Work

Surgical delivery of the second twin: cesarean section or combined external – internal podalic version and breech extraction

Year: 2025

Type: article

Abstract: Objective. To assess perinatal outcomes of combined external-internal podalic version and breech extraction (podalic version) and cesarean section (CS) of the second fetus. Material and methods. Perinatal outcomes were assessed in 44 pregnant women with twins, first twin delivered vaginally, second by cesarean section — 24 (54.5%) [Group I] or podalic version — 20 (45.5%) [Group II]. Results. Combined external-internal podalic version and breech extraction does not worsen perinatal outcomes. Conclusion. Combined external-internal podalic version and breech extraction may become the first line surgery if the obstetrician has experience performing such surgeries.

Source: Russian Bulletin of Obstetrician-Gynecologist

DOI: 10.17116/rosakush20252505160

Authors: S.A. Kalashnikov, A.G. Konoplyannikov, D.A. Nasledova

Institution: Pirogov Russian National Research Medical University

Language: English

Topic: Maternal and Perinatal Health Interventions

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4415419146

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Cites: 23

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