Vaginal Delivery of Twins after Previous Cesarean Section

Abstract

To the Editor: Rates of delivery by cesarean section in the United States have increased dramatically during the past two decades. Currently, over 20 percent of the more than 3.5 million babies born each year in this country are delivered by cesarean section, and approximately 40 percent of these births represent a repeated cesarean procedure in the mother.^{1 2 3 4} Considerable emphasis has been focused on alternatives to birth by cesarean section. In January 1985, the American College of Obstetricians and Gynecologists recommended that women with one previous cesarean section and a low transverse uterine scar be allowed a trial of labor. . . .