Intrapartum care

DOI: 10.1111/1471-0528.12642 www.bjog.org

The effects of labor and delivery on maternal and neonatal outcomes in term twins: a retrospective cohort study DJ Wenckus,a W Gao,b MA Kominiarek,a I Wilkinsa a

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, IL, USA b Center for Clinical and Translational Science, University of Illinois at Chicago, Chicago, IL, USA Correspondence: Dalia J. Wenckus, MD, Wright Patterson Medical Center, Department of Obstetrics and Gynecology, Maternal Fetal Medicine, 4881 Sugar Maple Drive, Wright Patterson Air Force Base, OH 45433, USA. Email: [email protected] Accepted 3 December 2013. Published Online 28 February 2014.

Objective To compare maternal and neonatal outcomes in twins

undergoing a trial of labor versus pre-labor caesarean. Design Retrospective cohort study. Setting 19 US hospitals from the Consortium on Safe Labor. Population Of 2225 twin sets ≥36 weeks’ gestation. Methods Maternal (abruption, estimated blood loss, postpartum haemorrhage, transfusion, chorioamnionitis, hysterectomy, ICU admission, death) and neonatal outcomes (birth injury, 5-minute Apgar