[Second twin delivery in cephalic presentation. Apropos of a series of 127 patients].
Fiche publication
Date publication
avril 2015
Auteurs
Membres identifiés du Cancéropôle Est :
Pr RAMANAH Rajeev, Dr PANOUILLERES Marie
Tous les auteurs :
Roesch M, Bourtembourg A, Panouilleres M, Ramanah R, Riethmuller D
Lien Pubmed
Résumé
INTRODUCTION: In 2009, the French National College of Obstetricians and Gynaecologists (CNGOF) clinical practice guidelines encouraged the active management of the second twin (T2) in high and mobile cephalic presentation (CP) by performing systematic internal maneuvers. In our department, this type of management is less frequent as whenever T2 is not delivered spontaneously after a short time interval, an instrumental extraction is realized. MATERIALS AND METHODS: We analyzed our practice for 5 years upon 127 twin pregnancies with a trial of vaginal delivery for T2 in CP. We compared the results following different modes of delivery which are: spontaneous delivery, instrumental extraction, and total breech extraction after manual internal version. RESULTS: No significant difference was found among the 3 groups in terms of maternal, fetal and neonatal well-being. Moreover, instrumental delivery was feasible, with a mean time interval for delivery between the 2 twins
Référence
J Gynecol Obstet Biol Reprod (Paris). 2015 Apr 28. pii: S0368-2315(15)00101-5