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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259682/
Results. There were 1,887 twin pregnancies in the cesarean registry, of which 1,028 experienced labor, and are included in this analysis. Cesarean delivery of both twins occurred in a total of 849 pregnancies and 179 (17%) delivered the first vaginally and underwent a cesarean delivery of the second twin.Author: James M. Alexander, Kenneth J. Leveno, Dwight Rouse, Mark B. Landon, Sharon A. Gilbert, Catherine Y....
https://www.aapc.com/discuss/threads/twin-delivery-coding.21257/
Aug 05, 2009 · 2. What If the First Delivery is Vaginal, Second is Cesarean? If the physician delivers the first baby vaginally but the second via cesarean, assuming he provided global care, report 59510 (Routine obstetric care including antepartum care, cesarean delivery and postpartum care) for the second baby and 59409-51 for the first, Montoya says.
https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
Wen SW, Fung KF, Oppenheimer L, et al. Occurrence and predictors of cesarean delivery for the second twin after vaginal delivery of the first twin. Obstet Gynecol 2004; 103:413. Breathnach FM, McAuliffe FM, Geary M, et al. Prediction of safe and successful vaginal twin birth. Am J …
https://journals.lww.com/greenjournal/pages/articleviewer.aspx?year=2008&issue=10000&article=00004&type=Fulltext
2000, a prospective cohort study of all cesarean deliveries was conducted at 13 university centers. This secondary analysis was limited to women with twin gestations who experienced labor and underwent cesarean delivery. We compared outcomes of the second twin in women who had vaginal delivery of the first twin and a cesarean delivery of the second twin to those who had cesarean delivery of ...
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1815-0
May 18, 2018 · We were aware that delivery of the second twin in maternal all-fours position is contradictory to active management. Therefore, the methode has the potential to prolong the inter- twin delivery interval, to increase risk for difficult obstetric maneuvers and …Author: Gerhard Bogner, Valentina Wallner, Claudius Fazelnia, Martina Strobl, Birgit Volgger, Thorsten Fisch...
https://www.acog.org/en/Clinical/Clinical%20Guidance/Obstetric%20Care%20Consensus/Articles/2014/03/Safe%20Prevention%20of%20the%20Primary%20Cesarean%20Delivery
Background. In 2011, one in three women who gave birth in the United States did so by cesarean delivery 1.Even though the rates of primary and total cesarean delivery have plateaued recently, there was a rapid increase in cesarean rates from 1996 to 2011 Figure 1.Although cesarean delivery can be life-saving for the fetus, the mother, or both in certain cases, the rapid increase in the rate of ...
https://www.researchgate.net/publication/23291808_Cesarean_Delivery_for_the_Second_Twin
To examine maternal and infant outcomes after a vaginal delivery of twin A and a cesarean delivery of twin B, and to identify whether the second twin experienced increased short-term morbidity as ...
https://revenuecycleadvisor.com/news-analysis/qa-cpt-coding-multiple-gestation
Jul 19, 2019 · The coder would report an additional vaginal delivery-only code for the second-born baby, then delineate between the codes by labelling them Twin A or Twin B. The coder should also append modifier -51 (multiple procedures) or -59 (distinct procedural service) to the code for the subsequent delivery. ... cesarean delivery only, following ...
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