METHOD OF DELIVERY IN MULTIPLE PREGNANCY

Purpose: To study the methods of delivery, vaginal or with Caesarean section (CS), in women with multiple pregnancy (MP), according to the method of conception: spontaneous or assisted reproductive techniques (ART). Material/Methods: Data on the method of delivery were analyzed for a total of 356 women with MP, 261 of which were after spontaneous conception and 95 after ART/IVF conception Results: Out of a total of 261 women with MP after spontaneous conception, 87 ended up with a normal (vaginal) delivery (33.3%) and 174 (66.7%) by Caesarean section (CS). A total of 95 MP after ART, 100% were delivered with CS. Conclusions: Among women with multiple pregnancy after spontaneous conception, Caesarean section delivery predominates. All women with MP after ART gave birth by Cesarean section delivery (100%). Among women with MP and vaginal delivery, 80% delivered after Oxytocin induction. The most common indication for Caesarean section in spontaneous MP was malpresentation of the fetus / mutual placement of the two twins (50%), followed by fetal asphyxia (33%) and other indications.