Obstetric outcomes in TOL and PCS groups
In the TOL group, 64.3% of women achieved vaginal delivery. Combined delivery (vaginal delivery of the first twin and intrapartum CS of the second twin) was performed in only one woman (2.4%). Fourteen cases (33.3%) from the TOL group were delivered via emergency CS because of non-reassuring fetal status (n = 7) or labor arrest (n = 7).
For pregnancies assigned to TOL group, 57.1% of pregnancies (24/42) had induction of labor, in most cases to avoid delivery above 37.6 weeks, and 42.9% (18/42) had a spontaneous onset of labor. The rate of successful vaginal delivery was higher in the spontaneous onset of labor subgroup (72.2% vs. 58.3%, p=0.35).