[Neonatal prognosis of second twin].
BACKGROUND
Twin pregnancy is associated to high neonatal morbidity particularly for the second twin.


OBJECTIVE
To assess twin delivery practice in our department and prognosis of second twin.


METHODS
Retrospective study of medical files of parturition women with twin pregnancy between January 2003 and December 2006. Were excluded women delivered before 28 weeks gestation, twin pregnancies with death or malformation of one of twins. Descriptive and comparative analyses were realised.


RESULTS
One hundred forty six twin pregnancies were counted. Vaginal delivery was attempted with 90 parturition women with 85.5% of success. Caesarean section delivery rate was 47.2%. Overall there's no difference between twins considering neonatal complication. In case of vaginal delivery, the second twin's 5 minutes Apgar score was statistically under the one of the 1st twin if compared to the caesarean section delivery. This difference was no more significant if regarding the Apgar score under 7 at 5 minutes. Apgar score of the second twin was also under the one of the first twin in non cephalic presentation.


CONCLUSIONS
Vaginal delivery of twin pregnancy was noot associated to high risk for twins. Obstetrical manoeuvres should be well controlled to reduce obstetrical trauma.
Ben Hamouda
Sonia
S
Service de Gynécologie Obstétrique B, Hôpital Charles Nicolle, Tunis.
Daaloul
Walid
W
Ayadi
Imène
I
Ouerdiane
Nadia
N
Marrakchi
Zohra
Z
Bouguerra
Badreddine
B
Sfar
Rachida
R
D000328:Adult; D004200:Diseases in Twins / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology*; D011379:Prognosis; D012189:Retrospective Studies; D014427:Twins