Abdominal delivery of the second twin.
In a series of 220 consecutive twin deliveries, 10 second twins were delivered by caesarean section after vaginal birth of the first, but only six survived. The mean time-interval between the birth of twins was 68 minutes. Because a protracted interdelivery interval carries risks of placental separation and cervical contraction, prompt trial of version of the second twin followed by vaginal breech extraction under anaesthesia might improve perinatal outcome.
Roopnarinesingh
A J
AJ
Mt Hope Maternity Hospital, Champs Fleurs, Trinidad.
D001034:Apgar Score; D001724:Birth Weight; D002585:Cesarean Section / Q000379:methods / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005313:Fetal Death; D006801:Humans; D007746:Labor Presentation; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D013997:Time Factors; D014300:Trinidad and Tobago / Q000453:epidemiology; D014427:Twins; D014710:Version, Fetal