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- W2978798304 abstract "Traditionally, pregnant women complicated with TTTS have been delivered by Caesarean delivery (CD). However, there is insufficient information regarding the feasibility of a trial of labour (TOL) in TTTS pregnancy with reassuring antepartum monitoring. The aim of this study was to determine the feasibility of a TOL in TTTS with reassuring antepartum monitoring. The study population consisted of pregnant women with TTTS. Cases with at least one fetus demise, non-viable preterm birth, or cases with non-reassuring antepartum fetal heart rate (FHR) monitoring needing an urgent CD were excluded. Neonatal and maternal outcomes were compared according to the planned mode of delivery. Among 55 pregnant women with both survived TTTS, 22 cases with abnormal FHR pattern needing an emergency CD were excluded. The mode of delivery was either planned VD (n = 18) or planned CD (n = 15). The indications for CD were a non-cephalic presentation of the first twin (n = 8), previous CD or myomectomy (n = 5), iatrogenic monoamniotic twin after fetoscopy (n = 1), and maternal request (n = 1). The adverse neonatal and maternal outcomes were not different between cases with planned vaginal delivery (VD) and those with planned CD. Women with planned VD had a shorter duration of hospitalisation after delivery than those with planned CD. In TTTS pregnancies with reassuring antepartum FHR monitoring, planned VD did not increase the risk of neonatal or maternal adverse outcomes. This data support the feasibility of TOL in pregnant women with TTTS. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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- W2978798304 date "2019-09-30" @default.
- W2978798304 modified "2023-10-06" @default.
- W2978798304 title "EP21.03: Trial of labour in Twin–twin transfusion syndrome (TTTS)" @default.
- W2978798304 doi "https://doi.org/10.1002/uog.21556" @default.
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