학술논문

An alternative to cesarean: a description of external cephalic version in noncephalic presenting twin.
Document Type
Journal Article
Source
Journal of Maternal-Fetal & Neonatal Medicine. Jan2021, Vol. 34 Issue 2, p177-181. 5p.
Subject
*PREGNANCY outcomes
*TWINS
*CESAREAN section
*PREGNANCY
*FETAL version (Obstetrics)
*BREECH delivery
*DELIVERY (Obstetrics)
*MULTIPLE pregnancy
Language
ISSN
1476-7058
Abstract
Objective: External cephalic version (ECV) is utilized in breech presenting singleton gestations but ECV of the noncephalic presenting twin has been considered technically unfeasible. We have successfully performed ECVs of the noncephalic presenting twin. Our objective is to describe our experience with this technique.Study design: This is a descriptive case series of our attempted ECVs in twin pregnancies and their outcomes.Results: Of 19 twin A ECV attempts, 10 cases were successful. The overall vaginal delivery rate was 42% (8/19 cases). There were no emergent cesarean deliveries required, and no neonatal injuries were observed.Conclusions: ECV can be achieved in pregnancies complicated by a noncephalic presenting twin. Further study is necessary to assess the safety and generalizability of our finding. [ABSTRACT FROM AUTHOR]