The association between epidural labor analgesia and the fetal outcome and mode of delivery of the second twin: a nationwide register-based cohort study in Finland

Multiple pregnancies have a higher risk of maternal and fetal morbidity and mortality compared with singleton pregnancies. Fortunately, the rate of perinatal mortality is decreasing.12 In Finland, perinatal and early neonatal mortality in twins has decreased during recent decades to 0.7% for the first twin, and 1.2% for the second twin.2 Generally, a trial of vaginal birth is a safe option for women with twin pregnancy.34 However, twin deliveries, especially the delivery of the second twin, are still associated with a higher complication rate than are singleton deliveries, and research on minimizing these challenges is warranted.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Original Article Source Type: research