Early versus late amniotomy during twin labor

In DCDA twin labor, early amniotomy (≤3 cm) is associated with increased intrapartum cesarean, despite similar durations of labor and neonatal outcomes. Amniotomy timing should be individualized, with caution against routine early rupture.

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Publication Details

Journal
International Journal of Gynecology & Obstetrics
Published
2026-01-14
DOI
https://doi.org/10.1002/ijgo.70803
Primary Topic
Assisted Reproductive Technology and Twin Pregnancy
Type
article
Field-Weighted Citation Impact
0.00
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article

Early versus late amniotomy during twin labor

Or Touval, Inbar Lidor, Tal Biron‐Shental, Or Eliner et al.
International Journal of Gynecology & Obstetrics
Assisted Reproductive Technology and Twin Pregnancy
article

Early versus late amniotomy during twin labor

Or Touval, Inbar Lidor, Tal Biron‐Shental, Or Eliner, Gil Shechter Maor, Michal Kovo
article en

Abstract

In DCDA twin labor, early amniotomy (≤3 cm) is associated with increased intrapartum cesarean, despite similar durations of labor and neonatal outcomes. Amniotomy timing should be individualized, with caution against routine early rupture.

International Journal of Gynecology & Obstetrics
Tel Aviv University (IL), Tel Aviv Sourasky Medical Center (IL), Assuta Medical Center (IL), Hillel Yaffe Medical Center (IL), Meir Medical Center (IL)
Openalex Percentile: Top 90%
Assisted Reproductive Technology and Twin Pregnancy
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