C Section Scar
For otherwise healthy twin pregnancies where both twins are head down a trial of vaginal delivery is recommended at between 37 and 38 weeks. Vaginal ... Read more delivery in this case does not worsen the outcome for the infant as compared with Caesarean section. There is controversy on the best method of delivery were the first twin is head first and the second is not. When the first twin is not head down a C-section is often recommended. Regardless of birth by section or vaginally, the medical literature recommends delivery of dichorionic twins at 38 weeks, and monochorionic twins (identical twins sharing a placenta) by 37 weeks due to the increased risk of stillbirth in monochorionic twins who remain in utero after 37 weeks. The consensus is that late preterm delivery of monochorionic twins is justified because the risk of stillbirth for post-37 week delivery is significantly higher than the risks posed by delivering monochorionic twins near term (i. e. , 36â37 weeks).Read less
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