The Twin Birth Study: A Trial Comparing Planned Vaginal Birth to Elective Caesarean Section of Twins
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For twin pregnancies at 32-38 weeks gestation, where twin A is head down, does a policy of planned caesarean section (CS) lower the likelihood of death or serious illness, during the first 28 days after birth, compared to a plan for vaginal birth (VB)?
Condition or disease
Procedure: Method of Delivery
For twin pregnancies of 32-38 weeks gestation, where twin A is presenting cephalic, does a policy of planned CS decrease the likelihood of perinatal or neonatal mortality or serious neonatal morbidity, during the first 28 days after birth, compared to a policy of planned VB?
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Ages Eligible for Study:
15 Years to 45 Years (Child, Adult)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Women at 32 0/7 - 38 6/7 weeks gestation
Estimated fetal weight of each fetus 1500 - 4000 g
Both twins alive at time of randomization
Twin A is in cephalic position
Lethal fetal anomaly of either fetus
Contraindication to labour or vaginal delivery for either twin