[Not Available].

INTRODUCTION AIM: It was to determine the factors influencing the prognosis of the second twin's delivery.

METHODS

The study was retrospective and covered all cases of twin births registered at our maternity from 1stJanuary 2007 to 31st December 2016 (10 years).

RESULTS

We recorded 34,899 deliveries among which 1374 twin deliveries (2.54%). Almost 15% were primiparous; 39.16% were referred; 69.10% and 15.5% without prenatal care. The factors negatively influencing prognosis for second twin were: a delay>15 minutes between twin deliveries, delayed caesarean section, non-qualification of the midwife, monochoreal, low birth weight. Otherwise parity and obstetric maneuvers had no influence on the prognosis 2nd twin.

CONCLUSION

The prognosis of 2nd twinisstronglyinfluenced by a birth delay> 15 minutes, the other factors acting as cofactors.