Review Note

Last Update: 06/01/2024 09:28 PM

Current Deck: SLS Cards::5. Prenatal care

New Card (Unpublished)

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Field Change Suggestions:
What is the process for determination of trial of labor/ vaginal delivery potential of twins?
Determine presentation of twin A and B
  • If both cephalic --> ToL
  • Twin A noncephalic, twin B cephalic or noncephalic --> C-section both
  • Twin A cephalic, twin B noncephalic
    • Gestational age < 28 wks or estimated fetal weight of twin B < 1500 g --> C-section both
    • Estimated fetal weight of twin B > 20% more than twin A --> after delivery of twin A, external cephalic version rather than breech extraction for twin B
    • Estimated fetal weight of twin B <= 20% more than twin A
      • If second stage of labor prolonged --> same as above
      • If second stage of labor not prolonged --> after delivery of twin A, breech extraction of twin B