“Twin with first breech” refers to a situation in a twin pregnancy where the first twin (Twin A) is presenting in a breech position. In obstetrics, the term “breech” refers to a position in which the baby’s buttocks or feet are positioned to be delivered first, instead of the head.
In a twin pregnancy, the presentation of each twin can vary. The most common presentation is when both twins are in a head-down position (vertex presentation), but it’s possible for one or both twins to present in a breech position.
When the first twin is breech, it can have implications for the management and mode of delivery. Breech presentation in the first twin may increase the risk of complications during vaginal delivery, and in some cases, a cesarean section may be recommended. The second twin’s presentation (Twin B) is also considered when determining the appropriate mode of delivery.
It’s important for healthcare providers to carefully monitor the presentation of each twin during prenatal care and labor to make informed decisions regarding the safest delivery method for the mother and babies.