Double trouble: unit specific counselling for mode of delivery of twin pregnancy

Introduction The incidence of multiple pregnancy is rising in the UK. The safest mode of delivery for twin pregnancies is not known. Method Case note review of 294/324 (90.74%) twin deliveries occurring at a teaching hospital in Manchester 1 July 2007–1 July 2010 considered mode of delivery, cord acidaemia, neonatal unit admission (NNU)) and postpartum haemorrhage (PPH). Baseline characteristics (table 1). Mode of delivery 55.44% of women (34.36% of those aiming for VD) deliver at least one twin by CS; risk factors include nulliparity, previous CS and gestational age Morbidity Fetal cord acidaemia occurred in 40.88% of deliveries (T2 more frequent than T1, p 34 weeks and deliveries 34 to 36+6 weeks (p 1 h and CS delivery of either twin (p Discussion The results of the Twin Birth Study are awaited. Examining unit specific figures aids patient counselling and clinician decision making to promote optimal perinatal outcomes.