09 Oct Twins Pregnancy: C-Section or Vaginal Delivery?

MedicalResearch.com Interview with:
Jon Barrett, M.B.Bch., FRCOG, MD, FRCSC
Associate scientist
Sunnybrook Health Sciences Centre
2075 Bayview Ave., Room M4 172a
Toronto, ON M4N 3M5
MedicalResearch.com: What are the main findings of the study?

Dr. Barrett: For twins at 32-38 weeks gestation where Twin A is presenting cephalic a policy of planned CS does not benefit the baby or the mother, compared to a policy of planned VB, and planned CS will result in delivery at a earlier gestational age.

MedicalResearch.com: Were any of the findings unexpected?

Dr. Barrett: To many the whole result is surprising  – many expected CS to have better outcome

MedicalResearch.com: What should clinicians and patients take away from your report? 

Dr. Barrett: That you don’t need to plan a LSCS top get the same results  for twins delivery.

MedicalResearch.com: What recommendations do you have for future research as a result of this study?  

Dr. Barrett: To see if we can implement the findings.

Citation:

A Randomized Trial of Planned Cesarean or Vaginal Delivery for Twin Pregnancy

Jon F.R. Barrett, M.B., B.Ch., M.D., Mary E. Hannah, M.D.C.M., Eileen K. Hutton, Ph.D., Andrew R. Willan, Ph.D., Alexander C. Allen, M.D.C.M., B. Anthony Armson, M.D., Amiram Gafni, D.Sc., K.S. Joseph, M.D., Ph.D., Dalah Mason, M.P.H., Arne Ohlsson, M.D., Susan Ross, Ph.D., J. Johanna Sanchez, M.I.P.H., and Elizabeth V. Asztalos, M.D. for the Twin Birth Study Collaborative Group

N Engl J Med 2013; 369:1295-1305
October 3, 2013DOI: 10.1056/NEJMoa1214939

Last Updated on October 9, 2013 by Marie Benz MD FAAD