Table 2 Indications for cesarean deliveries.

From: Severe maternal morbidity by mode of delivery in women with twin pregnancy and planned vaginal delivery

 

Indications n (%)

Cesarean for second twin (n = 134) (not exclusive)

Failure of intrauterine manoeuvres

48 (35.8)

No descent of the fetal presentation

43 (32.1)

Bradycardia

41 (30.6)

Cervical retraction

40 (29.9)

Prolapse of an arm

16 (11.9)

Prolapse of umbilical cord

12 (9.0)

Non-cephalic presentation

8 (6.0)

Uterine hypertonia

5 (3.7)

Placental abruption

3 (2.2)

Other

18 (13.4)

Cesarean for both twins (n = 914) (not exclusive)

Non-reassuring fetal heart rate monitoring

322 (35.3)

Labor arrest

320 (35.0)

Failure of labor induction

131 (14.4)

Non-engagement

80 (8.8)

Labor arrest and non-reassuring fetal heart rate monitoring

38 (4.2)

Bleeding

7 (0.8)

Other

74 (8.0)