EXTERNAL CEPHALIC VERSION OF TWIN-A

Background: When a first twin presents as a breech, cesarean delivery is generally recommended, Vaginal delivery of the first twin as a bree ch has also been described. However, the option of external cephalic v ersion of the first twin, followed by vaginal delivery, is rarely cons idered. Cases: We report two cases in which twin A presented as a bree ch, one at 36 and one at 38 weeks' gestation. In each case, external c ephalic version of the first twin was successful, with subsequent vagi nal delivery of both twins. Conclusion: External cephalic version of a malpresenting first twin is a management option that can result in su ccessful vaginal delivery. (C) 1997 by The American College of Obstetr icians and Gynecologists.