Abstracts from the 19th International Congress on Twin Studies, 26−28 September 2024

Data collected until March 31st 2024, include 231 patients, and it is split in two groups: first one (before training) is from January 1st 2017 to December 31st 2020 with 124 patients, and second one is from January 1st 2021 to March 31st 2024 with 107 patients.The object is to evaluate maternal and neonatal outcomes.Results: From 2017 to 2020, 124 twin patients delivered in our Unit.6 (4.8%) underwent VB, having 26 a planned VB (21.0%).From 2021 to 1st trimester 2024, 106 twin patients delivered in our Unit.22 (20.7%)underwent VB, either natural and operative (n. 2) (p = .000234),with 33 having a planned VB (31.1%).The incidence of conversion in the period time changed from 77% to 33% (p = .000872).Albeit a significant increase in VB, maternal and neonatal outcomes were not statistically different between the two periods.Conclusion: Safety delivery and better outcomes are expected in larger number.Our population study is limited in number and we cannot highlight correlation to parity, previous CS and so forth.The mainstay of our data collection is that skill improvements are necessary to reach this challenge.