Is routine caesarean section necessary for breech-breech and breech-transverse twin gestations?
Essel, J.K.; Opai-Tetteh, E.T.
South African Medical Journal 86(9 Suppl): 1196-1200
1996
ISSN/ISBN: 0256-9574 PMID: 9180784 Document Number: 458882
To determine if perinatal outcome is affected by the route of delivery in breech-breech and breech-transverse twin gestations. Prospective observational study. Umtata General Hospital, a referral hospital for approximately 32 rural hospitals throughout the former transkei. Twin gestations with breech-breech and breech-transverse presentations. Birth weights, 5-minute Apgar scores and neonatal mortality rates among 41 women who underwent vaginal delivery were compared with those of 27 who underwent transverse lower-segment caesarean sections. A total of 68 women were involved in the study. Forty-one were delivered vaginally and 27 underwent transverse lower-segment caesarean sections. The vaginal delivery group consisted of 35 breech-breech and 6 breech-transverse twin gestations, while the caesarean section group comprised 25 breech-breech and 2 breech-transverse presentations. Both twin I and twin II in the caesarean section group were bigger than their respective counterparts delivered vaginally (P < 0.02 for twin I and P < 0.01 for twin II). There were no statistically significant differences in either 5-minute Apgar scores or neonatal mortality rates between the two groups. Vaginal delivery of breech-breech and breech-transverse twin gestations appears a reasonable option provided criteria for vaginal breech delivery are adhered to.