title: Intrapartum management of multiple gestation.
abstract: The intrapartum management of multiple gestation continues to challenge the obstetric profession. In general, attempted vaginal delivery is appropriate for vertex-vertex twins. The options of external version, breech delivery, and cesarean delivery are analyzed for vertex-nonvertex twins. Special considerations in the intrapartum management of multiple gestation include monoamniotic twins, conjoined twins, and triplet pregnancies.
authors.affiliation: Department of Obstetrics and Gynecology, New York Hospital-Cornell Medical Center, NY 10021, USA.
authors.forename: I
authors.initials: I
authors.lastname: Udom-Rice
authors.forename: D W
authors.initials: DW
authors.lastname: Skupski
authors.forename: F A
authors.initials: FA
authors.lastname: Chervenak
mesh_terms: D001946:Breech Presentation; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007746:Labor Presentation; D011247:Pregnancy; D011272:Pregnancy, Multiple; D014310:Triplets; D014427:Twins