Induction of labour vs. spontaneous vaginal delivery in twin pregnancy after 36 weeks of gestation

Time for delivery and delivery pathway in twin pregnancies are still in great debate. Our study goal was to compare the characteristics of delivery and maternal-foetal outcome in uncomplicated near-term twin pregnancies undergoing labour induction and those with spontaneous labour. We found no statistical differences in patients with twin pregnancies who underwent labour induction and those with spontaneous labour regarding the history of previous caesarean delivery, parity, pregnancy achieved by assisted reproductive techniques (ART), chorionicity and cervical dilation at the admission as well as maternal and neonatal morbidity, and admission to the neonatal intensive care unit. There were significant differences in the caesarean section rate (60.6 vs. 33.3%, p<.05) and the time interval between delivery of the first and second foetus (9.8 vs. 11.7min, p=.024). There was an increased incidence of caesarean section after the induction of labour. However, it appears to be a safe option.