J. Wessel, CESAREAN-SECTION OF THE 2ND TWIN - IS THI S UNUSUAL MODE OF DELIVERY JUSTIFIABLE, Geburtshilfe und Frauenheilkunde, 53(9), 1993, pp. 609-612
Within a the ten-year period 1983-1992 eleven Caesarean sections were
performed on the second twin after the first twin had been born vagina
lly. The reasons leading to this rather unusual mode of delivery are d
escribed here. Predominantly, multiple risk factors were present. One
first twin and one second twin died in the early post natal period. In
a comparative study of the literature, it is shown, that this, disput
ed mode of delivery has increased during the last twenty years and tha
t, under special circumstances, it is a justifiable method of manageme
nt of gemini deliveries.