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https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1815-0
May 18, 2018 · Management of vaginal breech delivery for second twins in all four position of the mother seems to be feasible and an option for breech management. However, this technique might only be conducted in centers where obstetricians are experienced in breech delivery including routine training of vaginal breech delivery using an obstetric model.Author: Gerhard Bogner, Valentina Wallner, Claudius Fazelnia, Martina Strobl, Birgit Volgger, Thorsten Fisch...
https://www.whattoexpect.com/pregnancy/ask-heidi/twin-delivery.aspx
Oct 26, 2018 · If the second twin is sideways or breech, your practitioner may attempt to (a) turn twin two to a head-down position after delivery of his or her sibling, (b) attempt a breech delivery, or (c) opt for a C-section (which would mean you'd actually end up having both a vaginal and a cesarean delivery — something that fortunately rarely happens).
https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
Yang Q, Wen SW, Chen Y, et al. Occurrence and clinical predictors of operative delivery for the vertex second twin after normal vaginal delivery of the first twin. Am J Obstet Gynecol 2005; 192:178. Yang Q, Wen SW, Chen Y, et al. Neonatal death and morbidity in vertex-nonvertex second twins according to mode of delivery and birth weight.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252881/
19, 20 At The Mount Sinai Hospital in New York, 287 mothers carrying twin gestations with breech second twins heavier than 1500 g were allowed to choose their route of delivery. Deliveries were performed by one of six attending obstetricians, and active management of the second stage was used.Author: Diane Christopher, Barrett K Robinson, Alan M Peaceman
https://www.mamanatural.com/breech-birth/
Feb 02, 2018 · Some practitioners feel comfortable delivering twins vaginally when the first twin is head down and second twin is breech (this is a common twin presentation). Although it’s not the standard of practice, there are a few providers who will be willing to attempt a vaginal delivery when both twins or the leading twin are breech.5/5(2)
https://about-twins.com/birth/breech-twin/
Mar 12, 2018 · A new technique makes it possible to turn twins into a head-down position enabling a natural delivery. Up until now pregnant women have been advised to get a c-section if twin A – the twin positioned lowest in the uterus – is in a breech position.
https://exxcellence.org/list-of-pearls/management-of-twin-delivery/
May 04, 2016 · In a planned vaginal birth of twins, active management of delivery of the second twin is strongly recommended, as it has been shown to significantly decrease discordant delivery modes and neonatal morbidity. If twin B is vertex and fetal heart tones remain reassuring, vaginal delivery may proceed. If Twin B is non-vertex, breech extraction is preferred and should be performed prior to the …
https://www.healthline.com/health/pregnancy/breech-baby
Nov 02, 2016 · In general, breech pregnancies aren’t dangerous until it’s time for the baby to be born. With breech deliveries, there is a higher risk for the baby to get stuck in the birth canal and for the ...Author: Chaunie Brusie
https://www.aapc.com/discuss/threads/twin-delivery-coding.21257/
Aug 05, 2009 · Ace Your Twin Delivery Claims With 4 Solutions to Your Toughest Questions Ob-Gyn Coding Alert 2008: Volume 11, Number 12 Experts advise you to follow whatever modifier rules your insurer has in writing Hype around celebrity twins has many coders wanting to know how to report a twin cesarean delivery. The answer: 59510 with modifier 22 attached.
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