Exploring the Optimal Intertwin Delivery Interval for Vaginal Delivery

The effect of prolonged intertwin delivery interval (IDI) is not well studied. This work aimed to assess the inflection point for Cesarean delivery (CD) and associated adverse maternal and neonatal outcomes. This was a retrospective cohort study at a single tertiary care center. The study included w...

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Published in:Reproductive sciences (Thousand Oaks, Calif.) Calif.), 2024-06, Vol.31 (6), p.1551-1557
Main Authors: Justman, Naphtali, Goldfriend, Roee, Rosh, Bar, Wolfovitch, Amir, Siegler, Yoav, Tzur, Lilia, Bachar, Gal, Buchnik, Gili, Zipori, Yaniv, Khatib, Nizar, Weiner, Zeev, Vitner, Dana
Format: Article
Language:English
Subjects:
Adult
Cesarean Section
Delivery, Obstetric - methods
Embryology
Female
Humans
Infant, Newborn
Labor Stage, Second
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Postpartum Hemorrhage - epidemiology
Pregnancy
Pregnancy Outcome
Pregnancy, Twin
Pregnancy: Original Article
Reproductive Medicine
Retrospective Studies
Time Factors
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Summary:The effect of prolonged intertwin delivery interval (IDI) is not well studied. This work aimed to assess the inflection point for Cesarean delivery (CD) and associated adverse maternal and neonatal outcomes. This was a retrospective cohort study at a single tertiary care center. The study included women with twin pregnancies in 2010–2019 who reached the second stage of labor, and assessed the most predictive cutoff for CD using Youden J statistic and compared adverse maternal and neonatal outcomes between short and prolonged intertwin delivery intervals. A total of 461 gravidas reached the second stage of labor and were included in the study. Using the ROC curve and Youden J statistic, the IDI cutoff was set at 15 min (80% sensitivity, 75% specificity, p  
ISSN:1933-7191
1933-7205
1933-7205
DOI:10.1007/s43032-024-01497-9