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https://www.obgproject.com/2019/10/12/vaginal-delivery-of-twin-a-and-cesarean-delivery-for-twin-b-risk-factors-and-outcomes/
BACKGROUND AND PURPOSE: Aviram et al. (AJOG, 2019) determined the incidence, risk factors, and outcomes for combined twin deliveries (Twin A: vaginal Twin B: Cesarean); METHODS: Secondary analysis of a prospective, randomized, controlled trial. Data derived from the Twin Birth Study (TBS) RCT that compared planned vaginal delivery to planned combined delivery in twin pregnancies
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882058/
May 26, 2016 · Twin sets with cesarean delivery for both twins were classified as intended cesarean delivery. The NCHS multiple birth dataset contained variables on induction or stimulation of labor (missing 0.8%), prolonged (defined as >20 hours), or dysfunction labor (yes/no) (missing 1.0%).Author: Yu Dong, Zhong-Cheng Luo, Zu-Jing Yang, Lu Chen, Yu-Na Guo, Ware Branch, Jun Zhang, Hong Huang
https://www.medscape.com/viewarticle/879767
Oct 20, 2019 · Vaginal delivery of twins is associated with less neonatal morbidity and mortality than cesarean delivery, and should be the birth method of choice when the first twin has a …
https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
Barrett JF, Hannah ME, Hutton EK, et al. A randomized trial of planned cesarean or vaginal delivery for twin pregnancy. N Engl J Med 2013; 369:1295. Asztalos EV, Hannah ME, Hutton EK, et al. Twin Birth Study: 2-year neurodevelopmental follow-up of the randomized trial of planned cesarean or planned vaginal delivery for twin pregnancy.
https://about-twins.com/birth/c-section-with-twins/
Jun 13, 2016 · In some places, a c-section with twins is often recommended, whereas others encourage vaginal birth. A study from 2013 , in which 105 clinics in 25 countries took part, concluded that under optimum conditions, there were no differences in terms of maternal and child morbidity between planned vaginal delivery and C-section with twins.
https://www.nejm.org/doi/full/10.1056/NEJMoa1214939
QUICK TAKE Cesarean or Vaginal Delivery for Twins 02:17. Because of assisted reproductive technologies, twin pregnancy occurs more frequently now than in the past, and it …Author: Jon F. R. Barrett, Mary E. Hannah, Eileen K. Hutton, Andrew R. Willan, Alexander C. Allen, B. Anthon...
https://revenuecycleadvisor.com/news-analysis/qa-cpt-coding-multiple-gestation
Jul 19, 2019 · A: When coding for the delivery of twins, CPT code selection is driven by the method of delivery. In other words, whether the patient underwent a vaginal or cesarean delivery (C-section). If a vaginal delivery is documented, the coder would report the appropriate CPT vaginal delivery code for the first-born baby.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464260/
Delayed interval delivery in twin pregnancy: A case report We present a case of delayed interval delivery in twins ... second twin was left in utero. The management included combination of tocolytics, antibiotics and cervical cerclage. Caesarean section was performed 48 days later, at 32 weeks and we delivered a live male infant, successfully ...
https://www.aapc.com/discuss/threads/twin-delivery-coding.21257/
Aug 05, 2009 · When the doctor delivers all of the babies, whether twins, triplets, etc., by cesarean, you should submit 59510 with modifier 22 appended. Because the ob-gyn made only one incision, he performed only one cesarean, but the modifier shows that the physician performed a significantly more difficult delivery due to the presence of multiple babies, Zeigman says.
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