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This was a retrospective cohort study of 705 twin pregnancies who delivered at \u2265\u200924\u00a0weeks of gestation. Maternal and neonatal hemoglobin levels, blood transfusion, and neonatal outcomes were compared between DCC (n\u2009=\u2009225) and ICC (n\u2009=\u2009480) groups. Mean maternal predelivery and postpartum hemoglobin levels and the rate of postpartum hemoglobin drop \u2265\u200920% or maternal blood transfusion were comparable between the two groups. The DCC group had a significantly higher mean neonatal hemoglobin level (DCC vs. ICC: 17.4\u2009\u00b1\u20093.5 vs. 16.6\u2009\u00b1\u20092.7\u00a0g\/dl, P\u2009=\u20090.010) but significantly lower rates of neonatal blood transfusion (DCC vs. ICC: 3.3% vs. 8.8%, P\u2009&lt;\u20090.001) and respiratory distress syndrome (DCC vs. ICC: 6.7% vs. 15.2%, P\u2009&lt;\u20090.001) than the ICC group. In conclusion, DCC compared with ICC in twin pregnancy was not associated with an increase of maternal postpartum bleeding complications, but it was associated with higher neonatal hemoglobin level and lower risks of neonatal blood transfusion and respiratory distress syndrome.<\/jats:p>","DOI":"10.1038\/s41598-023-44575-9","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T06:02:17Z","timestamp":1697176937000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Effect of delayed cord clamping on maternal and neonatal outcome in twin pregnancies: a retrospective cohort study"],"prefix":"10.1038","volume":"13","author":[{"given":"Suin","family":"Yoon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yookyung","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yejin","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji-Hee","family":"Sung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suk-Joo","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo-young","family":"Oh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheong-Rae","family":"Roh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,10,13]]},"reference":[{"key":"44575_CR1","doi-asserted-by":"publisher","first-page":"e100","DOI":"10.1097\/AOG.0000000000004167","volume":"136","author":"American College of Obstetricians and Gynecologists' Committee on Obstetric Practice","year":"2020","unstructured":"American College of Obstetricians and Gynecologists\u2019 Committee on Obstetric Practice. 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