Epidural Analgesia and Delivery of Second Twin: Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 124
- 试验地点
- 1
- 主要终点
- Delivery of First twin
研究概览
简要总结
Over an 8-year period, 124 twin pregnancies at gestational age ≥32 weeks with both twins presenting as a vertex and eligible for vaginal delivery were reviewed. Excluded were patients with the following intrapartum factors which may affect mode of delivery of second twin: 1. Presentation of the 2nd twin: breech or other than vertex; 2. Monochorionic twins; 3. Induction of labour; 4. difference in foetal weight between twin B and twin A ≥25%. The chi-square statistic was used to compare differences in the incidence of retained second twin between the groups.
详细描述
The investigators conducted this prospective study in women with twins pregnancy planned for trial of vaginal delivery and gave birth between January 2014 and December 2019, in the Department of obstetrics and Gynaecology of the Sabah Maternity Hospital, Sabah Specialized Area, Kuwait. The Sabah Maternity Hospital is a tertiary care hospital for the country of Kuwait with approximately 12500 deliveries per year. The study protocol was approved by the Ethics Committee.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 16 Years 至 45 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •.gestational age of 32 weeks, determined by an early ultrasound performed in the second trimester or certain last menstrual period; (2) both twins viable; (3) eligibility for vaginal delivery as defined by twin A being cephalic; and (4) no previous cesarean section.
排除标准
- •underwent an elective or repeat cesarean section
- •presentation of twin B at delivery other than cephalic (breech, oblique or transverse presentation
- •induction of labour
- •the difference in foetal weight between twin B and twin A at delivery ≥25% .Neonates were excluded if one was stillborn or had major congenital malformations.
研究组 & 干预措施
Vaginal Delivery
Delivered both twins vaginally
干预措施: Bupivacaine-fentanyl (Drug)
C-Section Delivery
Delivered both twins by Cesarean Section
干预措施: Bupivacaine-fentanyl (Drug)
Vaginal/C-Section Delivery
Delivery first twin vaginally and second twin By C-Section.
干预措施: Bupivacaine-fentanyl (Drug)
结局指标
主要结局
Delivery of First twin
时间窗: 24 hours
Vaginal or C-Section
Delivery of Second twin
时间窗: 24 hours
C-Section or C-Section
次要结局
未报告次要终点
研究者
Abdelrady S Ibrahim, MD
Assiut University Faculty of Medicine Anesthesia Dept
Assiut University