[Indication for caesarean section for multiple pregnancy (author's transl)]

Indications for caesarean section in 213 cases of multiple pregnancy were retrospectively analysed for a period between 1969 and 1980. The average rate of caesarean sections was 6.1 per cent, almost identical with that of monocyesis (5.9 per cent). Perinatal mortality, in particular that of the second twin, may be reduced by expanded indication for caesarean section to cope with malpresentation in cases of multiple pregnancy. Caesarean section is recommended as the primary approach to multiple pregnancy beyond the 34th week with three or more newborns.