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What is 35 yr old primigravida conceived after IVF cycle attends obstetrics clinic with 38 weeks gestation. Her obstetrics details reveals DiCho-DiAmn twins with 1st twin as breech. Her BP was 140/90 mmHg on 2 occasions with proteinuria +1. How will you manage this case? and explain in detail?
First fetus of the twins is having breech presentation which demands C-section. Other mode of presentation and delivery Both Cephalicpresntation(60%)-Normal Vaginaldelivery can be done First cephalic 2nd breach-Normal Vaginal delivery can be done