Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial
Objective To compare outcomes at 3 months post partum for women randomised to give birth by planned caesarean section (CS) or by planned vaginal birth (VB) in the Twin Birth Study (TBS). Design We invited women in the TBS to complete a 3‐month follow‐up questionnaire. Setting Two thousand and eight...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2015-11, Vol.122 (12), p.1653-1662 |
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| creator | Hutton, EK Hannah, ME Ross, S Joseph, KS Ohlsson, A Asztalos, EV Willan, AR Allen, AC Armson, BA Gafni, A Mangoff, K Sanchez, JJ Barrett, JF |
| description | Objective
To compare outcomes at 3 months post partum for women randomised to give birth by planned caesarean section (CS) or by planned vaginal birth (VB) in the Twin Birth Study (TBS).
Design
We invited women in the TBS to complete a 3‐month follow‐up questionnaire.
Setting
Two thousand and eight hundred and four women from 25 countries.
Population
Two thousand and five hundred and seventy women (92% response rate).
Methods
Women randomised between 13 December 2003 and 4 April 2011 in the TBS completed a questionnaire and outcomes were compared using an intention‐to‐treat approach.
Main outcome and measures
Breastfeeding, quality of life, depression, fatigue and urinary incontinence.
Results
We found no clinically important differences between groups in any outcome. In the planned CS versus planned VB groups, breastfeeding at any time after birth was reported by 84.4% versus 86.4% (P = 0.13); the mean physical and mental Short Form (36) Health Survey (SF‐36) quality of life scores were 51.8 versus 51.6 (P = 0.65) and 46.7 versus 46.0 (P = 0.09), respectively; the mean Multidimensional Assessment of Fatigue score was 20.3 versus 20.8 (P = 0.14); the frequency of probable depression on the Edinburgh Postnatal Depression Scale was 14.0% versus 14.8% (P = 0.57); the rate of problematic urinary incontinence was 5.5% versus 6.4% (P = 0.31); and the mean Incontinence Impact Questionnaire‐7 score was 20.5 versus 20.4 (P = 0.99). Partner relationships, including painful intercourse, were similar between the groups.
Conclusion
For women with twin pregnancies randomised to planned CS compared with planned VB, outcomes at 3 months post partum did not differ. The mode of birth was not associated with problematic urinary incontinence or urinary incontinence that affected the quality of life. Contrary to previous studies, breastfeeding at 3 months was not increased with planned VB.
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| doi_str_mv | 10.1111/1471-0528.13597 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5014197</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3846547981</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4527-70e1d54e8702bb6d8305dbdee87013341dee9d6d02054aa549dfd091d05624263</originalsourceid><addsrcrecordid>eNqFks9vFCEUx4nR2Fo9ezMkXrxMCwwMOx5M2safqenBeibM8GaXhoEVmG32v_Hm_-FfJrNbN-pFLjze-_AF3heEnlNySss4o1zSigi2OKW1aOUDdHzIPNzFpCI1WxyhJyndEkIbRurH6Ig1JSlYc4x-fNYZotcOhyn3YYSEdcb1z-9j8HlVFkMp47XT3oPBvYakI2iPE_TZBo83ENOUDsBGL-0s1tmYV3gIEec76_E6wtJr39siX5Z5Bfhmzl_ssC95MtvXWOOovQmjTfNJ5fgYnCthjla7p-jRoF2CZ_fzCfr67u3N5Yfq6vr9x8vzq6rngslKEqBGcFhIwrquMYuaCNMZmBO0rjktYWsaQxgRXGvBWzMY0lJDRMN4acsJerPXXU_dCKaHcg3t1DraUcetCtqqvyvertQybJQglNNWFoFX9wIxfJsgZVUe1IMrDYIwJUUlk23LhCAFffkPehum2Ysd1TRS1Lwt1Nme6mNIKcJwuAwlav4EarZczZar3ScoO178-YYD_9v1Aog9cGcdbP-npy4-Xe-FfwFyHr_9</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1726675349</pqid></control><display><type>article</type><title>Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Hutton, EK ; Hannah, ME ; Ross, S ; Joseph, KS ; Ohlsson, A ; Asztalos, EV ; Willan, AR ; Allen, AC ; Armson, BA ; Gafni, A ; Mangoff, K ; Sanchez, JJ ; Barrett, JF</creator><creatorcontrib>Hutton, EK ; Hannah, ME ; Ross, S ; Joseph, KS ; Ohlsson, A ; Asztalos, EV ; Willan, AR ; Allen, AC ; Armson, BA ; Gafni, A ; Mangoff, K ; Sanchez, JJ ; Barrett, JF ; Twin Birth Study Collaborative Group ; the Twin Birth Study Collaborative Group</creatorcontrib><description>Objective
To compare outcomes at 3 months post partum for women randomised to give birth by planned caesarean section (CS) or by planned vaginal birth (VB) in the Twin Birth Study (TBS).
