Breech delivery of the second twin in all fours position of the mother

Introduction: Spontaneous vaginal delivery of twins beyond 32 weeks of gestation is safe if the first twin is in cephalic presentation. Aim of this study is to verify that breech delivery of the second twin can be safe and feasible in all-fours position of the mother. Methods: Prospective observational consecutive case series of vaginal breech deliveries of second twin delivery in all fours in tertiary perinatal center. Comparison of outcome was performed with a retrospective cohort of vaginal breech second twin births from 2005 – 2014. Results: Out of 54 vaginal delivered second twins in breech position 12 wome…