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Do Breech Presentations in Twins and Singletons Run Different Risks?

Published online by Cambridge University Press:  01 August 2014

P. Buekens ,
R. Lagasse ,
F. Puissant  and
F. Leroy
P. Buekens*
Affiliation:
Laboratory of Epidemiology and Social Medicine, Brussels
R. Lagasse
Affiliation:
Laboratory of Epidemiology and Social Medicine, Brussels
F. Puissant
Affiliation:
Department of Obstetrics and Gynecology, St Pierre Hospital, Free University, Brussels
F. Leroy
Affiliation:
Department of Obstetrics and Gynecology, St Pierre Hospital, Free University, Brussels
*
Ecole de Santé Publique, Université Libre de Bruxelles, Route de Lennik, 1070 Brussels, Belgium

Abstract

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We have compared breech twins and breech single births in a population recorded between 1974 and 1978 in 10 Belgian maternity centers. In 190 twin pregnancies, 38 first and 65 second twins were delivered in breech presentation. These twins were compared to 853 singleton breeches, of which 95 delivered by cesarean section were excluded. Data were stratified according to birthweight. No significant difference between twins and singletons was found in terms of perinatal mortality rates. However, Apgar scores below 7 at 5 minutes were significantly less numerous among first twins than among singletons. Therefore, first twins in breech presentation might be at lower risk of fetal distress. This difference should be taken into account in the management of first twins presenting by the breech.

Keywords

Breech presentationTwin pregnancyPerinatal mortalityApgar Score
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 34 , Issue 3-4 , October 1985 , pp. 207 - 211
Copyright
Copyright © The International Society for Twin Studies 1985

References

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