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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.
Dodd and colleagues report the results of a randomised controlled trial of elective delivery …
Competing interests None.