Table 3.
Maternal and Neonatal Outcomes based on Actual Delivery Mode Compared to PLC
| Maternal Outcomes | TOL: Vaginal n=767 (%) |
Unadjusted OR (95% CI) |
Adjusted OR (95% CI) |
TOL: Cesarean n=311 (%) |
Unadjusted OR (95% CI) |
Adjusted OR (95% CI |
PLC n=1147 (%) |
|---|---|---|---|---|---|---|---|
| Abruptio Placentae | 5 (0.8) | 7.6 (0.9–65.5) | 3.3 (0.4–31.9) | 5 (2.0) | 18.9 (2.2–162.4) | 17.6 (2.0–159.0) | 1 (0.1) |
| Estimated Blood Loss ≥ 1000 mL |
47 (8.1) | 0.2 (0.1–0.3) | 0.2 (0.1–0.4) | 73 (31.1) | 1.1 (0.8–1.5) | 1.2 (0.8–1.7) | 264 (29.1) |
| Postpartum Hemorrhage | 41 (6.8) | 2.6 (1.5–4.5) | 2.7 (1.4–5.1) | 12 (5.9) | 2.3 (1.1–4.8) | 2.6 (1.2–5.7) | 20 (2.7) |
| Blood Transfusion | 32 (4.5) | 1.2 (0.8–2.0) | 1.3 (0.7–2.3) | 23 (8.7) | 2.5 (1.4–4.2) | 3.2 (1.8–5.9) | 38 (3.7) |
| Chorioamnionitis | 23 (3.8) | 18.1 (4.2–77.0) | 21.2 (4.6–98.2) | 15 (6.1) | 29.5 (6.7–130.0) | 22.6 (4.8–105.3) | 2 (0.2) |
| Hysterectomy | 0 | * | * | 1 (0.3) | 1.8 (0.2–20.4) | * | 2 (0.2) |
| ICU Admission | 1 (0.2) | 0.3 (0.03–2.1) | 0.4 (0.04–3.7) | 0 | * | * | 6 (0.6) |
| Maternal Death | 1 (0.2) | * | * | 0 | * | * | 0 |
| Neonatal Outcomes |
TOL: Vaginal n=767 sets (%) |
Unadjusted OR (95% CI) |
Adjusted OR (95% CI) |
TOL: Cesarean n=311 sets (%) |
Unadjusted OR (95% CI) |
Adjusted OR (95% CI) |
PLC n=1147 sets (%) |
| Birth Injury | |||||||
| Twin A | 11 (1.4)A | * | * | 0 | * | * | 0 |
| Twin B | 4 (0.5)A | * | * | 0 | * | * | 0 |
| 5 minute APGAR < 7 | |||||||
| Twin A | 12 (1.6) | 2.6 (1.02–6.6) | 6.4 (1.5–27.4) | 1 (0.3) | 0.5 (0.1–4.3) | 1.2 (0.1–11.2) | 7 (0.6) |
| Twin B | 16 (2.1) | 3.5 (1.4–8.5) | 6.1 (1.7–21.4) | 1 (0.3) | 0.5 (0.1–4.3) | 1.0 (0.1–8.9) | 7 (0.6) |
| NICU Admission | |||||||
| Twin A | 97 (12.7) | 0.9 (0.7–1.1) | 0.9 (0.6–1.3) | 57 (18.3) | 1.3 (0.97–1.9) | 1.3 (0.9–2.0) | 164 (14.3) |
| Twin B | 115 (15.0) | 1.1 (0.8–1.4) | 1.0 (0.7–1.4) | 55 (17.7) | 1.3 (0.9–1.8) | 1.0 (0.7–1.6) | 162 (14.1) |
| Respiratory Distress Syndrome |
|||||||
| Twin A | 18 (2.4) | 1.2 (0.6–2.2) | 1.2 (0.5–2.7) | 4 (1.3) | 0.6 (0.2–1.9) | 0.7 (0.2–2.3) | 23 (2.0) |
| Twin B | 25 (3.3) | 1.5 (0.8–2.5) | 1.5 (0.8–3.0) | 6 (1.9) | 0.8 (0.3–2.1) | 0.6 (0.2–1.8) | 26 (2.3) |
| Transient Tachypnea of the Newborn |
|||||||
| Twin A | 18 (2.4) | 0.4 (0.2–0.6) | 0.4 (0.2–0.8) | 16 (5.1) | 0.8 (0.5–1.4) | 0.9 (0.5–1.6) | 71 (6.2) |
| Twin B | 21 (2.7) | 0.5 (0.3–0.7) | 0.3 (0.2–0.6) | 21 (6.8) | 1.2 (0.7–1.9) | 1.0 (0.5–1.8) | 67 (5.8) |
| Neonatal Sepsis | |||||||
| Twin A | 13 (1.7) | 1.2 (0.6–2.5) | 1.6 (0.6–4.1) | 12 (3.9) | 2.8 (1.3–6.1) | 2.2 (0.9–5.7) | 16 (1.4) |
| Twin B | 12 (1.6) | 1.4 (0.6–3.1) | 1.3 (0.5–3.2) | 7 (2.3) | 2.0 (0.8–5.1) | 0.9 (0.2–3.3) | 13 (1.1) |
| Neonatal Asphyxia | |||||||
| Twin A | 2 (0.3) | 3.0 (0.3–33.1) | 6.1 (0.3–107.9) | 1 (0.3) | 3.7 (0.2–59.3) | 5.2 (0.3–88.4) | 1 (0.1) |
| Twin B | 1 (0.1) | * | * | 1 (0.3) | * | * | 0 |
| NICU LOS ≥ median | |||||||
| Twin A ≥ 4.0 days | 49 (57.0) | 0.7 (0.4–1.2) | 1.1 (0.5–2.3) | 30 (62.5) | 0.9 (0.5–1.7) | 0.8 (0.4–2.0) | 99 (65.1) |
| Twin B ≥ 5.0 days | 58 (57.4) | 1.2 (0.7–2.0) | 0.7 (0.4–1.5) | 18 (36.7) | 0.5 (0.3–1.0) | 0.3 (0.1–0.8) | 78 (53.1) |
| Neonatal Death | |||||||
| Twin A | 2 (0.3) | * | * | 0 | * | * | 0 |
| Twin B | 2 (0.3) | 1.4 (0.2–10.2) | 0.6 (0.1–4.4) | 0 | * | * | 2 (0.2) |
A
P<0.05
*
Regression model does not fit, due to low outcome occurrence