FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386860739> ?p ?o ?g. }

• W4386860739 abstract "Abstract Background: Research on outcomes of community (home or birth center) twin birth is scarce. This study evaluates the outcomes of twin pregnancies entering care with a single practitioner in a community setting. Methods: This is a retrospective observational cohort study of 100 consecutive twin pregnancies planning community births during 12 years with a single obstetrician. Outcomes measured included mode of delivery; birth weights; Apgar scores; ante-, intra-, and post-partum transports; perineal integrity; delivery interval; blood loss; chorionicity; weight concordance; and other maternal or neonatal morbidity. Results: Of the 100 twin pregnancies who entered into care, 31 (31%) transferred to a hospital-based clinician prior to labor. The remaining 69 sets of twins were still in the obstetrician’s care at the onset of labor. Of those 69 pregnancies, 79.7% (n=55) were di-amniotic-di-chorionic and 21.3% (n=14) were mono-di. The vaginal delivery rate was 91.3% (n=63) including 16/21 primips/TOLACs (76.2%) and 47/48 multips (97.9%); 6 mothers (8.7%) had in-labor cesareans (1 multip and 5 primips). Rates of vaginal delivery did not vary significantly by chorionicity; 91.4% (53/58) of di-di and 90.9% (10/11) of mono-di twins gave birth vaginally. There were 8 transports in labor (11.6%) with 2 birthing vaginally and 6 via cesarean. Average gestational age was 39.0 weeks (range 35-42). Compared to primiparas, multiparas had less perineal trauma and higher rates of community, vaginal, and spontaneous vaginal birth. One twin infant and one mother required postpartum hospital transport. Of the babies born in a community setting, there was no serious morbidity requiring hospital treatment. Conclusions : A community birth leads to high rates of vaginal birth and good outcomes for both mothers and babies in properly selected twin pregnancies. Community twin birth with midwifery style care under specific protocol guidelines and with a skilled practitioner may be a reasonable choice for women wishing to avoid a cesarean section—especially when there is no option of a hospital vaginal birth. However, this study is underpowered to calculate uncommon adverse neonatal outcomes. Training of future practitioners in vaginal twin and breech birth skills remains an imperative." @default.
• W4386860739 created "2023-09-20" @default.
• W4386860739 creator A5051057144 @default.
• W4386860739 creator A5051268173 @default.
• W4386860739 date "2023-09-19" @default.
• W4386860739 modified "2023-09-27" @default.
• W4386860739 title "Twin home birth: Outcomes of 100 sets of twins in the care of a single practitioner" @default.
• W4386860739 cites W1974835563 @default.
• W4386860739 cites W1982290310 @default.
• W4386860739 cites W2025687140 @default.
• W4386860739 cites W2048338245 @default.
• W4386860739 cites W2063473651 @default.
• W4386860739 cites W2065314182 @default.
• W4386860739 cites W2087136734 @default.
• W4386860739 cites W2090804190 @default.
• W4386860739 cites W2098357771 @default.
• W4386860739 cites W2098692849 @default.
• W4386860739 cites W2115175032 @default.
• W4386860739 cites W2139434078 @default.
• W4386860739 cites W2144601464 @default.
• W4386860739 cites W2165923451 @default.
• W4386860739 cites W2167265857 @default.
• W4386860739 cites W2517919845 @default.
• W4386860739 cites W2597543060 @default.
• W4386860739 cites W2612208547 @default.
• W4386860739 cites W2790343475 @default.
• W4386860739 cites W2796526751 @default.
• W4386860739 cites W2896645699 @default.
• W4386860739 cites W2905323716 @default.
• W4386860739 cites W2922801757 @default.
• W4386860739 cites W2943324696 @default.
• W4386860739 cites W3015973396 @default.
• W4386860739 cites W3020676678 @default.
• W4386860739 cites W3024817153 @default.
• W4386860739 cites W3035919291 @default.
• W4386860739 cites W4205511291 @default.
• W4386860739 cites W4205961006 @default.
• W4386860739 cites W4220653222 @default.
• W4386860739 cites W4223627311 @default.
• W4386860739 doi "https://doi.org/10.21203/rs.3.rs-3290533/v1" @default.
• W4386860739 hasPublicationYear "2023" @default.
• W4386860739 type Work @default.
• W4386860739 citedByCount "0" @default.
• W4386860739 crossrefType "posted-content" @default.
• W4386860739 hasAuthorship W4386860739A5051057144 @default.
• W4386860739 hasAuthorship W4386860739A5051268173 @default.
• W4386860739 hasBestOaLocation W43868607391 @default.
• W4386860739 hasConcept C10885799 @default.
• W4386860739 hasConcept C126322002 @default.
• W4386860739 hasConcept C131872663 @default.
• W4386860739 hasConcept C160798450 @default.
• W4386860739 hasConcept C2778376644 @default.
• W4386860739 hasConcept C2778408130 @default.
• W4386860739 hasConcept C2779234561 @default.
• W4386860739 hasConcept C2909855057 @default.
• W4386860739 hasConcept C29456083 @default.
• W4386860739 hasConcept C46973012 @default.
• W4386860739 hasConcept C54355233 @default.
• W4386860739 hasConcept C66322754 @default.
• W4386860739 hasConcept C71924100 @default.
• W4386860739 hasConcept C86803240 @default.
• W4386860739 hasConceptScore W4386860739C10885799 @default.
• W4386860739 hasConceptScore W4386860739C126322002 @default.
• W4386860739 hasConceptScore W4386860739C131872663 @default.
• W4386860739 hasConceptScore W4386860739C160798450 @default.
• W4386860739 hasConceptScore W4386860739C2778376644 @default.
• W4386860739 hasConceptScore W4386860739C2778408130 @default.
• W4386860739 hasConceptScore W4386860739C2779234561 @default.
• W4386860739 hasConceptScore W4386860739C2909855057 @default.
• W4386860739 hasConceptScore W4386860739C29456083 @default.
• W4386860739 hasConceptScore W4386860739C46973012 @default.
• W4386860739 hasConceptScore W4386860739C54355233 @default.
• W4386860739 hasConceptScore W4386860739C66322754 @default.
• W4386860739 hasConceptScore W4386860739C71924100 @default.
• W4386860739 hasConceptScore W4386860739C86803240 @default.
• W4386860739 hasLocation W43868607391 @default.
• W4386860739 hasOpenAccess W4386860739 @default.
• W4386860739 hasPrimaryLocation W43868607391 @default.
• W4386860739 hasRelatedWork W1999907682 @default.
• W4386860739 hasRelatedWork W2022148045 @default.
• W4386860739 hasRelatedWork W2077226434 @default.
• W4386860739 hasRelatedWork W2155742732 @default.
• W4386860739 hasRelatedWork W2410967084 @default.
• W4386860739 hasRelatedWork W2416388972 @default.
• W4386860739 hasRelatedWork W2467990121 @default.
• W4386860739 hasRelatedWork W2763079565 @default.
• W4386860739 hasRelatedWork W3032760378 @default.
• W4386860739 hasRelatedWork W4212875057 @default.
• W4386860739 isParatext "false" @default.
• W4386860739 isRetracted "false" @default.
• W4386860739 workType "article" @default.