Surgical delivery of the second twin: cesarean section or combined external – internal podalic version and breech extraction

Objective. To assess perinatal outcomes of combined external-internal podalic version and breech extraction (podalic version) and cesarean section (CS) of the second fetus. Material and methods. Perinatal outcomes were assessed in 44 pregnant women with twins, first twin delivered vaginally, second by cesarean section — 24 (54.5%) [Group I] or podalic version — 20 (45.5%) [Group II]. Results. Combined external-internal podalic version and breech extraction does not worsen perinatal outcomes. Conclusion. Combined external-internal podalic version and breech extraction may become the first line surgery if the obstetrician has experience performing such surgeries.