Clinical Study

Effect of Delivery Mode on The Perinatal Outcome in Twin Gestations

  • Evrim Erdemoglu
  • Evrim Ebru Erdemoglu
  • Ismet Gün
  • Tamer Mungan

Received Date: 14.09.2006 Accepted Date: 20.10.2006 J Turk Ger Gynecol Assoc 2007;8(2):168-171


Aim of the study is to analyze effect of delivery mode on outcome of the twins.


Study consisted of 124 twin gestations, delivered at 25-41 weeks of gestation. Operative deliveries were excluded except breech extraction. Patients given a trial of vaginal delivery were included. Twins were delivered by abdominal route if the intertwin delivery time was >40 minutes, or for the following reasons: cord prolapse, fetal distress, and persistent transverse lie. The main outcome measure was first and fifth minute Apgar scores of twin A and B.


Demographic, obstetrical characteristics and Apgar scores were similar in patients delivered abdominally and vaginally. There was 9,3% failed vaginal labor in twin B. Main significant factor influencing Apgar scores of both twin A and twin B was birthweight of <1500gr (p<0,001). Delivery mode and presentation did not effect Apgar scores significantly in both twin A and twin B.


Caesarean delivery did not improve fetal outcome in twin gestations, and the only significant factor associated with depressed Apgar scores was found to be birthweight. Delivery mode and presentation were only considered significant in twins with a birthweight of <1500gr.

Keywords: Twin pregnancy, delivery mode, Apgar score