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Breech presenting twin A: Is vaginal delivery safe?

Show simple item record Nassar A.H. Maarouf H.H. Hobeika E.M. Abd Essamad H.M. Usta I.M.
dc.contributor.editor Dec-2004 2017-10-05T15:46:59Z 2017-10-05T15:46:59Z 2004
dc.identifier 10.1515/JPM.2004.129
dc.identifier.issn 03005577
dc.description.abstract The aim of our study was to compare the neonatal outcome of vaginally delivered breech-presenting twins (VD) to those delivered by cesarean (CS). Maternal and neonatal charts of all live, non-anomalous twins delivered at ≥25 weeks of gestation, in a single tertiary care center, over an 11-year period were reviewed. Of 517 twins delivered, 130 breech-presenting twins were analyzed. Thirty-five (26.9percent) were delivered vaginally and 95 (73.1percent) by cesarean. More patients presented in labor with advanced cervical dilation in the VD compared to the CS group. There was no difference in the incidence of respiratory distress syndrome, intraventricular hemorrhage, need for mechanical ventilation, length of nursery stay or neonatal mortality rate when twin A was compared in the two groups. However, one breech-presenting twin in the VD group had a traumatic delivery at 32 weeks of gestation that caused a spine fracture followed by immediate neonatal death. Although there seems to be no compromise in the immediate neonatal outcome of breech-presenting twins delivered vaginally compared to those delivered by cesarean, the case of head entrapment that led to intrapartum death is quite alarming. Based on our study, we cannot advocate normal vaginal delivery when twin A is non-vertex: cesarean seems to be a safer route of delivery.
dc.format.extent Pages: (470-474)
dc.language English
dc.publisher BERLIN
dc.relation.ispartof Publication Name: Journal of Perinatal Medicine; Publication Year: 2004; Volume: 32; no. 6; Pages: (470-474);
dc.source Scopus
dc.title Breech presenting twin A: Is vaginal delivery safe?
dc.type Article
dc.contributor.affiliation Nassar, A.H., Department of Obstetrics, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon, Amer. Univ. of Beirut Medical Center, Department of Obstetrics, P.O. Box: 113-6044-B36, Beirut, Lebanon
dc.contributor.affiliation Maarouf, H.H., Department of Obstetrics, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Hobeika, E.M., Department of Obstetrics, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Abd Essamad, H.M., Department of Obstetrics, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Usta, I.M., Department of Obstetrics, Amer. Univ. of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Nassar, A.H.; Amer. Univ. of Beirut Medical Center, Department of Obstetrics, P.O. Box: 113-6044-B36, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Obstetrics and Gynecology;
dc.contributor.authorDepartment Obstetrics and Gynecology
dc.contributor.faculty Faculty of Medicine
dc.contributor.authorInitials Nassar, AH
dc.contributor.authorInitials Maarouf, HH
dc.contributor.authorInitials Hobeika, EM
dc.contributor.authorInitials Abd Essamad, HM
dc.contributor.authorInitials Usta, IM
