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Re: twin delivery when ceph/breechFrom: RModugno@aol.comWed 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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