Design
We invited women in the TBS to complete a 3‐month follow‐up questionnaire.
Setting
Two thousand and eight hundred and four women from 25 countries.
Population
Two thousand and five hundred and seventy women (92% response rate).
Methods
Women randomised between 13 December 2003 and 4 April 2011 in the TBS completed a questionnaire and outcomes were compared using an intention‐to‐treat approach.
Main outcome and measures
Breastfeeding, quality of life, depression, fatigue and urinary incontinence.
Results
We found no clinically important differences between groups in any outcome. In the planned CS versus planned VB groups, breastfeeding at any time after birth was reported by 84.4% versus 86.4% (P = 0.13); the mean physical and mental Short Form (36) Health Survey (SF‐36) quality of life scores were 51.8 versus 51.6 (P = 0.65) and 46.7 versus 46.0 (P = 0.09), respectively; the mean Multidimensional Assessment of Fatigue score was 20.3 versus 20.8 (P = 0.14); the frequency of probable depression on the Edinburgh Postnatal Depression Scale was 14.0% versus 14.8% (P = 0.57); the rate of problematic urinary incontinence was 5.5% versus 6.4% (P = 0.31); and the mean Incontinence Impact Questionnaire‐7 score was 20.5 versus 20.4 (P = 0.99). Partner relationships, including painful intercourse, were similar between the groups.
Conclusion
For women with twin pregnancies randomised to planned CS compared with planned VB, outcomes at 3 months post partum did not differ. The mode of birth was not associated with problematic urinary incontinence or urinary incontinence that affected the quality of life. Contrary to previous studies, breastfeeding at 3 months was not increased with planned VB.
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Planned mode of birth for twins doesn't affect maternal depression, wellbeing, incontinence or breastfeeding.
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Planned mode of birth for twins doesn't affect maternal depression, wellbeing, incontinence or breastfeeding.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.13597</identifier><identifier>PMID: 26328526</identifier><identifier>CODEN: BIOGFQ</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject><![CDATA[Adult ; Breast Feeding - psychology ; Breast Feeding - statistics & numerical data ; Breastfeeding ; Cesarean section ; Cesarean Section - psychology ; Cesarean Section - statistics & numerical data ; Childbirth & labor ; Clinical outcomes ; Clinical trials ; Delivery, Obstetric - psychology ; Delivery, Obstetric - statistics & numerical data ; Depression, Postpartum - epidemiology ; Elective Surgical Procedures - statistics & numerical data ; Fatigue - epidemiology ; Female ; Follow-Up Studies ; General Obstetrics ; Humans ; incontinence ; Infant, Newborn ; Male ; Maternal & child health ; Maternal Behavior - psychology ; maternal outcomes ; Mother-Child Relations ; Patient Satisfaction ; postpartum depression ; Postpartum Period ; Pregnancy ; Pregnancy Outcome ; Pregnancy, Twin ; Prospective Studies ; Puerperal Disorders - epidemiology ; Sexual Behavior - psychology ; Sexual Behavior - statistics & numerical data ; Siblings ; twin pregnancy ; Twins ; Urinary Incontinence - epidemiology]]></subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2015-11, Vol.122 (12), p.1653-1662</ispartof><rights>2015 The Authors. published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists.