Title

Rupture of membranes in case of internal podalic version: a risk for cesarean section on the second twin

RIS ID

104857

Publication Details

Rebufa-Dhenin, E., Flandrin, A., Reyftmann, L., Dechaud, H., Burlet, G. & Boulot, P. (2012). Rupture of membranes in case of internal podalic version: a risk for cesarean section on the second twin. Gynecologie Obstetrique Fertilite, 40 (7-8), 402-405.

Abstract

Objectives To evaluate if internal version with ruptured membranes is a risk factor of cesarean section for the second twin. Patients and methods Two hundred and fifty-nine twins vaginal deliveries after 33 weeks of gestation from 1997 to 2009 in a level 3 maternity. A retrospective case-control study comparing two groups: cases of cesarean section on second twin and five twins vaginal deliveries following the case. Active management of the second twin delivery was performed with a short intertwin delivery. Results Eleven cesarean sections on the second twin were performed (4.2%). The main indication was failure of internal version. The risk of cesarean section was significantly greater when the internal version was performed with ruptured membranes (OR: 25.4 IC 95% [2.3-275.7] P < 0.003) and when intertwin time delivery interval was increased (8.1 ± 5.1 vs 16.7 ± 6.3, P < 0.001). Discussion and conclusion The rupture of amniotic membranes before or during the internal podalic version is associated with a risk of failure and cesarean for the second twin. We recommend to perform the internal podalic version with unruptured membranes according to the French recommendations.

Please refer to publisher version or contact your library.

Share

COinS
 

Link to publisher version (DOI)

http://dx.doi.org/10.1016/j.gyobfe.2012.02.023