A 31-year-old woman, gravida 1, para 0, at 36-weeks' gestation with twins comes to the physician for a prenatal visit. The patient has had no contractions, bleeding from the vagina, or loss of fluid, and the babies are moving well. .An ultra sound that was performed today shows that the presenting fetus is vertex and the non-presenting fetus is breech. Both fetuses are appropriately grown and greater than 2000g. The patient wants to know if she should have a vaginal or cesarean delivery. Which of the following is the proper counseling for this patient?
A. Both vaginal delivery and cesarean delivery are acceptable.
B. Cesarean delivery is mandated because the fetuses are > 2000g.
C. Cesarean delivery is mandated because the second twin is breech.
D. Vaginal delivery is mandated because the fetuses are > 2000g.
E. Vaginal delivery is mandated because the first twin is vertex.
A. Both vaginal delivery and cesarean delivery are acceptable.
B. Cesarean delivery is mandated because the fetuses are > 2000g.
C. Cesarean delivery is mandated because the second twin is breech.
D. Vaginal delivery is mandated because the fetuses are > 2000g.
E. Vaginal delivery is mandated because the first twin is vertex.