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  • Title: Correlates of the trend of cesarean section rates in twin pregnancies.
    Author: Tul N, Verdenik I, Trojner-Bregar A, Novak Ž, Blickstein I.
    Journal: J Perinat Med; 2012 Apr; 40(3):241-3. PubMed ID: 22085150.
    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.
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