</rights><rights>2015 The Authors. BJOG An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists.</rights><rights>Copyright © 2015 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4527-70e1d54e8702bb6d8305dbdee87013341dee9d6d02054aa549dfd091d05624263</citedby><cites>FETCH-LOGICAL-c4527-70e1d54e8702bb6d8305dbdee87013341dee9d6d02054aa549dfd091d05624263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.13597$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.13597$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26328526$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hutton, EK</creatorcontrib><creatorcontrib>Hannah, ME</creatorcontrib><creatorcontrib>Ross, S</creatorcontrib><creatorcontrib>Joseph, KS</creatorcontrib><creatorcontrib>Ohlsson, A</creatorcontrib><creatorcontrib>Asztalos, EV</creatorcontrib><creatorcontrib>Willan, AR</creatorcontrib><creatorcontrib>Allen, AC</creatorcontrib><creatorcontrib>Armson, BA</creatorcontrib><creatorcontrib>Gafni, A</creatorcontrib><creatorcontrib>Mangoff, K</creatorcontrib><creatorcontrib>Sanchez, JJ</creatorcontrib><creatorcontrib>Barrett, JF</creatorcontrib><creatorcontrib>Twin Birth Study Collaborative Group</creatorcontrib><creatorcontrib>the Twin Birth Study Collaborative Group</creatorcontrib><title>Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To compare outcomes at 3 months post partum for women randomised to give birth by planned caesarean section (CS) or by planned vaginal birth (VB) in the Twin Birth Study (TBS).
Design
We invited women in the TBS to complete a 3‐month follow‐up questionnaire.
Setting
Two thousand and eight hundred and four women from 25 countries.
Population
Two thousand and five hundred and seventy women (92% response rate).
Methods
Women randomised between 13 December 2003 and 4 April 2011 in the TBS completed a questionnaire and outcomes were compared using an intention‐to‐treat approach.
Main outcome and measures
Breastfeeding, quality of life, depression, fatigue and urinary incontinence.
Results
We found no clinically important differences between groups in any outcome. In the planned CS versus planned VB groups, breastfeeding at any time after birth was reported by 84.4% versus 86.4% (P = 0.13); the mean physical and mental Short Form (36) Health Survey (SF‐36) quality of life scores were 51.8 versus 51.6 (P = 0.65) and 46.7 versus 46.0 (P = 0.09), respectively; the mean Multidimensional Assessment of Fatigue score was 20.3 versus 20.8 (P = 0.14); the frequency of probable depression on the Edinburgh Postnatal Depression Scale was 14.0% versus 14.8% (P = 0.57); the rate of problematic urinary incontinence was 5.5% versus 6.4% (P = 0.31); and the mean Incontinence Impact Questionnaire‐7 score was 20.5 versus 20.4 (P = 0.99). Partner relationships, including painful intercourse, were similar between the groups.
Conclusion
For women with twin pregnancies randomised to planned CS compared with planned VB, outcomes at 3 months post partum did not differ. The mode of birth was not associated with problematic urinary incontinence or urinary incontinence that affected the quality of life. Contrary to previous studies, breastfeeding at 3 months was not increased with planned VB.
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Planned mode of birth for twins doesn't affect maternal depression, wellbeing, incontinence or breastfeeding.
