{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:48:57Z","timestamp":1771548537993,"version":"3.50.1"},"reference-count":0,"publisher":"Walter de Gruyter GmbH","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>\n                  <jats:bold>Aims:<\/jats:bold> The association between the planned delivery mode and adverse perinatal outcomes of monochorionic diamniotic (MCDA) twin pregnancies at \u226536 weeks\u2019 gestation was evaluated.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Methods:<\/jats:bold> This retrospective cohort study included uncomplicated MCDA twin pregnancies delivered after 36 weeks\u2019 gestation during a 10-year period. Cases were classified into the trial of labor (TOL) or cesarean section (CS) group according to the planned delivery mode. The primary outcome was a composite of adverse outcomes for at least one twin, including intrauterine fetal death (IUFD) after 36 weeks, neonatal death, umbilical artery pH&lt;7.1, 5-min Apgar scores&lt;7, hypoxic ischemic encephalopathy (HIE), meconium aspiration syndrome (MAS), respiratory distress syndrome (RDS), or acute feto-fetal hemorrhage (AFFH). The relationship between outcomes and the planned delivery mode was evaluated using a multiple logistic regression analysis.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results:<\/jats:bold> We included the 310 pregnancies delivered after 36 weeks\u2019 gestation. After excluding 15 patients, the final analysis included 295 MCDA pregnancies: 63% had delivered through TOL and 37% through CS. The incidences of composite adverse outcomes in the TOL and CS groups were 4.3% and 1.9%, respectively. No IUFD, neonatal death, MAS, RDS, or AFFH was observed; two infants in each group developed HIE. Adverse outcomes were not significantly associated with any risk factor, including delivery through TOL.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusion:<\/jats:bold> TOL may not influence the perinatal outcomes of MCDA twin pregnancies delivered at \u226536 weeks\u2019 gestation.<\/jats:p>","DOI":"10.1515\/jpm-2014-0072","type":"journal-article","created":{"date-parts":[[2014,4,11]],"date-time":"2014-04-11T20:03:32Z","timestamp":1397246612000},"page":"769-775","source":"Crossref","is-referenced-by-count":15,"title":["Adverse perinatal outcomes related to the delivery mode in women with monochorionic diamniotic twin pregnancies"],"prefix":"10.1515","volume":"42","author":[{"given":"Akiko","family":"Yamashita","sequence":"first","affiliation":[{"name":"Osaka Medical Center and Research, Institute for Maternal and Child Health, Department of Maternal Fetal Medicine, Izumi, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Ishii","sequence":"additional","affiliation":[{"name":"Osaka Medical Center and Research, Institute for Maternal and Child Health, Department of Maternal Fetal Medicine, Izumi, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takako","family":"Taguchi","sequence":"additional","affiliation":[{"name":"Osaka Medical Center and Research, Institute for Maternal and Child Health, Department of Maternal Fetal Medicine, Izumi, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aki","family":"Mabuchi","sequence":"additional","affiliation":[{"name":"Osaka Medical Center and Research, Institute for Maternal and Child Health, Department of Maternal Fetal Medicine, Izumi, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiyo","family":"Ota","sequence":"additional","affiliation":[{"name":"Osaka Medical Center and Research, Institute for Maternal and Child Health, Department of Maternal Fetal Medicine, Izumi, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Sasahara","sequence":"additional","affiliation":[{"name":"Osaka Medical Center and Research, Institute for Maternal and Child Health, Department of Maternal Fetal Medicine, Izumi, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syusaku","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Osaka Medical Center and Research, Institute for Maternal and Child Health, Department of Maternal Fetal Medicine, Izumi, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuaki","family":"Mitsuda","sequence":"additional","affiliation":[{"name":"Osaka Medical Center and Research, Institute for Maternal and Child Health, Department of Maternal Fetal Medicine, Izumi, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2014,4,11]]},"container-title":["Journal of Perinatal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2014-0072\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2014-0072\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T03:27:32Z","timestamp":1678764452000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpm-2014-0072\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,11]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2014,4,11]]},"published-print":{"date-parts":[[2014,11,1]]}},"alternative-id":["10.1515\/jpm-2014-0072"],"URL":"https:\/\/doi.org\/10.1515\/jpm-2014-0072","relation":{},"ISSN":["1619-3997","0300-5577"],"issn-type":[{"value":"1619-3997","type":"electronic"},{"value":"0300-5577","type":"print"}],"subject":[],"published":{"date-parts":[[2014,4,11]]}}}