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France. <jats:italic>Sample<\/jats:italic>. Twins with first child in cephalic presentation. <jats:italic>Methods.<\/jats:italic> Decision analysis. <jats:italic>Main Outcome Measures.<\/jats:italic> All neonatal complications, i.e. death, whether intrapartum or in the delivery room or the immediate postpartum period, or neonatal transfer to intensive (or special) care, or trauma, of one or both twins. <jats:italic>Results<\/jats:italic>. When we focused on neonatal complications for either or both twins, the strategy of planned vaginal delivery was preferable; the weight of its decision tree branch was lower than that for planned cesarean (26.5 vs. 31.7). If only twin 2 was considered, vaginal delivery was also preferred (weight of vaginal delivery=27.6 vs. 32.7 for planned cesarean). As long as the morbidity and mortality of twin 1 or twin 2 or both during a cesarean for twin 2 in the case of planned vaginal delivery does not exceed 31.5%, all else being equal, vaginal delivery should be preferred to a planned cesarean for twin 1 and twin 2. The two\u2010variable sensitivity analysis confirmed the robustness of the results. <jats:italic>Conclusions.<\/jats:italic> The results of our study do not support a policy of planned cesarean delivery for twin pregnancies at and after 34 weeks of gestation. Level of evidence: II.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2011.01130.x","type":"journal-article","created":{"date-parts":[[2011,3,23]],"date-time":"2011-03-23T06:03:40Z","timestamp":1300860220000},"page":"1147-1156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Is a planned cesarean necessary in twin pregnancies?"],"prefix":"10.1111","volume":"90","author":[{"given":"FRAN\u00c7OISE","family":"VENDITTELLI","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OLIVIER","family":"RIVI\u00c8RE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CATHERINE","family":"CRENN\u2010H\u00c9BERT","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DIDIER","family":"RIETHMULLER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JEAN\u2010PATRICK","family":"SCHAAL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MICHEL","family":"DREYFUS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"FOR THE PERINATAL SENTINEL NETWORK AUDIPOG","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,5,20]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2006.00146.x"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199404000-00025"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1995.tb00690.x"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/fn.75.3.F174"},{"key":"e_1_2_8_6_2","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1111\/j.0001-6349.2004.00545.x","article-title":"Multiple birth and cerebral palsy in Europe: a multicenter study","volume":"83","author":"Topp M","year":"2004","journal-title":"Acta Obstet Gynecol Scand."},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000233154.62729.24"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000127035.64602.97"},{"key":"e_1_2_8_9_2","first-page":"392","article-title":"Iatrogenic respiratory distress syndrome following elective repeat cesarean delivery","volume":"81","author":"Parilla BV","year":"1993","journal-title":"Obstet Gynecol."},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.04.009"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.05.013"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00631.x"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/14767058410001727413"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.11.029"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39118.483819.55"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.64"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.09.132"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/14767050410001668707"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211408"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318163c435"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(81)90432-4"},{"key":"e_1_2_8_22_2","first-page":"636","article-title":"Epreuve ut\u00e9rine ou c\u00e9sarienne it\u00e9rative chez une patiente ant\u00e9rieurement c\u00e9saris\u00e9e? 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