Labor and Delivery; United States; 2005: SM, a 24 year old Asian female with a monochorionic diamniotic twin gestation at near term has been pushing for 4.5 hours. The presenting twin is in an occipito-transverse position at +2 station. The second twin is in a cephalic presentation and showing variable decelerations.
Keywords: prenatal care, cesarean delivery, Forceps-Assisted Vaginal Deliveries, episiotomies, skull fractures