Twin Labour Induction – Is It Safe?

Activity: Talk or presentation typesPoster presentation


Perinatal morbidity and mortality are increased in multifetal gestation. Often early delivery is indicated to improve perinatal outcome. The mode of delivery does not influence the perinatal outcome if the first twin is in cephalic presentation. This study aimed to investigate the efficacy and safety of induction of labour in twin pregnancies compared to spontaneous onset of twin births and induced singleton births.. This study included 102 induced twin pregnancy data from January 2017 till November 2022, with cervical readiness rating ≤6 points of the Bishop score and with foetuses after the 34+0 week of pregnancy. This group was compared with two control groups – 104 twin pregnancies with spontaneous onset of labour and 4262 induced singleton births.. Caesarean section rate among primiparous women in the induced twin group was 32.7% vs spontaneous onset of twin birth 42.7% (p=0.294) and vs induced singleton birth was 29.2% (p=0.582); among multiparous in the induced twin group was 12% vs spontaneous onset of twin birth 27.2% (p=0.04) and vs induced singleton birth was 6.3% (p=0.131). The incidence of uterine atony was higher in the induced twin group compared with the spontaneous onset of the twin labour group, 15.7% vs 4.3%, p=0.002, and compared with induced singleton births (3.3%, p=0.0001). There was no difference in the rates of massive bleeding and hemotransfusion, uterine dysfunction, labour duration over 12 hours, newborn Apgar score ≤6 after 1st min and newborn admission to the Intensive care unit between induced twin group and spontaneous onset of twin births.. Twin induction does not increase the rate of caesarean sections, risk of blood transfusion and does not worsen the perinatal outcome. Twin induction increases the risk of uterine atony.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational