Vaginal birth after cesarean delivery in the twin gestation.
Publication/Presentation Date
7-1-1989
Abstract
The pregnancy outcomes of 56 women with a twin gestation and a prior cesarean birth were analyzed to determine whether a trial of labor was a reasonable consideration. Of these patients, 31 (55%) underwent an elective repeat cesarean delivery and 25 (45%) attempted vaginal delivery. Of those who attempted vaginal delivery, 18 (72%) were vaginally delivered of both infants. The dehiscence rate among women with twin pregnancies who attempted a trial of labor was 4% compared with 2% in women with singleton pregnancies. There were no significant differences in maternal or neonatal morbidity or mortality rates in trial of labor versus no trial of labor groups. We conclude in this limited population that a trial of labor in a twin gestation after a previous cesarean delivery appears to be a reasonable consideration. The usual safeguards for attempted vaginal delivery in the twin gestation should be followed.
Volume
161
Issue
1
First Page
29
Last Page
32
ISSN
0002-9378
Published In/Presented At
Strong TH Jr, Phelan JP, Ahn MO, Sarno AP Jr. Vaginal birth after cesarean delivery in the twin gestation. Am J Obstet Gynecol. 1989 Jul;161(1):29-32. doi: 10.1016/0002-9378(89)90224-x. PMID: 2750818.
Disciplines
Medicine and Health Sciences
PubMedID
2750818
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article