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Intrapartum management of twin gestations

Published online by Cambridge University Press:  01 November 1998

E Levinsky
Affiliation:
Women's College and Sunnybrook Health Science Center, University of Toronto, Toronto, Ontario
JFR Barrett
Affiliation:
Women's College and Sunnybrook Health Science Center, University of Toronto, Toronto, Ontario

Abstract

The intrapartum management of the twin pregnancy has remained a controversial and challenging issue in obstetrics. Development of a management plan for delivery of a twin gestation necessitates consideration of multiple factors including fetal presentations, gestational age, estimated fetal weights, the presence of maternal or fetal complications, and the experience of the attending obstetrician, anaesthetic staff and neonatologists. In twin gestations in which a trial of labour is possible, the major factor determining the intrapartum course is the relative presentations of twin A and twin B on admission to the delivery suite.

Type
Research Article
Copyright
© 1998 Cambridge University Press

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