Twin pregnancy with the first twin in breech presentation: Survival and neurodevelopmental outcome of preterm infants at a corrected age of 2 years

Planned mode of delivery did not significantly influence survival in preterm breech-first twins, but confidence intervals were wide. A trend toward poorer neurodevelopment at 2 years was observed after planned vaginal delivery, whereas maternal morbidity was higher after planned caesarean delivery. These findings support individualized decision-making, balancing neonatal and maternal risks.

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Publication Details

Journal
European Journal of Obstetrics & Gynecology and Reproductive Biology
Published
2025-12-02
DOI
https://doi.org/10.1016/j.ejogrb.2025.114868
Primary Topic
Assisted Reproductive Technology and Twin Pregnancy
Type
article
Field-Weighted Citation Impact
0.00

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article

Twin pregnancy with the first twin in breech presentation: Survival and neurodevelopmental outcome of preterm infants at a corrected age of 2 years

Vincent Dochez, Jean‐Christophe Rozé, Norbert Winer, Cyril Flamant et al.
European Journal of Obstetrics & Gynecology and Reproductive Biology
Assisted Reproductive Technology and Twin Pregnancy
article

Twin pregnancy with the first twin in breech presentation: Survival and neurodevelopmental outcome of preterm infants at a corrected age of 2 years

Vincent Dochez, Jean‐Christophe Rozé, Norbert Winer, Cyril Flamant, Valérie Rouger, Camille Dhonneur
article en

Abstract

Planned mode of delivery did not significantly influence survival in preterm breech-first twins, but confidence intervals were wide. A trend toward poorer neurodevelopment at 2 years was observed after planned vaginal delivery, whereas maternal morbidity was higher after planned caesarean delivery. These findings support individualized decision-making, balancing neonatal and maternal risks.

European Journal of Obstetrics & Gynecology and Reproductive BiologyVol. 317
Inserm (FR), Centre Hospitalier Universitaire de Nantes (FR), Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR), Centre d'Investigation Clinique de Nantes (FR), PhysioPathologie des Adaptations Nutritionnelles (FR), Nantes Université (FR)
Agence Régionale de Santé Île-de-France
Openalex Percentile: Top 52%
Assisted Reproductive Technology and Twin Pregnancy
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