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Therapeutics
Randomised controlled trial
Elective delivery of twins at 37 weeks gestation decreases infant complications
  1. Sarah Jane Stock1,
  2. Jane Elizabeth Norman2
  1. 1Department of Obstetrics and Gynaecology, King Edward Memorial Hospital, Perth, Western Australia, Australia
  2. 2MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK
  1. Correspondence to : Dr Sarah Jane Stock
    Department of Obstetrics and Gynaecology, King Edward Memorial Hospital, Bagot Road, Subiaco, Perth, Western Australia 6160, Australia; sarah.stock{at}ed.ac.uk

https://doi.org/10.1136/eb-2012-100963

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    Commentary on: Dodd J, Crowther C, Haslam R, et al., for the Twins Timing of Birth Trial Group. Elective birth at 37 weeks of gestation versus standard care for women with an uncomplicated twin pregnancy at term: the Twins Timing of Birth Randomised Trial. BJOG 2012; 119: 964– 74.OpenUrlCrossRefPubMed

    Context

    In singleton pregnancies, offering elective delivery at or beyond term (40 weeks gestation) reduces perinatal mortality.1 ,2 Epidemiological data suggest that in twin pregnancies ‘term’ may be earlier than in singletons. Morbidity and mortality in twin pregnancies is the lowest in association with delivery at 36–38 weeks gestation, leading the National Institute for Health and Clinical Excellence (NICE) to endorse elective delivery around 37 weeks for dichorionic twins and 36 weeks for monochorionic twins.3 Data from randomised trials evaluating such a policy is lacking.

    Methods

    Dodd and colleagues report the results of a randomised controlled trial of elective delivery …

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    Footnotes

    • Competing interests None.