Flashcards in 12 - Obs - Multiple Pregnancy - Intrapartum MGMT Deck (3):
Mode of Delivery
? ? incr used for all twins. Due to incr risk of ? and ? in 2nd twin vs first. C sec indicated if 1st twin ? or ? (20%), with high orders, if any ? compx and all ?? twins. ? deliv of 1st twin when ?, no matter lie/presx, remains common and is discussed
Method of delivery
?, or c sec, usually 37-38wks (??) or 34-37 (??), after which perinatal ? is incr. ??? advised as risk of intrapartum ? is incr, esp for 2nd twin. ? analgesia helpful if difficulty w ?nd twin. First twin delivered ?.
? can diminish after 1st twin. Usually return within a few ?– ? started if not.