{Reference Type}: Journal Article {Title}: Real-time ultrasound to assist during a vaginal breech delivery. {Author}: Fieni S;Di Ilio C;Kiener AJO;Scebba D;D'Amario P;Dall'Asta A;Ghi T; {Journal}: Am J Obstet Gynecol {Volume}: 230 {Issue}: 3 {Year}: 2024 03 8 {Factor}: 10.693 {DOI}: 10.1016/j.ajog.2023.03.007 {Abstract}: 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.