Rabinovici J, Barkai G, Reichman B, Serr D M, Mashiach S
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Obstet Gynecol. 1988 Mar;71(3 Pt 1):428-30.
Internal podalic version of the second twin in transverse lie has usually been performed after first rupturing the membranes of the second amniotic sac. In a prospective study on internal podalic version with unruptured amniotic membranes, 11 second-born twins in transverse lie were successfully delivered, with good neonatal outcome and without birth injuries. From our experience, it appears that this modified technique, when used within the presented guidelines, offers a reasonable alternative for the safe delivery of the second twin.
对于横位的第二胎儿进行内倒转术时，通常先破第二羊膜囊的膜。在一项关于未破膜情况下进行内倒转术的前瞻性研究中，11例横位的第二胎儿成功分娩，新生儿结局良好且无产伤。根据我们的经验，似乎这种改良技术在遵循所提出的指南使用时，为安全分娩第二胎儿提供了一种合理的替代方法。
