Hasenöhrl Gottfried, Maier Barbara, Steiner Horst
A.ö. Krankenhaus St. Josef Braunau, Braunau am Inn, Osterreich.
Gynakol Geburtshilfliche Rundsch. 2007;47(2):70-5. doi: 10.1159/000100335.
Multiples run various risks. While for triplets and higher-grade multiples caesarean section is the first-line mode of delivery, the method is still under discussion in the case of twins. Evidence-based data in favour of a general elective caesarean section are lacking but prospective randomized study results on this subject are expected. The organization of the clinic is essential for the safety of twins during vaginal delivery. The prerequisites for the vaginal delivery of twins and its management under various conditions are discussed in light of the literature.
多胎妊娠存在多种风险。对于三胎及以上的多胎妊娠，剖宫产是一线分娩方式，而对于双胎妊娠，该方法仍存在争议。目前缺乏支持常规选择性剖宫产的循证数据，但有望获得关于该主题的前瞻性随机研究结果。诊所的组织安排对于双胎阴道分娩的安全性至关重要。本文根据文献讨论了双胎阴道分娩的前提条件及其在各种情况下的管理。
