Why the study?
Does epidural analgesia during twin pregnancy result in different outcomes between first and second twins?
Does epidural analgesia during twin pregnancy result in different outcomes between first and second twins?
Epidural analgesia during twin pregnancy is associated with similar neonatal outcomes for both the first and second twins, regardless of maturity.
Epidural analgesia was associated with similar twin neonatal outcomes; hypothesis-generating and should not yet change practice pending randomized data.
SummaryFour years' experience of epidural analgesia during twin pregnancy (68 cases) is reviewed, 60 sets of twins delivering vaginally. No statistically significant differences were found between first and second twins in the incidences of resuscitation, 5 minute Apgar scores, cerebral irritability, poor feeding, jaundice, admission to special care baby unit, retention of the baby in hospital after discharge of the mother or neonatal death. These findings apply equally to infants of above and below 36 weeks maturity
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Jarvis et al. (1981) studied this question.
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