[Surgical delivery in multiple pregnancy]

During the period 1986-1990, 142 women with multiple pregnancy were treated with the following methods: normal delivery--104 women (73.2%), sectio caesarea--35 women (24.7%), internal versio--2 women (1.4%), forceps operation--1 woman (0.7%). In 81 cases with premature delivery (before 37 week of gestation) was done: normal delivery--64 women (79%), sectio caesarea--15 women (18.5%), internal versio--2 women (2.5%). n 45 cases with unfavourable positions of foetuses it was performed: normal delivery--18 women (40%), sectio caesarea--25 women (55.6%), internal versio-2 women (4.4). (In 10 cases with sectio caesarea and 2 cases with internal versio the indications were prematurity as well as unfavourable positions of the foetuses). The authors consider that it is necessary to increase the operative interventions (sectio caesarea) in cases of multiple pregnancy.