{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T18:02:27Z","timestamp":1784829747860,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,11,3]],"date-time":"2016-11-03T00:00:00Z","timestamp":1478131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2017,1]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To determine whether vaginal delivery among dichorionic diamniotic twins remains a safe option following full implementation of the European Working Time Directive in the UK<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>A retrospective study was conducted using data for women with dichorionic diamniotic twin pregnancies who attended a teaching hospital in London, UK<\/jats:styled-content>, for delivery between January 4, 2000, and December 23, 2010.<\/jats:p><\/jats:sec>Results<\/jats:title>Among 892 women, 474 (53.1%) attempted vaginal delivery, 220 (46.4%) of whom achieved spontaneous vaginal delivery of both twins. Instrumental vaginal delivery was performed among 89 women (18.8%), and 165 (34.8%) women underwent emergency cesarean delivery. Delivery of the second twin by emergency cesarean (n=31) was predominantly for fetal distress (13 [41.9%]) or abnormal lie (10 [32.3%]). A 5\u2010minute Apgar score of 9 or 10 was recorded for 384 (83.7%) of 459 first twins and 369 (82.9%) of 445\u00a0second twins, irrespective of the mode of delivery.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Vaginal delivery among dichorionic diamniotic twins had a good success rate and a low intrapartum emergency cesarean delivery rate. Training in cardiotocography and intrapartum procedures might further reduce the need for emergency cesarean delivery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12017","type":"journal-article","created":{"date-parts":[[2017,7,21]],"date-time":"2017-07-21T05:56:09Z","timestamp":1500616569000},"page":"98-101","source":"Crossref","is-referenced-by-count":4,"title":["Safety of vaginal delivery among dichorionic diamniotic twins over 10\u00a0years in a UK<\/scp> teaching hospital"],"prefix":"10.1002","volume":"136","author":[{"given":"Ewelina","family":"Rzyska","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology University Hospital of Wales Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bini","family":"Ajay","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology Croydon University Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin","family":"Chandraharan","sequence":"additional","affiliation":[{"name":"Labour Ward St. George's University Hospitals NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2013.12.008"},{"key":"e_1_2_7_3_1","unstructured":"Royal College of Obstetricians and Gynaecologists. Green\u2010top Guideline No.51.Management of monochorionic twin pregnancy. Published2008.https:\/\/www.rcog.org.uk\/en\/guidelines-research-services\/guidelines\/gtg51\/. Accessed October 10 2016."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01356.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12521"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2004.04.010"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1214939"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.10.181"},{"key":"e_1_2_7_9_1","unstructured":"Health and Safety Executive.The Working Time Regulations.http:\/\/www.hse.gov.uk\/contact\/faqs\/workingtimedirective.htm. 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The 18th World Congress on Controversies in Obstetrics Gynecology & Infertility; October 24\u201327 2013; Vienna."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39146.541100.80"}],"container-title":["International Journal of Gynecology & Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T22:21:11Z","timestamp":1696371671000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,3]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1002\/ijgo.12017"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12017","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,3]]}}}