In twin pregnancy, Vaginal delivery is contraindicated in
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
Monochorionic monoamniotic
First twin veex, 2nd breech
Second twin transverse
First twin Mentoanterior
Twin Pregnancy, Molar Pregnancy, Gestational Trophoblastic disease and contraception in special situations (Sour Grapes!)