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Cesarean section for delivery of the second twin
Obstetrics and Gynecology
|May 1, 1981
Summary
Combined vaginal-abdominal delivery of twins presents challenges, often requiring cesarean section for the second twin due to malposition or malpresentation. This review of 9 cases highlights potential risks, including perinatal deaths.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Combined vaginal-abdominal delivery is a complex obstetric procedure.
- Twin gestations present unique challenges in delivery management.
Purpose of the Study:
- To review cases of combined vaginal-abdominal twin delivery.
- To identify indications for cesarean section in twin B and assess perinatal outcomes.
Main Methods:
- Case series review of 4 combined vaginal-abdominal twin deliveries.
- Inclusion of 5 additional cases from recent literature.
- Analysis of indications for cesarean section and perinatal mortality.
Main Results:
- Cesarean section for twin B was indicated by malposition, malpresentation, and cervical contraction.
- A total of 9 cases were analyzed.
- Two perinatal deaths occurred in the presented cases.
Conclusions:
- Combined vaginal-abdominal twin delivery requires careful consideration of potential complications.
- Indications for cesarean section in twin B are primarily related to fetal positioning and cervical status.
- Perinatal outcomes in these complex deliveries warrant further investigation.
