{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T16:05:18Z","timestamp":1769875518988,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":1460,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background.<\/jats:italic> To compare neonatal and maternal outcomes for breech first twins according to whether vaginal or cesarean delivery was planned and to verify that in appropriate selected cases, attempted vaginal delivery is a reasonable choice. <jats:italic>Methods.<\/jats:italic> A retrospective study of all twin pregnancies with the first twin in breech position and gestational age at least 35 weeks at birth at two French university hospital centers from January 1994 through December 2000. The primary outcome was a combined indicator of neonatal mortality and severe morbidity, as defined by one or more of the following: death before discharge, admission to neonatal intensive care unit, 5\u2010minute Apgar score &lt;7, cord blood pH &lt;7.10, or birth trauma. <jats:italic>Results.<\/jats:italic> Cesarean delivery was planned for 71 (36.4%) patients, and attempted vaginal delivery for 124 (63.6%), 59 (47.6%) of whom were delivered vaginally and 65 (52.4%) by cesarean during labor. Neither the combined negative outcome indicator nor neonatal mortality differed significantly for either twin or either group. There were no significant differences in maternal mortality or morbidity between the two groups. The frequency of deep vein thrombophlebitis or pulmonary embolism requiring anticoagulant therapy was significantly higher in the planned cesarean group [3\/71 (4.2%) versus 0\/124; <jats:italic>p<\/jats:italic> = 0.047]. <jats:italic>Conclusion.<\/jats:italic> When appropriate criteria are used to decide mode of delivery, a careful intrapartum protocol is followed, and an experienced obstetrician, midwife, and anesthesiologist are in attendance, attempted vaginal delivery is a reasonable option for first twins in breech position.<\/jats:p>","DOI":"10.1080\/00016340601089594","type":"journal-article","created":{"date-parts":[[2007,3,30]],"date-time":"2007-03-30T02:21:08Z","timestamp":1175221268000},"page":"55-60","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Attempted vaginal versus planned cesarean delivery in 195 breech first twin pregnancies"],"prefix":"10.1111","volume":"86","author":[{"given":"LO\u00cfC","family":"SENTILHES","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FRAN\u00c7OIS","family":"GOFFINET","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ALAIN","family":"TALBOT","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ALAIN","family":"DIGUET","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ERIC","family":"VERSPYCK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DOMINIQUE","family":"CABROL","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LO\u00cfC","family":"MARPEAU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"119","article-title":"Intrapartum management of twin gestation","volume":"65","author":"Chervenak FA","year":"1995","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/beog.2002.0254"},{"key":"e_1_2_6_4_2","first-page":"879","article-title":"Vaginal delivery of breech\u2010vertex twins","volume":"38","author":"Blickstein I","year":"1993","journal-title":"J Reprod Med"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000292660"},{"key":"e_1_2_6_6_2","first-page":"1196","article-title":"Is routine cesarean section necessary for breech\u2010breech and breech\u2010transverse twin gestations?","volume":"86","author":"Essel JK","year":"1996","journal-title":"S Afr Med J"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004040050201"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2000-13443"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200001000-00008"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2004.129"},{"key":"e_1_2_6_11_2","first-page":"514","article-title":"Twins: collision, impaction, compaction and interlocking","volume":"11","author":"Nissen ED","year":"1958","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02840-3"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000113625.29073.4c"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.10.817"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.06.056"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.03.023"},{"key":"e_1_2_6_17_2","unstructured":"Soci\u00e9t\u00e9 Fran\u00e7aise d'Anesth\u00e9sie et de R\u00e9animation. Pr\u00e9vention de la maladie thromboembolique veineuse p\u00e9riop\u00e9ratoire et obst\u00e9tricale. 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