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Planned mode of birth for twins doesn't affect maternal depression, wellbeing, incontinence or breastfeeding.</description><subject>Adult</subject><subject>Breast Feeding - psychology</subject><subject>Breast Feeding - statistics & numerical data</subject><subject>Breastfeeding</subject><subject>Cesarean section</subject><subject>Cesarean Section - psychology</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Childbirth & labor</subject><subject>Clinical outcomes</subject><subject>Clinical trials</subject><subject>Delivery, Obstetric - psychology</subject><subject>Delivery, Obstetric - statistics & numerical data</subject><subject>Depression, Postpartum - epidemiology</subject><subject>Elective Surgical Procedures - statistics & numerical data</subject><subject>Fatigue - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General Obstetrics</subject><subject>Humans</subject><subject>incontinence</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Maternal Behavior - psychology</subject><subject>maternal outcomes</subject><subject>Mother-Child Relations</subject><subject>Patient Satisfaction</subject><subject>postpartum depression</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy, Twin</subject><subject>Prospective Studies</subject><subject>Puerperal Disorders - epidemiology</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Siblings</subject><subject>twin pregnancy</subject><subject>Twins</subject><subject>Urinary Incontinence - epidemiology</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNqFks9vFCEUx4nR2Fo9ezMkXrxMCwwMOx5M2safqenBeibM8GaXhoEVmG32v_Hm_-FfJrNbN-pFLjze-_AF3heEnlNySss4o1zSigi2OKW1aOUDdHzIPNzFpCI1WxyhJyndEkIbRurH6Ig1JSlYc4x-fNYZotcOhyn3YYSEdcb1z-9j8HlVFkMp47XT3oPBvYakI2iPE_TZBo83ENOUDsBGL-0s1tmYV3gIEec76_E6wtJr39siX5Z5Bfhmzl_ssC95MtvXWOOovQmjTfNJ5fgYnCthjla7p-jRoF2CZ_fzCfr67u3N5Yfq6vr9x8vzq6rngslKEqBGcFhIwrquMYuaCNMZmBO0rjktYWsaQxgRXGvBWzMY0lJDRMN4acsJerPXXU_dCKaHcg3t1DraUcetCtqqvyvertQybJQglNNWFoFX9wIxfJsgZVUe1IMrDYIwJUUlk23LhCAFffkPehum2Ysd1TRS1Lwt1Nme6mNIKcJwuAwlav4EarZczZar3ScoO178-YYD_9v1Aog9cGcdbP-npy4-Xe-FfwFyHr_9</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Hutton, EK</creator><creator>Hannah, ME</creator><creator>Ross, S</creator><creator>Joseph, KS</creator><creator>Ohlsson, A</creator><creator>Asztalos, EV</creator><creator>Willan, AR</creator><creator>Allen, AC</creator><creator>Armson, BA</creator><creator>Gafni, A</creator><creator>Mangoff, K</creator><creator>Sanchez, JJ</creator><creator>Barrett, JF</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201511</creationdate><title>Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial</title><author>Hutton, EK ; Hannah, ME ; Ross, S ; Joseph, KS ; Ohlsson, A ; Asztalos, EV ; Willan, AR ; Allen, AC ; Armson, BA ; Gafni, A ; Mangoff, K ; Sanchez, JJ ; Barrett, JF</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4527-70e1d54e8702bb6d8305dbdee87013341dee9d6d02054aa549dfd091d05624263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Breast Feeding - psychology</topic><topic>Breast Feeding - statistics & numerical data</topic><topic>Breastfeeding</topic><topic>Cesarean section</topic><topic>Cesarean Section - psychology</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Childbirth & labor</topic><topic>Clinical outcomes</topic><topic>Clinical trials</topic><topic>Delivery, Obstetric - psychology</topic><topic>Delivery, Obstetric - statistics & numerical data</topic><topic>Depression, Postpartum - epidemiology</topic><topic>Elective Surgical Procedures - statistics & numerical data</topic><topic>Fatigue - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General Obstetrics</topic><topic>Humans</topic><topic>incontinence</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Maternal & child health</topic><topic>Maternal Behavior - psychology</topic><topic>maternal outcomes</topic><topic>Mother-Child Relations</topic><topic>Patient Satisfaction</topic><topic>postpartum depression</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy, Twin</topic><topic>Prospective Studies</topic><topic>Puerperal Disorders - epidemiology</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>Siblings</topic><topic>twin pregnancy</topic><topic>Twins</topic><topic>Urinary Incontinence - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hutton, EK</creatorcontrib><creatorcontrib>Hannah, ME</creatorcontrib><creatorcontrib>Ross, S</creatorcontrib><creatorcontrib>Joseph, KS</creatorcontrib><creatorcontrib>Ohlsson, A</creatorcontrib><creatorcontrib>Asztalos, EV</creatorcontrib><creatorcontrib>Willan, AR</creatorcontrib><creatorcontrib>Allen, AC</creatorcontrib><creatorcontrib>Armson, BA</creatorcontrib><creatorcontrib>Gafni, A</creatorcontrib><creatorcontrib>Mangoff, K</creatorcontrib><creatorcontrib>Sanchez, JJ</creatorcontrib><creatorcontrib>Barrett, JF</creatorcontrib><creatorcontrib>Twin Birth Study Collaborative Group</creatorcontrib><creatorcontrib>the Twin Birth Study Collaborative Group</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hutton, EK</au><au>Hannah, ME</au><au>Ross, S</au><au>Joseph, KS</au><au>Ohlsson, A</au><au>Asztalos, EV</au><au>Willan, AR</au><au>Allen, AC</au><au>Armson, BA</au><au>Gafni, A</au><au>Mangoff, K</au><au>Sanchez, JJ</au><au>Barrett, JF</au><aucorp>Twin Birth Study Collaborative Group</aucorp><aucorp>the Twin Birth Study Collaborative Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2015-11</date><risdate>2015</risdate><volume>122</volume><issue>12</issue><spage>1653</spage><epage>1662</epage><pages>1653-1662</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><coden>BIOGFQ</coden><abstract>Objective
To compare outcomes at 3 months post partum for women randomised to give birth by planned caesarean section (CS) or by planned vaginal birth (VB) in the Twin Birth Study (TBS).
