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Twins & VDFrom: Bernard Cristalli (bclaure@club-internet.fr)Wed Jan 8 14:56:58 1997
John Robertson wrote: > > Interesting that both Bob and David are sharpening their knives. Is this > because the first one is breech? I recently delivered a lady who's twins > were in the same position (frank breech, transverse), but she did not have > any of the other complications. Her vaginal delivery went well, and the > second twin came down as a vertex. I would be interested in a discussion > on what is and is not an appropriate presentation to deliver vaginally in > twins. > Except first twin in transverse lie I don't see any contra indication for vaginal delivery (breech/breech, breech/transverse ASO…). The second one always moves during the first delivery. What will be his presentation ? Only god will know. Even a transverse for the second one AFTER the first delivery is an indication for a breech extraction.
-- Bernard Cristalli MD CNGOF Paris - France
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