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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.
Background:
When a first twin presents as a breech, cesarean delivery is generally recommended. Vaginal delivery of the first twin as a breech has also been described. However, the option of external cephalic version of the first twin, followed by vaginal delivery, is rarely considered.
Cases:
We report two cases in which twin A presented as a breech, one at 36 and one at 38 weeks' gestation. In each case, external cephalic version of the first twin was successful, with subsequent vaginal delivery of both twins.
Conclusion:
External cephalic version of a malpresenting first twin is a management option that can result in successful vaginal delivery.