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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

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Correlates of the trend of cesarean section rates in twin pregnancies

Nataša Tul1 / Ivan Verdenik1 / Andreja Trojner-Bregar1 / Živa Novak1 / 2

1Department of Perinatology, Division of Obstetrics and Gynecology, University Medical Centre Ljubljana, Slovenia

2Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, affiliated with the Hadassah-Hebrew University School of Medicine, Jerusalem, Israel

Corresponding author: Isaac Blickstein, MD Department of Obstetrics and Gynecology Kaplan Medical Center 76100 Rehovot Israel Tel.: +972-545-201789 Fax: +972-89411944

Citation Information: Journal of Perinatal Medicine. Volume 40, Issue 3, Pages 241–243, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/jpm.2011.129, November 2011

Publication History

Received:
2011-09-26
Revised:
2011-10-20
Accepted:
2011-10-24
Published Online:
2011-11-16

Abstract

Objective: To examine the population-based trend for cesarean births in twin pregnancies for the last 13 years in Slovenia, and to find correlates for this trend.

Methods: We evaluated data from the Slovenian national perinatal information system (NPIS) of all twin pairs born at ≥24 weeks during the period 1997–2009 (n=3916 pairs).

Results: We noted a significant and steady increase of about 1.1% cesarean births/year, concomitant with significant increased birth rates at 34–36 weeks, but with a significant decrease over time in neonatal mortality. These trends were neither associated with any particular maternal characteristic nor with increased neonatal morbidity.

Conclusions: An association exists between an increased cesarean birth rate, increased preterm births at 33–36 weeks and concomitant significantly reduced neonatal mortality in twins.

Keywords: Cesarean section; preterm birth; twins

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