Re: twin delivery when ceph/breech

From: RModugno@aol.com
Wed Oct 27 15:33:54 1999


In a message dated 10/27/99 3:45:33 PM Eastern Daylight Time, carusorl@tin.it writes:

<< In my dept. there are different opinion in delivering twin at term with cephalic/breech presentation. Elective CS/ vag. delivery? Which is the menagement in your hospital?

Thanks 4 your suggestions.

Orlando Caruso, MD Ospedale di Seriate - Bergamo Italy >>

Each case should be assessed on individual factors. If the second twin has been accurately assessed, and is not substantially larger than the first, then I see no reason not to attempt a vaginal delivery. External cephalic version may be attempted after delivery of the second twin, and/or delivery by breech extraction. Epidural anesthesia is the ideal method.

I recently helped two younger colleagues do just that - that's what happens when your an old fart obstetrician.

My 2 cents.

Robert Modugno MD FACOG Marietta, GA





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