Neonatal respiratory morbidity in twins versus singletons after elective prelabor caesarean section |
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Authors: | Tullio Ghi Michela Nanni Luca Pierantoni Federica Bellussi Maria Letizia Bacchi Reggiani Giacomo Faldella Nicola Rizzo |
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Institution: | 1. Department of Obstetrics and Gynaecology, S. Orsola-Malpighi University Hospital, Bologna, Italy;2. Institute of Neonatology, S. Orsola-Malpighi University Hospital, Bologna, Italy;3. Department of Cardiology, S. Orsola-Malpighi University Hospital, Bologna, Italy |
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Abstract: | ObjectiveTo compare the rate of neonatal respiratory morbidity in singletons versus twins delivered by pre-labour caesarean section.Study designUncomplicated pregnancies delivered by prelabor caesarean section at 34 + 0 to 37 + 6 weeks’ gestation were retrospectively selected. For both singletons and twins caesarean delivery was undertaken electively only after amniocentesis and if the lecithin/sphingomyelin ratio was ≥2. Neonatal respiratory morbidity was compared in twins versus singletons.Results241 singletons and 100 twin neonates were included. Overall neonatal respiratory morbidity was comparable between the two groups (25/241 (11.7%) versus 7/100 (7%), p = .331). Between 34 + 0 and 36 + 6 weeks, however, the risk was higher among singleton than twins (15/46 (32.6%) versus 6/72 (8.3%), p < .001). At multiple regression, dichorionicity, gestational age at delivery ≥37 weeks and female sex independently decreased the risk of neonatal respiratory morbidity.ConclusionThe risk of neonatal respiratory morbidity after elective caesarean section seems lower among twins, especially prior to 37 + 0 weeks. |
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Keywords: | Respiratory distress syndrome Newborn Twins Late pre-term birth Caesarean section |
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