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Objective

The Twin Birth Study demonstrated that in a planned vaginal birth between 32 and 38 weeks gestation in twin pregnancies where the first twin was a cephalic presentation, there was no difference in fetal and neonatal outcomes from a planned caesarean section. Published data regarding optimal method for induction of twins is limited. The aim of this secondary analysis was to compare adverse neonatal and maternal outcomes between those pregnancies induced by prostaglandin and those induced with amniotomy and/or oxytocin when a planned vaginal birth for twins is made between 32 and 38 weeks gestation.

Study Design

A total of 368 women were identified; 153 (42%) underwent induction with the use of prostaglandin and 215 (58%) underwent induction with amniotomy and/or oxytocin. The following variables were evaluated: mean gestational age at induction/delivery, parity, perinatal mortality …