Abstract
Objective This study was aimed to compare maternal and neonatal outcomes between women with
twin pregnancies who underwent induction of labor with those women who had planned
Cesarean delivery (CD).
Study Design This is a retrospective cohort study of women with twin pregnancies ≥ 24 weeks with
an indication for delivery but not in labor. Two groups were examined, women who underwent
induction and women who underwent planned CD. Maternal and neonatal outcomes were
compared between groups both for deliveries at gestational age ≥ 37 weeks and < 37 weeks.
Results A total of 453 patients were included. Overall, 212 (46.8%) women underwent induction
and 241 (53.2%) underwent planned CD. Women who underwent induction of labor had a
high rate of VD, both in the term and preterm groups (69.8 and 73.6%, respectively).
Women who underwent induction of labor had reduced maternal length of stay, neonatal
length of stay, and blood loss, without any increase in adverse outcomes. Neonatal
ventilation of either twin delivered < 37 weeks was higher in the CD compared with
induction group (27.5 vs. 9.4%, p < 0.01), but this was not significant on adjusted odds ratio analysis (aOR = 0.71,
95% CI: 0.19–2.66).
Conclusion Labor induction in twin gestations have improved maternal outcomes and similar neonatal
outcomes compared with planned CD.
Keywords
twin delivery - induction of labor - elective cesarean
