External cephalic version of twin A.
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.


METHODS
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.


CONCLUSIONS
External cephalic version of a malpresenting first twin is a management option that can result in successful vaginal delivery.
Bloomfield
M M
MM
Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Ohio, USA.
Philipson
E H
EH
D000328:Adult; D001946:Breech Presentation; D000075202:Contraindications; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D014427:Twins; D016216:Ultrasonography, Prenatal; D014710:Version, Fetal / Q000379:methods*