Vaginal delivery of the nonvertex second twin

Fishman, Alan; Grubb, Debra K.; Kovacs, Bruce W.

doi:10.1016/s0002-9378(12)90834-0

Cited by 72 publications

(15 citation statements)

References 9 publications

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“…Controversy still exists over the optimal route of delivery for vertex/nonvertex twin pairs. During the last years several studies have suggested that a second nonvertex twin weighing 11,500 g can be delivered vaginally with as much safety as by cesarean section [2]. Outlining the route of delivery, it must be kept in mind that up to 20% of second twins will change position once the first twin is delivered.…”

Section: Introductionmentioning

confidence: 99%

Excessive Use of Cesarean Section for the Second Twin?

Wolff

2000

Gynecol Obstet Invest

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Background: In Sweden, the frequency of cesarean section of the second twin after vaginal birth of the first twin has increased in recent years. Methods: To investigate the indications for second twin cesarean sections, all twin deliveries at Huddinge University Hospital from 1995 to 1997 were reviewed retrospectively. The rates of cesarean section for the second twin were compared with figures from the whole country, based on the Swedish medical birth register. Results: Thirty-one percent of all twin deliveries had a spontaneous onset and spontaneous vaginal delivery. The total twin cesarean section rate, including cesarean section for the second twin, was 45% at Huddinge University Hospital in 1995–1997 and 44% in Sweden in 1995. Cesarean section for the second twin after vaginal delivery of the first twin occurred in 11%. On review, 2/3 of the cesarean sections for the second twin were considered potentially avoidable. Conclusion: In normal twin pregnancies with vertex/nonvertex presentation, the favorable fetal outcome and also the maternal risks associated with cesarean section support vaginal delivery as the recommended delivery route. Extraction or version of a second nonvertex twin should be attempted before cesarean section for this twin is performed.

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Section: Introductionmentioning

confidence: 99%

Excessive Use of Cesarean Section for the Second Twin?

Wolff

2000

Gynecol Obstet Invest

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“…Les études rétrospectives hospitalières [15][16][17][18][19][20], le plus souvent monocentriques, ainsi que le seul essai randomisé ayant évalué l'effet de la voie d'accouchement en cas de grossesse gémellaire, ont rapporté, pour la plupart, des résultats en contradiction avec ceux des grandes études en population. Elles n'ont, en effet, pas mis en évidence d'augmentation significative de la mortalité ou de la morbidité néonatale du deuxième jumeau en cas d'accouchement par voie basse par rapport à la césarienne [15][16][17][18][19][20].…”

Section: Augmentation De La Morbidité Et De La Mortalité Pour Le Deuxunclassified

“…Elles n'ont, en effet, pas mis en évidence d'augmentation significative de la mortalité ou de la morbidité néonatale du deuxième jumeau en cas d'accouchement par voie basse par rapport à la césarienne [15][16][17][18][19][20]. Ces études et cet essai, entre autres, ont été repris dans deux méta-analyses [21,22] qui ont abouti aux même conclusions, à savoir, l'absence d'augmentation de risque pour le deuxième jumeau en cas d'accouchement par voie basse.…”

Section: Augmentation De La Morbidité Et De La Mortalité Pour Le Deuxunclassified

L’accouchement par voie basse des grossesses gémellaires est-il encore une option raisonnable ? Analyse des données de la littérature

Schmitz

Azria

Cabrol

et al. 2009

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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“…In 1993, Fishman and colleagues [34] evaluated whether nonvertex second twins were at increased risk for perinatal mortality when compared with vertex second twins. A total of 207 vertex second twins were compared with 183 breech second twins in an assessment of 5-minute Apgar scores, NICU stay, NICU admission, and neonatal death.…”

Section: Safety Of Vaginal Delivery For Nonvertex Second Twinsmentioning

confidence: 99%