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External cephalic version of twin A

M M Bloomfield1, E H Philipson

  • 1Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Ohio, USA.

Obstetrics and Gynecology
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

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External cephalic version (ECV) can enable vaginal delivery for breech presenting first twins. This minimally invasive procedure offers a successful alternative to cesarean delivery in twin gestations.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatology

Background:

  • Cesarean delivery is typically recommended when the first twin presents as breech.
  • Vaginal delivery of a breech-presenting first twin is an alternative, though less common.
  • External cephalic version (ECV) for a malpresenting first twin is rarely considered.

Observation:

  • Two cases are presented where twin A was breech at 36 and 38 weeks' gestation.
  • External cephalic version (ECV) was successfully performed on the first twin in both instances.
  • Both twins were delivered vaginally following successful ECV.

Findings:

  • Successful external cephalic version (ECV) of a breech-presenting first twin is feasible.
  • ECV followed by vaginal delivery is a viable management option for twin gestations.

Related Experiment Videos

  • This approach can lead to successful vaginal birth for both twins.

    • Implications:

    • External cephalic version (ECV) should be considered as a management option for breech-presenting first twins.
    • This technique may increase the rate of vaginal twin deliveries.
    • It offers a potential alternative to cesarean delivery, reducing associated risks.