ArticleObstetrics and gynecology2011
Trends in cesarean delivery for twin births in the United States: 1995-2008.
Article in Obstetrics and gynecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Meta-analysis comparing different ultrasound detection methods to accurately assess wound healing and scar formation after caesarean section.International wound journal · 2024Pooled it
- Breastfeeding education and support for women with twins or higher order multiples.The Cochrane database of systematic reviews · 2017Pooled it
- Norepinephrine versus phenylephrine infusion for preventing postspinal hypotension during cesarean section for twin pregnancy: a double-blinded randomized controlled clinical trial.BMC anesthesiology · 2022Trial
- A randomized trial of planned cesarean or vaginal delivery for twin pregnancy.The New England journal of medicine · 2013Trial
- Evaluating the effect of two different training interventions on improving vaginal twin birth rates and provider confidence and knowledge levels: A pre- and post-intervention study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Observational
- Viability of Successful Vaginal Delivery in Triplet Pregnancies: A Retrospective Cohort Study Over 20 Years.Birth (Berkeley, Calif.) · 2026Article
- Risk factors for combined vaginal-cesarean delivery in the vertex-vertex twins: a case-control study.Archives of gynecology and obstetrics · 2026Article
- Maternal anemia at admission for labor in twin pregnancies: an indicator of adverse maternal and neonatal outcome.Archives of gynecology and obstetrics · 2026Article
- Prenatal Weight Change Trajectories and Perinatal Outcomes among Twin Gestations.American journal of perinatology · 2024Article
- Does structured obstetric management play a role in the delivery mode and neonatal outcome of twin pregnancies?Archives of gynecology and obstetrics · 2024Article
- Observational
- Review
- Twin Growth Discordance and Risk of Postpartum Hemorrhage: A Retrospective Cohort Study.Frontiers in medicine · 2022Article
- Experience in different modes of delivery in twin pregnancy.PloS one · 2022Article
- Sex-dependent differences in the secretome of human endothelial cells.Biology of sex differences · 2021Article
- Delivery of Twin Gestation (≥ 32.0 Weeks): The Vaginal Route as a Practicable and Safe Alternative to Cesarean Section.Geburtshilfe und Frauenheilkunde · 2020Article
- Reducing caesarean rates in a public maternity hospital by implementing a plan of action: a quality improvement report.BMJ open quality · 2020Article
- Challenges for better care based on the course of maternal body mass index, weight gain and multiple outcome in twin pregnancies: a population-based retrospective cohort study in Hessen/Germany within 15 years.Archives of gynecology and obstetrics · 2020Article
- A Systematic Evaluation of Hospital Performance of Childbirth Delivery Modes and Associated Factors in the Friuli Venezia Giulia Region (North-Eastern Italy), 2005-2015.Scientific reports · 2019Article
- Trend in cesarean delivery rate among twin pregnancies over a 20 years epoch and the accompanied maternal and perinatal outcomes.European journal of obstetrics & gynecology and reproductive biology: X · 2019Article
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo estimate trends and risk factors for cesarean delivery for twins in the United States.
methodsThis was a cross-sectional study in which we calculated cesarean delivery rates for twins from 1995 to 2008 using National Center for Health Statistics data. We compared cesarean delivery rates by year and for vertex compared with breech presentation. The order of presentation for a given twin pair could not be determined from the available records and therefore analysis was based on individual discrete twin data. Multivariable logistic regression was used to estimate independent risk factors, including year of birth and maternal factors, for cesarean delivery.
resultsCesarean delivery rates for twin births increased steadily from 53.4% to 75.0% in 2008. Rates rose for the breech twin category (81.5%-92.1%) and the vertex twin category (45.1%-68.2%). The relative increase in the cesarean delivery rate for preterm and term neonates was similar. After risk adjustment, there was an average increase noted in cesarean delivery of 5% each year during the study period (risk ratio 1.05, 95% confidence interval 1.04-1.05).
conclusionCesarean delivery rates for twin births increased dramatically from 1995 to 2008. This increase is significantly higher than that which could be explained by an increase in cesarean delivery for breech presentation of either the presenting or second twin.
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