In twin pregnancy, Vaginal delivery is contraindicated in: (A) Monochorionic monoamniotic, (B) First twin veex, 2nd breech, (C) Second twin transverse, (D) First twin Mentoanterior
Answer is A. Monoamniotic twins are at a great risk of developing cord accidents like entanglement which can lead to sudden fetal death. Therefore all monoamniotic twins have to be delivered by a Cesarean sections between 32-34 weeks , after ensuring lung maturation