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Correlates of the trend of cesarean section rates in twin pregnancies
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Nataša Tul
Published/Copyright:
November 16, 2011
Abstract
Objective: To examine the population-based trend for cesarean births in twin pregnancies for the last 13 years in Slovenia, and to find correlates for this trend.
Methods: We evaluated data from the Slovenian national perinatal information system (NPIS) of all twin pairs born at ≥24 weeks during the period 1997–2009 (n=3916 pairs).
Results: We noted a significant and steady increase of about 1.1% cesarean births/year, concomitant with significant increased birth rates at 34–36 weeks, but with a significant decrease over time in neonatal mortality. These trends were neither associated with any particular maternal characteristic nor with increased neonatal morbidity.
Conclusions: An association exists between an increased cesarean birth rate, increased preterm births at 33–36 weeks and concomitant significantly reduced neonatal mortality in twins.
Received: 2011-9-26
Revised: 2011-10-20
Accepted: 2011-10-24
Published Online: 2011-11-16
Published in Print: 2012-04-01
©2012 by Walter de Gruyter Berlin Boston
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