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Cesarean Delivery of the Second Twin After the Vaginal Birth of the First Twin: Misfortune or Mismanagement?

Published online by Cambridge University Press:  01 August 2014

I. Blickstein ,
Y. Zalel  and
A. Weissman
I. Blickstein*
Affiliation:
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, (affiliated to the Hadassah-Hebrew University School of Medicine, Jerusalem), Israel
Y. Zalel
Affiliation:
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, (affiliated to the Hadassah-Hebrew University School of Medicine, Jerusalem), Israel
A. Weissman
Affiliation:
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, (affiliated to the Hadassah-Hebrew University School of Medicine, Jerusalem), Israel
*
Department of Obstetrics and Gynecology, Kaplan Hospital, 76100 Rehovot, Israel

Abstract

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The perinatal characteristics of 16 vaginal-abdominal deliveries of twins were evaluated. The primary indication for the cesarean delivery was compound vertex presentation (n = 4), prolapsed umbilical cord (n = 4), transverse lie (n = 7), and mentoposterior face presentation (n= 1). Ther outcome of Twin A was not different from that of Twin B. About 90% of the twins were eventually discharged on time. A significant correlation (R = 0.9722, p < 0.0003) was found between the reported rates of combined deliveries and cesareans in twins. The data suggest that a higher rate of combined deliveries is expected in practices where abdominal deliveries are performed more often in twin gestations, while in obstetric services with low cesarean rates in twins, combined deliveries seem to be unfortunate occurrences dictated by unexpected intrapartum events.

Keywords

Cesarean deliveryPresentationTwins
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 40 , Issue 3-4 , October 1991 , pp. 389 - 394
Copyright
Copyright © The International Society for Twin Studies 1991

References

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