| Intrapartum management of twin gestations. | |
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MedLine Citation:
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PMID: 17470599 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Dwight P Cruikshank |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 109 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-05-01 Completed Date: 2007-06-14 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1167-76 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. crukshnk@mcw.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Breech Presentation Delivery, Obstetric* / methods Female Humans Pregnancy Pregnancy, Multiple* Trial of Labor Twins Twins, Conjoined Vaginal Birth after Cesarean |
| Comments/Corrections | |
Comment In:
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Obstet Gynecol. 2007 Sep;110(3):712; author reply 712
[PMID:
17766623
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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