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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.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://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
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://exxcellence.org/list-of-pearls/management-of-twin-delivery/
May 04, 2016 · If twin A is non-vertex, then cesarean delivery is indicated. 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 ...
https://www.babycenter.com/101_how-your-twins-lie-in-the-womb_40006228.bc
(If the baby closest to the birth canal is breech, it's likely you'll have a c-section.) If you deliver the vertex twin vaginally, your doctor may be able to deliver the breech baby that way as well. (Some will try to turn the breech baby to the head-down position first.) Otherwise, the second twin will be …
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
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