title: Cesarean delivery of the second twin after vaginal delivery of the first twin.
abstract: Cesarean birth of twin B after the vaginal delivery of twin A is an infrequent event. There is little information in the literature documenting outcome of vaginal-abdominal delivery. We reviewed our 10-year experience in the management of such cases and compared outcomes with twins delivered by repeat cesarean section and vaginal delivery in the same time period. Twenty-one cases of combined vaginal-cesarean section deliveries were managed at our institute in a 10-year period. There was no apparent increase in maternal and perinatal morbidity and mortality when twin B was delivered by cesarean section after vaginal delivery of twin A.
mesh_terms: D001034:Apgar Score; D001724:Birth Weight; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011272:Pregnancy, Multiple; D012189:Retrospective Studies; D012306:Risk; D013997:Time Factors; D014427:Twins