Ginekol Pol
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Multiple pregnancy contributes to higher maternal and fetal risks than a single one. Complications typical only for multiple pregnancy such as PROM with preterm delivery, intrauterine death or IUGR of one of twins can occur during 2nd and 3rd trimester. Treatment in such situations is usually difficult and often controversial because of simultaneous presence of an alive and/or healthy fetus and possible risk for mother. The paper presents such situations and possible ways of treatment.
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The aim of this study was to review 39 twin deliveries in the Department of Obstetrics in District Hospital in Lublin in 1998. The incidence of twin pregnancies was 2.01%. ⋯ Twenty patients (51.28%) delivered vaginally and 19 women (48.7%) underwent cesarean section including 2 cesarean birth of second twin after vaginal delivery of first twin. In our results, we conclude that the techniques of twin delivery, whether vaginal or by cesarean section, would depend on the judgement and expertise of the labour in twin gestations.