TY - JOUR T1 - Caesarean delivery for twin gestation at 32–38 weeks does not lead to improved clinical outcomes for neonates or mothers JF - Evidence Based Medicine JO - Evid Based Med SP - 119 LP - 119 DO - 10.1136/eb-2013-101655 VL - 19 IS - 3 AU - Henry C Lee AU - Yair J Blumenfeld Y1 - 2014/06/01 UR - http://ebm.bmj.com/content/19/3/119.abstract N2 - Commentary on: Barrett JF, Hannah ME, Hutton EK, et al. A randomised trial of planned cesarean or vaginal delivery for twin pregnancy. NEJM 2013;369:1295–305.OpenUrlCrossRefPubMedWeb of Science Use of caesarean delivery (CD) for twin gestation has increased dramatically worldwide in recent years.1 ,2 Although some observational studies have suggested that there may be decreased risk of adverse perinatal outcomes with CD, clear benefits of routine CD for twin gestation have not been established, especially when the primary provider is experienced in breech extraction of the second twin.3 This large multicentre trial aimed to avoid the biases of observational studies in order to answer the question of optimal delivery mode for twin gestation. This was a randomised, unblinded clinical trial occurring at 106 centres in 25 countries from 2003 to 2011. Inclusion criteria … ER -