Abdominal delivery in the intact amniotic sac in twin pregnancy

Objective: There has been an increasing trend for Caesarean deliveries in twin pregnancies over the last decades; preferred mode of delivery is still unclear. The article presents the mode of twin delivery within intact amniotic sac.Methods: The intrapartum courses in 70 matched twin pairs extracted by Caesarean section were analysed. Neonates were distributed to two groups - main (delivered "en caul") and control (delivered by conventional Caesarean section) groups, and subdivided according to gestational age at the time of delivery: 28-30 weeks, 31-33 weeks and 34-37 weeks. Neonates delivered first and second were matched by pairs.Results: The duration of Caesarean section was higher in the main group (delivered "en caul"). Apgar score at 5-th min depend on the gestational age at birth and was higher in main group. Mechanical ventilation term and length of hospital stay were lower in main group. Postnatal neurological examination showed lower incidence of brain damage in the main group. During the first year of life, neonates extracted within intact amniotic sac showed lower morbidity rate. This was correct also for pairs of neonates matched by delivery order.Conclusions: Presented method improves neonates Apgar score, reduces the need for resuscitation and influence of intrapartum negative factors. The length of hospital stay and hospitalisation rate for the first year of life were also lower in neonates delivered "en caul", providing an economical benefit. © 2014 Informa UK Ltd.

Authors
Radzinsky V. 1 , Akhmadeev N.2 , Fatkullin I.2 , Fatkullin F.2
Editors
-
Publisher
Taylor and Francis Ltd
Number of issue
16
Language
English
Pages
1939-1942
Status
Published
Department
-
Number
-
Volume
28
Year
2015
Organizations
  • 1 Department of Medicine, Peoples' Friendship University of Russia, Moscow, Russian Federation
  • 2 Department of Obstetrics and Gynaecology, Kazan State Medical University, no. 2, Chuykova 56, Kazan, Tatarstan, 420000, Russian Federation
Keywords
Caesarean; en caul; intact membranes; twin
Date of creation
19.10.2018
Date of change
19.10.2018
Short link
https://repository.rudn.ru/en/records/article/record/4719/