Vaginal breech delivery and perinatal mortality in twins
Journal of obstetrics and gynaecology
; 22(3): 291-293, May, 2002.
Article
in English
| MedCarib
| ID: med-17404
Responsible library:
TT5
ABSTRACT
An objective analysis of our clinical experience with the intrapartum management of twin gestations was undertaken in order to determine whether or not routine caesarean section is justified when the first twin presents by the breech. The perinatal mortality rate for breech first twins delivered vaginally was not statistically different from vertex presentations. There was no perinatal loss among babies delivered vaginally by the breech. There was no difference in perinatal outcome for the breech first twin born abdominally or vaginally. Our findings have allayed the fear that non-vertex vaginal delivery of the first or second twin is dangerous. We conclude that in the absence of a uterine scar or a footling presentation, there is no valid reason to prohibit vaginal delivery when either twin presents by the breech.
Search on Google
Collection:
International databases
Database:
MedCarib
Main subject:
Breech Presentation
/
Infant Mortality
Limits:
Humans
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Journal of obstetrics and gynaecology
Year:
2002
Document type:
Article
Institution/Affiliation country:
The University of the West Indies/Trinidad and Tobago