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Labour With Twins Or More


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What type of delivery should I expect for twins?

Labour with twins or more can lead to complications. The more babies you are expecting the higher the likelihood is that your babies will be born by caesarean section. In the UK 60% of twins are delivered by caesarean, compared to only 25% of single pregnancy babies.

Elective caesareans, which are those planned in advance, are very common in multiple pregnancies. You will be booked to deliver your babies on a specified date, which for twins will be as close to 37 weeks as possible.

Can I have a natural delivery with twins?

Vaginal births are possible for twins, although a lot will depend on the position of your babies in your womb. If both babies are head-down and you have reached 37 weeks gestation, then with close monitoring a vaginal birth may be recommended by your consultant.

If your first baby is head-down, but your second baby is breech (bottom-down) then a vaginal delivery is still possible. This vertex-breech combination can still be delivered vaginally with the second baby needing to be turned by your obstetrician after your first baby has been delivered.

It is rare, but not unheard of for one baby to be born vaginally and the second born by caesarean due to an unforeseen complication with the labour of your second baby.

Can I have a natural delivery with triplets?

It is possible to have a vaginal delivery for triplets if your first baby is head down, but as it is impossible to monitor three babies at one time there is a risk involved. After your first baby is born you may still need a caesarean if your other babies don’t move into the right position. So from a medical standpoint, and from yours, there is safety and logic in planning a caesarean for triplet births.

Dr Carol Cooper, GP

Author of Twins and Multiple Births

All information used in this article was sourced from:

Cooper, C., 2004. Twins and Multiple Births. 2nd ed. Chatham: Vermilion

 

10684 Revised November 2012

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