Journal article

Publication year: 1998

Pages: 241-245

Journal: Geburtshilfe und Frauenheilkunde

Volume number: 58

Issue number: 5

ISSN: 0016-5751

eISSN: 1438-8804

DOI Link: https://doi.org/10.1055/s-2007-1022453

Publisher: Georg Thieme Verlag

Abstract: 
Objective: Does breech extraction of the second twin immediately after the delivery of the first twin improve the outcome? Material and methods: 93 second twins over 35 weeks of gestation in Giessen were compared with 1614 second twins of the Hesse Perinatal Survey 1990-1995. Fetal outcome was analysed depending on presentation and time interval between the delivery of the twins. Results: Vertex and non-vertex second twins have the same fetal outcome when breech extraction is performed. Early breech-extracted second twins show significantly lower rates of acidosis and are less often transferred to a neonatal care unit compared to other managements of vaginal delivery. Acidosis and transfer rates grow with the time interval between the delivery of the twins. Conclusion: Breech extraction immediately after delivery of the first twin improves fetal outcome.

Harvard Citation style: Kullmer, U. and Kunzel, W. (1998) Morbidity of the second twin - Presentation and delivery interval. Comparison of data from the Department of Gynaecology of Giessen University and the Hesse Perinatal Survey 1990-1995., Geburtshilfe und Frauenheilkunde, 58(5), pp. 241-245. https://doi.org/10.1055/s-2007-1022453

APA Citation style: Kullmer, U., & Kunzel, W. (1998). Morbidity of the second twin - Presentation and delivery interval. Comparison of data from the Department of Gynaecology of Giessen University and the Hesse Perinatal Survey 1990-1995.. Geburtshilfe und Frauenheilkunde. 58(5), 241-245. https://doi.org/10.1055/s-2007-1022453