Queck M, Berle P
Frauenklinik des Städt. Klinikums Wiesbaden.
Zentralbl Gynakol. 1993;115(8):366-9.
Cesarean section for delivery of the second twin after successful vaginal delivery of the first twin is an infrequent and unusual occurrence. But this management of twin delivery has increased during the last years. A series of 371 pairs of twins born between 1978 and 1991 were reviewed. 12 second twins (3.2%) were delivered by cesarean section after vaginal delivery of the first twin. The initial 20 minutes the main indications were fetal distress and prolapsed umbilical cord. Beyond the first 20 minutes malpresentations were more frequent. In this group we have seen a better fetal outcome. An influence of the interdelivery time on the cesarean section rate of the second twin was not noted. No significant differences were seen for neonatal morbidity for all 197 vaginal delivered second twins with increasing interval.
在第一个双胞胎成功经阴道分娩后，剖宫产娩出第二个双胞胎是一种罕见的情况。但在过去几年中，这种双胞胎分娩的处理方式有所增加。回顾了1978年至1991年间出生的371对双胞胎。在第一个双胞胎经阴道分娩后，有12个第二个双胞胎（3.2%）通过剖宫产娩出。最初20分钟的主要指征是胎儿窘迫和脐带脱垂。超过最初20分钟，胎位异常更为常见。在这组病例中，我们看到了更好的胎儿结局。未发现分娩间隔时间对第二个双胞胎剖宫产率有影响。在所有197例经阴道分娩的第二个双胞胎中，随着间隔时间增加，新生儿发病率未见显著差异。
