnancies. Two main composite outcome measures were defined, ie, severe adverse neonatal outcome and mild neonatal morbidity. Results: We report on 2228 neonates. More than 17% were born <37+0 weeks of gestation. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for severe adverse neonatal outcome at 35 +0-6, 36+0-6, and 37+0-6 weeks were, OR, 9.4; 95% CI, 3.2-27.6; OR, 1.7; 95% CI, 0.5-5.3; and OR, 0.7; 95% CI, 0.2-2.0, respectively; and for mild neonatal morbidity, OR, 4.7; 95% CI, 2.6-8.7; OR, 4.9; 95% CI, 3.1-7.9; and 1.4; 95% CI, 0.9-2.1, respectively, compared to neonates born <38+0 weeks of gestation. Conclusion: In uncomplicated twin pregnancies elective CS can best be performed between 37 +0 and 39+6 weeks of gestation.

AB - Objective: We sought to assess neonatal morbidity and mortality of elective cesarean section (CS) of uncomplicated twin pregnancies per week of gestation >35+0. Study Design: We performed a retrospective cohort study in our nationwide database including all elective CS of twin pregnancies. Two main composite outcome measures were defined, ie, severe adverse neonatal outcome and mild neonatal morbidity. Results: We report on 2228 neonates. More than 17% were born <37+0 weeks of gestation. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for severe adverse neonatal outcome at 35 +0-6, 36+0-6, and 37+0-6 weeks were, OR, 9.4; 95% CI, 3.2-27.6; OR, 1.7; 95% CI, 0.5-5.3; and OR, 0.7; 95% CI, 0.2-2.0, respectively; and for mild neonatal morbidity, OR, 4.7; 95% CI, 2.6-8.7; OR, 4.9; 95% CI, 3.1-7.9; and 1.4; 95% CI, 0.9-2.1, respectively, compared to neonates born <38+0 weeks of gestation. Conclusion: In uncomplicated twin pregnancies elective CS can best be performed between 37 +0 and 39+6 weeks of gestation.

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KW - timing

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