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Complications & Cesareans

Do Multiples Equal Cesarean?

A Guide to Vaginal Twin Births

Once a woman gets over the shock of being told that she is pregnant with twins, her first question will likely be, "Will I still be able to have a normal vaginal delivery?"

Although there is a good possibility of having a vaginal birth with twins, the risk that a twin pregnancy will end in a Cesarean section is higher than with a singleton gestation, according to Dr. Washington Hill, who is the director of maternal-fetal medicine at Sarasota Memorial Hospital in Florida.

The odds of having a C-section are going to depend on the presentation of the baby.

"The odds of having a C-section are going to depend on the presentation [of the baby]," says Dr. Hill. "It can also depend on whether or not any complications occur during the pregnancy, such as a significant discrepancy in the growth of the twins. The odds that a twin pregnancy will end up in a C-section would be about one-third."

The issue of presentation has to do with how the babies are positioned in the uterus. The majority of singleton pregnancies end with the baby in the head down or vertex position. Twins can be positioned in many combinations, such as both head down, one head down and one breech (feet or bottom first) or even both breech. In the both breech case, a C-section is usually necessary, whereas when one or both twins are vertex, a vaginal birth is possible. In either case, the method of delivery will largely depend on the policy of the hospital, the expertise of the doctors and the wishes of the mother.


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Do Multiples Equal Cesarean?

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Anonymous says
August 5, 2009

if u want a natural birth dont go to an obs! why go to a specialist in complicated delivery when u can go to a midwife who specialises in NATURAL birth

jc says
July 7, 2009

My question is this: How do I find a doctor who is supportive of natural delivery? Thus far, I can't find anyone who will tell me anything other than that c-section is the way of things with twins. I am meeting with a midwife tomorrow, but anyone I mention this to thinks I am a wacko for even considering something other than an OB in a hospital for my "high risk" twin birth (high risk for no other reason than that it is twins!). The birth center in the area won't deal with twins. I feel stuck.

How did you manage 5 hours between? I run across stories like this every so often. It sounds normal and natural to have some time between, but when I ask a medical professional about it, they insist that it is not possible to allow so much time between. Where did you give birth? Home, hospital, elsewhere? It is reassuring to hear stories like this ...

Anonymous says
June 15, 2009

that is so awsome and reasuring to a hear. I keep getting told from everyone I will have to have a cesarian. I strongly feel if one baby is head down, why should I? I am going to fallow all the steps to help prevent a cesarian! I can't believe yours were 5 hours apart. Congradulations!!! And way to go!!

anonymous says
January 31, 2009

I just delivered twins vaginally (they were 5 hours apart!) and I must say I was happy with the experience. I'm looking forward to a quick recovery and a happy every after! Both twins were head down.

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