External cephalic version of twin A.

Bloomfield, M M; Philipson, E H · Obstet Gynecol · 1997

case_report · Level V

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Abstract

When a first twin presents as a breech, cesarean delivery is generally recommended. Vaginal delivery of the first twin as a breech has also been described. However, the option of external cephalic version of the first twin, followed by vaginal delivery, is rarely considered. We report two cases in which twin A presented as a breech, one at 36 and one at 38 weeks' gestation. In each case, external cephalic version of the first twin was successful, with subsequent vaginal delivery of both twins. External cephalic version of a malpresenting first twin is a management option that can result in successful vaginal delivery.

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