Design
We invited women in the TBS to complete a 3‐month follow‐up questionnaire.
Setting
Two thousand and eight hundred and four women from 25 countries.
Population
Two thousand and five hundred and seventy women (92% response rate).
Methods
Women randomised between 13 December 2003 and 4 April 2011 in the TBS completed a questionnaire and outcomes were compared using an intention‐to‐treat approach.
Main outcome and measures
Breastfeeding, quality of life, depression, fatigue and urinary incontinence.
Results
We found no clinically important differences between groups in any outcome. In the planned CS versus planned VB groups, breastfeeding at any time after birth was reported by 84.4% versus 86.4% (P = 0.13); the mean physical and mental Short Form (36) Health Survey (SF‐36) quality of life scores were 51.8 versus 51.6 (P = 0.65) and 46.7 versus 46.0 (P = 0.09), respectively; the mean Multidimensional Assessment of Fatigue score was 20.3 versus 20.8 (P = 0.14); the frequency of probable depression on the Edinburgh Postnatal Depression Scale was 14.0% versus 14.8% (P = 0.57); the rate of problematic urinary incontinence was 5.5% versus 6.4% (P = 0.31); and the mean Incontinence Impact Questionnaire‐7 score was 20.5 versus 20.4 (P = 0.99). Partner relationships, including painful intercourse, were similar between the groups.
Conclusion
For women with twin pregnancies randomised to planned CS compared with planned VB, outcomes at 3 months post partum did not differ. The mode of birth was not associated with problematic urinary incontinence or urinary incontinence that affected the quality of life. Contrary to previous studies, breastfeeding at 3 months was not increased with planned VB.
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Planned mode of birth for twins doesn't affect maternal depression, wellbeing, incontinence or breastfeeding.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>26328526</pmid><doi>10.1111/1471-0528.13597</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2015-11, Vol.122 (12), p.1653-1662 |
| issn | 1470-0328 1471-0528 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5014197 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Breast Feeding - psychology Breast Feeding - statistics & numerical data Breastfeeding Cesarean section Cesarean Section - psychology Cesarean Section - statistics & numerical data Childbirth & labor Clinical outcomes Clinical trials Delivery, Obstetric - psychology Delivery, Obstetric - statistics & numerical data Depression, Postpartum - epidemiology Elective Surgical Procedures - statistics & numerical data Fatigue - epidemiology Female Follow-Up Studies General Obstetrics Humans incontinence Infant, Newborn Male Maternal & child health Maternal Behavior - psychology maternal outcomes Mother-Child Relations Patient Satisfaction postpartum depression Postpartum Period Pregnancy Pregnancy Outcome Pregnancy, Twin Prospective Studies Puerperal Disorders - epidemiology Sexual Behavior - psychology Sexual Behavior - statistics & numerical data Siblings twin pregnancy Twins Urinary Incontinence - epidemiology |
| title | Maternal outcomes at 3 months after planned caesarean section versus planned vaginal birth for twin pregnancies in the Twin Birth Study: a randomised controlled trial |
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