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https://www.whattoexpect.com/pregnancy/twins-and-multiples/giving-birth/possible-fetal-positions.aspx
Feb 27, 2015 · This goes double for twins. 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 …
https://www.babycenter.com/101_how-your-twins-lie-in-the-womb_40006228.bc
In one study of women who attempted a vaginal delivery with one twin positioned head down and one not, nearly 1 in 4 ended up having a c-section for the second twin. Bottom down, bottom down (breech, breech)
https://www.kopabirth.com/natural-childbirth-of-twins/
Dec 28, 2018 · Let’s review positions before we talk about how the affect natural childbirth of twins. Vertex or Head Down – Head-down is the “proper” position for delivery and the easiest and safest position for a vaginal birth. In most cases, both babies are vertex at the time of birth(1). Breech – Buttocks, legs, or feet down.
https://www.ncbi.nlm.nih.gov/pubmed/8277485
The safety of vaginal birth for breech-vertex twins has not been addressed directly before. We retrospectively compared the perinatal outcome of two groups of breech-vertex twins: 24 delivered vaginally and 35 delivered abdominally. Vaginal delivery was allowed under the same protocol developed for singletons in breech presentation.Author: I. Blickstein, A. Weissman, H. Ben-Hur, R. Borenstein, V. Insler
http://residents.fammed.org/Manuals/OB%20Book/TWIN%20DELIVERY%20GUIDELINES%202007.pdf
presentation of the second twin, if the first twin is in vertex presentation. 2. If the first twin is breech presentation after the 36th week, CT-pelvimetry is performed. Critical measurements are 115mm for the obstetrical conjugate diameter in a normally shaped gynecoid pelvis, a Mengert's index of 100% for the pelvic inlet and 100% orFile Size: 54KB
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.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.whattoexpect.com/pregnancy/twins-and-multiples/having-vaginal-birth-twins/
Mar 21, 2019 · The first baby is vertex. If your first baby (the one nearest the exit) is head down but your second baby is breech (baby's buttocks or feet are positioned to be delivered first), you may still be able to give birth vaginally. In this case, you'd deliver your first little one, and then your practitioner would try to turn your second baby into the head-down vertex position.
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
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