%0 Journal Article %T Real-time ultrasound to assist during a vaginal breech delivery. %A Fieni S %A Di Ilio C %A Kiener AJO %A Scebba D %A D'Amario P %A Dall'Asta A %A Ghi T %J Am J Obstet Gynecol %V 230 %N 3 %D 2024 03 8 %M 37278993 %F 10.693 %R 10.1016/j.ajog.2023.03.007 %X We report a novel application of intrapartum sonography, herein used to assist the internal podalic version and the vaginal delivery of a transverse-lying second twin. Following the vaginal delivery of the first cephalic twin, the internal podalic version was performed under continuous ultrasound vision, leading to the uncomplicated breech delivery of a healthy neonate.