Delivery of non-vertex second twin: Breech extraction vs external cephalic version

1995 ◽  
Vol 172 (1) ◽  
pp. 276
1995 ◽  
Vol 173 (4) ◽  
pp. 1015-1020 ◽  
Author(s):  
Suneet P. Chauhan ◽  
William E. Roberts ◽  
Rodney A. McLaren ◽  
Holli Roach ◽  
John C. Morrison ◽  
...  

1989 ◽  
Vol 161 (1) ◽  
pp. 111-114 ◽  
Author(s):  
Stephen E. Gocke ◽  
Michael P. Nageotte ◽  
Thomas Garite ◽  
Craig V. Towers ◽  
Wendy Dorcester

1988 ◽  
Vol 37 (3-4) ◽  
pp. 331-337 ◽  
Author(s):  
F.P. Meehan ◽  
I.M. Magani ◽  
G. Mortimer

AbstractA study of perinatal mortality in multiple pregnancy over a period of 12 years, 1972 to 1984, showed prematurity and low birthweight as the major causes of fetal loss. The highest risk was found at 28 to 30 weeks gestation (306/1,000). There was a significantly greater risk to babies delivered by the breech (136/1,000), and likewise in the second twin when compared with the first, ratio 1:1.4. A significant drop in the perinatal mortality rate, from 98/1,000 to 39/1,000, was observed between 1972-1978 and 1979-1984. Ultrasound has facilitated the earlier diagnosis of twins and provides more accurate serial fetal assessment. Bedrest, more vigilant antenatal care, intrapartum surveillance and improved neonatal care, are required to maintain and further reduce the perinatal mortality rate. When regional analgesia was employed in labour, the number of babies lost was 41/1,000, vs 93/1,000 in patients not receiving regional analgesia. External cephalic version and vertex delivery of the second twin is preferable to internal version and breech extraction. It should also be contemplated, as an alternative to elective cesarean section for a transverse lie or brrech presentation of the second fetus.


2004 ◽  
Vol 43 (153) ◽  
Author(s):  
Saraswati Padhye ◽  
C Karki

After a subtotal hysterectomy for severe postpartum hemorrhage due to rupture uterus, followingcomplication at internal podalic version and breech extraction for a second twin, in a primipara; a longterm follow up and management by a wedge resection of ovary, ovariotomy, and removal of cyst was carriedout by the same surgeon in three different Hospitals, so unique in our context, is reported.Key Words: TwinDelivery, Internal Podalic Version.


2022 ◽  
Vol 226 (1) ◽  
pp. S108-S109
Author(s):  
Hila Hochler ◽  
Aharon Tevet ◽  
Moshe Barg ◽  
Yael Suissa-Cohen ◽  
Michal Lipschuetz ◽  
...  

1992 ◽  
Vol 79 (3) ◽  
pp. 421-423 ◽  
Author(s):  
JEAN-GILLES TCHABO ◽  
THOMAS TOMAI

2018 ◽  
Vol 131 (6) ◽  
pp. 1057-1061 ◽  
Author(s):  
Meredith L. Birsner

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