{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:09:43Z","timestamp":1772168983429,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/f1000research.27292.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000}},{"DOI":"10.12688\/f1000research.27292.2","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000}}],"reference-count":28,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>\n                    <ns3:bold>Background<\/ns3:bold>\n                    : Caesarean sections have become the most popular method for delivering twin babies because of the safety concerns associated with a natural birth. This study aims to identify the maternal characteristics and obstetric parameters that serve as risk factors influencing caesarean delivery in twin pregnancies by comparing women delivering via caesarean section and vaginal birth.\n                  <\/ns3:p>\n                  <ns3:p>\n                    <ns3:bold>Methods<\/ns3:bold>\n                    : A retrospective chart review design was used to analyse 47 women with multiple pregnancies from the medical records at a primary referral hospital in East Java, Indonesia. Women delivering vaginally were then compared with women who underwent a caesarean section to identify any differences between the groups.\n                  <\/ns3:p>\n                  <ns3:p>\n                    <ns3:bold>Results<\/ns3:bold>\n                    : In our study, more women delivered by caesarean section (n=35) than by vaginal birth (n=12). Women were more likely to undergo a caesarean section if they had a previous history of undergoing a caesarean section (OR 16.5; 95% CI 1.91-142.49; p=0.02). Similar to previous studies, we found that foetal malpresentation significantly increase the risk of caesarean delivery (OR 8.25; 95%CI 0.95-71.09; p=0.03), while labour augmentation decrease the likelihood of caesarean section (OR 0.20; 95% CI 0.49-0.81; p=0.03). There was also a significant older patients in the caesarean section groups (OR 1.26; 95% CI 1.09-1.45 ; p=0.00).\n                  <\/ns3:p>\n                  <ns3:p>\n                    <ns3:bold>Conclusions<\/ns3:bold>\n                    : The percentage of multiple pregnancies delivered via caesarean section is quite high. Other larger cohort study are warranted, since many factors were involved in the decision of caesarean section.\n                  <\/ns3:p>","DOI":"10.12688\/f1000research.27292.3","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T06:35:36Z","timestamp":1691649336000},"page":"1481","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors affecting elective cesarean section in women with multiple pregnancy in Caruban, Indonesia"],"prefix":"10.12688","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7521-9221","authenticated-orcid":false,"given":"Muhammad Pradhiki","family":"Mahindra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7529-8142","authenticated-orcid":false,"given":"Mahendra Tri Arif","family":"Sampurna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3082-4479","authenticated-orcid":false,"given":"Muhammad Pradhika","family":"Mapindra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apriska Mega Sutowo","family":"Putri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aries","family":"Krisbiyantoro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rozi Aditya","family":"Aryananda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2023,8,10]]},"reference":[{"key":"ref-1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1668-6","article-title":"The effect of twin-to-twin delivery time intervals on neonatal outcome for second twins.","volume":"18","author":"L Lindroos","year":"2018","journal-title":"BMC Pregnancy Childbirth."},{"key":"ref-2","doi-asserted-by":"publisher","first-page":"554-562","DOI":"10.1055\/s-0038-1668117","article-title":"Multiple Pregnancy: Epidemiology and Association with Maternal and Perinatal Morbidity.","volume":"40","author":"D Santana","year":"2018","journal-title":"Rev Bras Ginecol Obstet."},{"key":"ref-3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0025239","article-title":"Twinning across the developing world.","volume":"6","author":"J Smits","year":"2011","journal-title":"PLoS One."},{"key":"ref-4","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029908","article-title":"Prevalence and risk of pre-eclampsia and gestational hypertension in twin pregnancies: A population-based register study.","volume":"9","author":"K Laine","year":"2019","journal-title":"BMJ Open."},{"key":"ref-5","doi-asserted-by":"publisher","first-page":"227-30","DOI":"10.2147\/IJWH.S22059","article-title":"Twin versus singleton pregnancies: The incidence, pregnancy complications, and obstetric outcomes in a Nigerian tertiary hospital.","volume":"3","author":"N Obiechina","year":"2011","journal-title":"Int J Womens Health."},{"key":"ref-6","doi-asserted-by":"publisher","first-page":"845-851","DOI":"10.1111\/aogs.13333","article-title":"Risk factors for cesarean delivery and adverse neonatal outcome in twin pregnancies attempting vaginal delivery.","volume":"97","author":"N Schachter-Safrai","year":"2018","journal-title":"Acta Obstet Gynecol Scand."},{"key":"ref-7","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.80092","article-title":"Time and Mode of Delivery in Twin Pregnancies.","author":"E Felix Martins Santana","year":"2019","journal-title":"Mult Pregnancy - New Challenges."},{"key":"ref-8","doi-asserted-by":"publisher","first-page":"367-376","DOI":"10.1016\/j.jgyn.2009.04.015","article-title":"L\u2019accouchement par voie basse des grossesses gemellaires est-il encore une option raisonnable? 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status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.153085.r195442, Kian Djien Liem, Department of Neonatology, Amalia Children\u2019s Hospital, Nijmegen, 15 Dec 2023, version 3, indexed","URL":"https:\/\/f1000research.com\/articles\/9-1481\/v3#referee-response-195442","order":0,"name":"referee-response-195442","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.153085.r195443, Gatot Nyarumenteng Adhipurnawan Winarno, Ayu Insafi Mulyantari, Department of Obstetrics and Gynecology, Dr. Hasan Sadikin Central General Hospital, Faculty of Medicine, Universitas Padjadjaran, Bandung, 24 Aug 2023, version 3, indexed","URL":"https:\/\/f1000research.com\/articles\/9-1481\/v3#referee-response-195443","order":1,"name":"referee-response-195443","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}