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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252881/
All twin pairs were either >32 weeks of gestation, larger than 1500 g, or older than 35 weeks of gestation. Twin positions were either vertex-unknown, vertex-nonvertex, or twin A breech. Although all analyses dealing with vertex-presenting first twins favored vaginal delivery, the ORs all crossed 1.Author: Diane Christopher, Barrett K Robinson, Alan M Peaceman
https://www.contemporaryobgyn.net/acog-annual-meeting/intrapartum-management-second-twin
He counsels families that if the first twin is breech, both twins are delivered by cesarean. But if the first twin is head down, a vaginal delivery is planned for both twins, unless there is a good reason not to do so, such as the second twin being much larger than the first. …Author: Bob Kronemyer
http://residents.fammed.org/Manuals/OB%20Book/TWIN%20DELIVERY%20GUIDELINES%202007.pdf
second twin is so far insignificant. The criteria, when the first twin is in a breech presentation, are identical with our criteria for singleton breech delivery. 3. In the 34 to 36 gestational weeks, Cesarean section is advised in cases of breech-breech and breech-vertex. In cases of vertex-vertex, vertex-breech, andFile Size: 54KB
https://www.kopabirth.com/natural-childbirth-of-twins/
Dec 28, 2018 · Vertex/Breech. Many of the studies you’ll find on vaginal delivery of twins relate to the lower twin being vertex and the other having a breech presentation. Doctors are learning that a ceserean section is not always necessary just because one twin is breech (4).
https://www.whattoexpect.com/pregnancy/twins-and-multiples/giving-birth/possible-fetal-positions.aspx
Feb 27, 2015 · Vertex/breech: The second best-case scenario for a vaginal birth is the vertex/breech set-up. This means that if Baby A is head-down and in a good position for delivery, your doctor may be able to manipulate Baby B from the breech position to vertex after Baby A is born.
https://www.ncbi.nlm.nih.gov/pubmed/8277485
Vaginal delivery of breech-vertex twins. Blickstein I(1), Weissman A, Ben-Hur H, Borenstein R, Insler V. Author information: (1)Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel. The safety of vaginal birth for breech-vertex twins has not been addressed directly before.Author: I. Blickstein, A. Weissman, H. Ben-Hur, R. Borenstein, V. Insler
https://exxcellence.org/list-of-pearls/management-of-twin-delivery/
May 04, 2016 · For non-vertex second twin, the potential options for delivery include internal podalic version with vaginal breech extraction, external cephalic version followed by vaginal delivery, or cesarean delivery. There is a higher incidence of complications and emergency cesarean delivery associated with external cephalic version of a second twin ...
https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
Mauldin JG, Newman RB, Mauldin PD. Cost-effective delivery management of the vertex and nonvertex twin gestation. Am J Obstet Gynecol 1998; 179:864. Chauhan SP, Roberts WE, McLaren RA, et al. Delivery of the nonvertex second twin: breech extraction versus external cephalic version. Am J Obstet Gynecol 1995; 173:1015.
https://emedicine.medscape.com/article/83040-overview
Mar 08, 2018 · It is performed for the delivery of the second twin in a vertex/nonvertex presentation. Successful completion of this delivery depends upon a well-trained and experienced obstetrician. [2, 7, 10] This article reviews the steps for a complete breech extraction and the possible complications that might be encountered during the procedure.
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