New review of twin pregnancies highlights ideal time for delivery

7 September 2016

A new review of evidence surrounding twin pregnancies has shed light on the ideal delivery period to reduce rates of stillbirth.

The Queen Mary University of London research, which analysed the twin pregnancies of more than 30,000 women, recommended that in the case of pregnancies without complications, women with dichorionic twins - those with separate placentas - should be offered delivery after 37 weeks.

Meanwhile, it was also suggested that women with monochorionic twins - siblings sharing the same placenta - should not be offered delivery before 36 weeks to maximise safety.

Professor Shakila Thangaratinam of the Queen Mary University of London's Blizard Institute said: "We hope that this research will help to complement national and international efforts to reduce the rates of stillbirth and unexpected neonatal complications in babies from women with twin pregnancies."

This is an important discovery, as twin pregnancies typically have a 13-fold higher rate of stillbirth in monochorionic twins and a fivefold increase in dichorionic twins compared with single pregnancies.

Since 2005, the number of patient safety incidents involving multiple pregnancies has risen by 419 per cent in the UK.

Posted by Philip Briggs

 


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