dc.contributor.authorReprintAddress Nassar, AH (reprint author), Amer Univ Beirut, Med Ctr, Dept Obstet and Gynecol, POB 113-6044-B36, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited ADAMS DM, 1990, CLIN OBSTET GYNECOL, V33, P52, DOI 10.1097-00003081-199003000-00009; *AM COLL OBST GYN, 2001, 265 ACOG; American College of Obstetricians and Gynecologists, 1998, ACOG ED B, V253; Barrett JFR, 2002, BEST PRACT RES CL OB, V16, P43, DOI 10.1053-beog.2002.0254; BLICKSTEIN I, 1993, J REPROD MED, V38, P879; Blickstein I, 2000, OBSTET GYNECOL, V95, P37, DOI 10.1016-S0029-7844(99)00474-3; Bloomfield MM, 1997, OBSTET GYNECOL, V89, P814, DOI 10.1016-S0029-7844(97)00028-8; BROWN L, 1994, AM J OBSTET GYNECOL, V171, P28; CHERVENAK FA, 1983, OBSTET GYNECOL, V62, P160; Grisaru D, 2000, AM J PERINAT, V17, P303, DOI 10.1055-s-2000-13443; Hannah ME, 2000, LANCET, V356, P1375, DOI 10.1016-S0140-6736(00)02840-3; LAROS RK, 1988, AM J OBSTET GYNECOL, V158, P1330; OETTINGER M, 1993, GYNECOL OBSTET INVES, V35, P38; Powers WF, 1996, AM J OBSTET GYNECOL, V175, P1522, DOI 10.1016-S0002-9378(96)70101-1; Rydhstroem H, 2001, Twin Res, V4, P156, DOI 10.1375-1369052012263; TAN SL, 1992, AM J OBSTET GYNECOL, V167, P778; Tanbo T, 1996, CURR OPIN OBSTET GYN, V8, P193; Zhang J, 1996, OBSTET GYNECOL, V88, P593, DOI 10.1016-0029-7844(96)00269-4
dc.description.citedCount 6
dc.description.citedTotWOSCount 6
dc.description.citedWOSCount 6
dc.format.extentCount 5
dc.identifier.coden JPEMA
dc.identifier.pubmedID 15576266
dc.identifier.scopusID 9644268920
dc.publisher.address GENTHINER STRASSE 13, D-10785 BERLIN, GERMANY
dc.relation.ispartOfISOAbbr J. Perinat. Med.
dc.relation.ispartOfIssue 6
dc.relation.ispartofPubTitle Journal of Perinatal Medicine
dc.relation.ispartofPubTitleAbbr J. Perinat. Med.
dc.relation.ispartOfVolume 32
dc.source.ID WOS:000225438000002
dc.type.publication Journal
dc.subject.otherAuthKeyword Breech presentation
dc.subject.otherAuthKeyword Mode of delivery
dc.subject.otherAuthKeyword Neonatal outcome
dc.subject.otherAuthKeyword Twin gestations
dc.subject.otherIndex adult
dc.subject.otherIndex article
dc.subject.otherIndex artificial ventilation
dc.subject.otherIndex brain hemorrhage
dc.subject.otherIndex breech presentation
dc.subject.otherIndex cesarean section
dc.subject.otherIndex child hospitalization
dc.subject.otherIndex comparative study
dc.subject.otherIndex controlled study
dc.subject.otherIndex delivery
dc.subject.otherIndex female
dc.subject.otherIndex fertilization in vitro
dc.subject.otherIndex head
dc.subject.otherIndex head entrapment
dc.subject.otherIndex health care policy
dc.subject.otherIndex human
dc.subject.otherIndex incidence
dc.subject.otherIndex infertility therapy
dc.subject.otherIndex intermethod comparison
dc.subject.otherIndex labor
dc.subject.otherIndex labor complication
dc.subject.otherIndex major clinical study
dc.subject.otherIndex multiple pregnancy
dc.subject.otherIndex newborn death
dc.subject.otherIndex newborn disease
dc.subject.otherIndex newborn mortality
dc.subject.otherIndex non vertex presentation
dc.subject.otherIndex nursery
dc.subject.otherIndex outcomes research
dc.subject.otherIndex perinatal period
dc.subject.otherIndex priority journal
dc.subject.otherIndex respiratory distress syndrome
dc.subject.otherIndex spine fracture
dc.subject.otherIndex twin pregnancy
dc.subject.otherIndex uterine cervix dilatation
dc.subject.otherIndex vaginal delivery
dc.subject.otherIndex Adult
dc.subject.otherIndex Breech Presentation
dc.subject.otherIndex Cesarean Section
dc.subject.otherIndex Delivery, Obstetric
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Infant, Newborn
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Medical Records
dc.subject.otherIndex Pregnancy
dc.subject.otherIndex Pregnancy Outcome
dc.subject.otherIndex Retrospective Studies
dc.subject.otherIndex Twins
dc.subject.otherKeywordPlus CESAREAN-SECTION
dc.subject.otherKeywordPlus 1ST TWIN
dc.subject.otherKeywordPlus PREGNANCIES
dc.subject.otherKeywordPlus MANAGEMENT
dc.subject.otherKeywordPlus VERSION
dc.subject.otherWOS Obstetrics and Gynecology
dc.subject.otherWOS Pediatrics

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