caa a22 4500 378882651 CHVBK 20180305123435.0 cr unu---uuuuu 161128e20041104xx s 000 0 eng 10.1515/JPM.2004.129 doi (NATIONALLICENCE)gruyter-10.1515/JPM.2004.129 Breech presenting twin A: is vaginal delivery safe? [Elektronische Daten] [Anwar H. Nassar, Huda H. Maarouf, Elie M. Hobeika, Hasan M. Abd Essamad, Ihab M. Usta] 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 (26.9%) were delivered vaginally and 95 (73.1%) 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. © Walter de Gruyter Human reproduction, growth & development nationallicence Gynaecology & obstetrics nationallicence Paediatric medicine nationallicence breech presentation nationallicence mode of delivery nationallicence neonatal outcome nationallicence twin gestations nationallicence Nassar Anwar H. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut Maarouf Huda H. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut Hobeika Elie M. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut Abd Essamad Hasan M. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut Usta Ihab M. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut Journal of Perinatal Medicine Walter de Gruyter 32/6(2004-11-04), 470-474 0300-5577 32:6<470 2004 32 jpme https://doi.org/10.1515/JPM.2004.129 text/html Onlinezugriff via DOI 1 research article jats NATIONALLICENCE 856 40 https://doi.org/10.1515/JPM.2004.129 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nassar Anwar H. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 700 1- Maarouf Huda H. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 700 1- Hobeika Elie M. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 700 1- Abd Essamad Hasan M. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 700 1- Usta Ihab M. Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 773 0- Journal of Perinatal Medicine Walter de Gruyter 32/6(2004-11-04), 470-474 0300-5577 32:6<470 2004 32 jpme CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-gruyter