Management of the nonvertex second twin

Primary cesarean section, external version, or primary breech extraction

Stephen E. Gocke, Michael P. Nageotte, Thomas Garite, Craig Towers, Wendy Dorcester

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

Six hundred eighty-two consecutive twin deliveries were reviewed. Included in the study were 136 sets of vertex-nonvertex twins with birth weights >1500 gm. A primary attempt at delivery of the second twin by external version was performed on 41 twins, 55 twins underwent attempted breech extraction, and 40 patients had a primary cesarean section solely because of physican preference. There were no differences in the incidence of neonatal morbidity or mortality among the modes of delivery. External version was associated with a higher failure rate than primary breech extraction (p < 0.01). External version was associated with complications (fetal distress, cord prolapse, and compound presentation) that were not seen in the other two groups. Primary breech extraction of the second nonvertex twin weighing >1500 gm appears to be a reasonable alternative to either cesarean section or external version.

Original languageEnglish (US)
Pages (from-to)111-114
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume161
Issue number1
DOIs
StatePublished - Jan 1 1989

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Cesarean Section
Birth Weight
Morbidity
Mortality
Incidence

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Management of the nonvertex second twin : Primary cesarean section, external version, or primary breech extraction. / Gocke, Stephen E.; Nageotte, Michael P.; Garite, Thomas; Towers, Craig; Dorcester, Wendy.

In: American Journal of Obstetrics and Gynecology, Vol. 161, No. 1, 01.01.1989, p. 111-114.

Research output: Contribution to journalArticle

Gocke, Stephen E. ; Nageotte, Michael P. ; Garite, Thomas ; Towers, Craig ; Dorcester, Wendy. / Management of the nonvertex second twin : Primary cesarean section, external version, or primary breech extraction. In: American Journal of Obstetrics and Gynecology. 1989 ; Vol. 161, No. 1. pp. 111-114.
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