Document Detail

Intrapartum management of twin gestations.
MedLine Citation:
PMID:  17470599     Owner:  NLM     Status:  MEDLINE    
A trial of labor and vaginal delivery are usually indicated in vertex-vertex twins. For vertex-nonvertex twins, vaginal birth is preferred, with the second twin being delivered by breech extraction, unless it is significantly larger than the first. Cesarean delivery is indicated if the first twin is nonvertex and for all cases of monoamniotic or potentially viable conjoined twins. There is a limited role for trial of labor after cesarean delivery in twin gestations. In my opinion, combined vaginal-cesarean birth is the riskiest method for mother and infants and should be avoided if possible.
Dwight P Cruikshank
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  109     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-01     Completed Date:  2007-06-14     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1167-76     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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MeSH Terms
Breech Presentation
Delivery, Obstetric* / methods
Pregnancy, Multiple*
Trial of Labor
Twins, Conjoined
Vaginal Birth after Cesarean
Comment In:
Obstet Gynecol. 2007 Sep;110(3):712; author reply 712   [PMID:  17766623 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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