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RENO, NEVADA -- Attempting vaginal birth after cesarean section in twin deliveries may be no more risky than attempting VBAC in singleton pregnancies, according to a review of almost 25,000 deliveries.
The review found that women with twins who had a prior C-section were less likely to attempt a vaginal birth but that they had the same rate of VBAC failures and no higher rate of maternal complications, Alison Cahill, M.D., and her associates wrote in a poster presentation at the annual meeting of the Society for Maternal-Fetal Medicine.
Women with twins should not be discouraged from making a VBAC attempt if that is their desire, according to data reported by Dr. Cahill of the University of Pennsylvania, Philadelphia, and her colleagues.
The study's subjects were patients from 17 different tertiary and ...