Skip to main content

Research Repository

Advanced Search

Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial

Hutton, E.K.; Hannah, M.E.; Joseph, K.S.; Ohlsson, A.; Asztalos, Elizabeth; Willan, A.C.; Armson, B.A.; Gafni, A.; Mangoff, K.; Sanchez, J.J.; Barrett, J.F.; Thornton, Jim

Authors

E.K. Hutton

M.E. Hannah

K.S. Joseph

A. Ohlsson

Elizabeth Asztalos

A.C. Willan

B.A. Armson

A. Gafni

K. Mangoff

J.J. Sanchez

J.F. Barrett

Jim Thornton



Abstract

OBJECTIVE:
To compare outcomes at 3 months post partum for women randomised to give birth by planned caesarean section (CS) or by planned vaginal birth (VB) in the Twin Birth Study (TBS).
DESIGN:
We invited women in the TBS to complete a 3-month follow-up questionnaire.
SETTING:
Two thousand and eight hundred and four women from 25 countries.
POPULATION:
Two thousand and five hundred and seventy women (92% response rate).
METHODS:
Women randomised between 13 December 2003 and 4 April 2011 in the TBS completed a questionnaire and outcomes were compared using an intention-to-treat approach.
MAIN OUTCOME AND MEASURES:
Breastfeeding, quality of life, depression, fatigue and urinary incontinence.
RESULTS:
We found no clinically important differences between groups in any outcome. In the planned CS versus planned VB groups, breastfeeding at any time after birth was reported by 84.4% versus 86.4% (P = 0.13); the mean physical and mental Short Form (36) Health Survey (SF-36) quality of life scores were 51.8 versus 51.6 (P = 0.65) and 46.7 versus 46.0 (P = 0.09), respectively; the mean Multidimensional Assessment of Fatigue score was 20.3 versus 20.8 (P = 0.14); the frequency of probable depression on the Edinburgh Postnatal Depression Scale was 14.0% versus 14.8% (P = 0.57); the rate of problematic urinary incontinence was 5.5% versus 6.4% (P = 0.31); and the mean Incontinence Impact Questionnaire-7 score was 20.5 versus 20.4 (P = 0.99). Partner relationships, including painful intercourse, were similar between the groups.
CONCLUSION:
For women with twin pregnancies randomised to planned CS compared with planned VB, outcomes at 3 months post partum did not differ. The mode of birth was not associated with problematic urinary incontinence or urinary incontinence that affected the quality of life. Contrary to previous studies, breastfeeding at 3 months was not increased with planned VB.
TWEETABLE ABSTRACT:
Planned mode of birth for twins doesn't affect maternal depression, wellbeing, incontinence or breastfeeding.

Citation

Hutton, E., Hannah, M., Joseph, K., Ohlsson, A., Asztalos, E., Willan, A., …Thornton, J. (2015). Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial. BJOG: An International Journal of Obstetrics and Gynaecology, 122(12), doi:10.1111/1471-0528.13597

Journal Article Type Article
Publication Date Nov 1, 2015
Deposit Date Feb 19, 2016
Publicly Available Date Feb 19, 2016
Journal BJOG: An International Journal of Obstetrics and Gynaecology
Print ISSN 1470-0328
Electronic ISSN 1471-0528
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 122
Issue 12
DOI https://doi.org/10.1111/1471-0528.13597
Keywords Breastfeeding; incontinence; maternal outcomes; postpartum depression; twin pregnancy
Public URL http://eprints.nottingham.ac.uk/id/eprint/31862
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.13597/abstract;jsessionid=1B82EDE04577D59CBBA7A4C7AE094F31.f03t01
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0
Additional Information Published for the Twin Birth Study Collaborative Group, which includes Jim Thornton.

Files


Hutton_et_al-2015-BJOG-_An_International_Journal_of_Obstetrics_&_Gynaecology.pdf (122 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





You might also like



Downloadable Citations