When talking about delivery for twins, this also brings up the topic of twin positions before delivery and the different scenarios, mothers expecting twins can encounter.
The Fit Pregnancy article, Two in the Oven: Facts about twin pregnancies that you might not know states, " The twin closest to his or her mother's cervix is called Baby A. In 75% of cases Baby A is head down and Baby B is either head down or breached. Sometimes Baby A is born vaginally and Baby B is delivered through a C-Section because Baby B is breached or shows signs of distress from going through two rounds of uterine contractions (Two in the Oven).
In Labor and Birth with Twins: There are a few things to be aware of when you're Expecting Multiple Babies, "The position of your baby largely determines what kind of birth you will have - vaginal or cesarean. About 40% of twins are both head down and 30% see the first baby, Baby A head down and the second baby, Baby B breached and both scenarios are considered acceptable for a vaginal delivery. However, states when both twins are breached, this is a scenario where a c-section is advisable" (Weiss).
In Labor and Birth with Twins: There are a few things to be aware of when you're Expecting Multiple Babies, "The position of your baby largely determines what kind of birth you will have - vaginal or cesarean. About 40% of twins are both head down and 30% see the first baby, Baby A head down and the second baby, Baby B breached and both scenarios are considered acceptable for a vaginal delivery. However, states when both twins are breached, this is a scenario where a c-section is advisable" (Weiss).
Before you read further. Disclaimer: These charts are not scientific, nor are they there to use as medical advice, and they do not replace your health care provider's medical advice.These charts were based on written online responses I found and made with how I interpret them.
When searching for information about the baby positions I came across some online forums where twin mother discussed their experiences. I summarized what I found to be the most valuable information. "I have heard that Baby A's position is the most important, because if Baby A is not head down you may not have a vaginal delivery. Baby B is not the most relevant, because when Baby A is out, it creates an empty space for Baby B. If breach to flip around or to be born breached with or without breach extraction. These decisions will be based on your health care provider's discretion about vaginal births for twin pregnancies and vaginal births of a breached baby. I have also heard the most common twin positions are Baby A head down and Baby B breached, and many of these women went on to have successful vaginal births whether Baby B turned or was born breached" (Baby A Head Down Baby B Breached).
I also made a chart based on the 8 best responses out of 14 given in the online forum from babycenter.ca, to see that post, click here. To see the chart I made better, click to enlarge it. The results of this chart show: There is a higher number of women expecting twins who go into delivery with Baby A Head Down (Vertex) and Baby B Breached and a high number of women who are able to have a vaginal birth. My first chart shows 7 out of 8 women expecting twins had a vaginal birth and 7 out of 8 women expecting twins, had twins where Baby A was head down and Baby B was breached. There was a smaller number of women who had babies that had Baby A Head Down (Vertex) and Baby B transverse: 1 out of 8 and a dual delivery of vaginal and c-section: 1 out of 8.
I made a chart based on the 9 best responses out of 16 given in an online forum from What To Expect.com, to see that post, click here. To see chart better, click to enlarge it. The results of this chart show what the first one does: There is a higher number of women expecting twins who go into delivery with Baby A Head Down (Vertex) and Baby B Breached and a high number of women who are able to have a vaginal birth. My second chart shows 7 out of 9 women expecting twins had a vaginal birth and 8 out of 9 women expecting twins, had twins where Baby A was head down and Baby B was breached. There was a smaller number of women who had babies that were both head down: 1 out of 9, a c-section: 1 out of 9 and a dual delivery of vaginal and c-section: 1 out of 9.
Sources
1. "Baby A Head down Baby B Breech." BabyCenter Canada. Baby Center LLC, 2016. Web. 12 Oct. 2016. <http://www.babycenter.ca/thread/1689757/baby-a-head-down-baby-b-breech?startIndex=10>.
2. "Baby B Breech, Vaginal Delivery?" What To Expect. What To Expect & Everyday Health, n.d. Web. 12 Oct. 2016. <http://www.whattoexpect.com/forums/multiples-and-twins/topic/baby-b-breech-vaginal-delivery.html>.
3. "Two In The Oven." Fit Pregnancy and Baby. Meredith Corporation, 2016. Web. 12 Oct. 2016. <http://www.fitpregnancy.com/pregnancy/getting-pregnant/two-oven>.
4. Weiss, Robin Elise, PHD. "What You Should Know About Labor and Birth With Twins." Verywell. About, Inc., 11 Apr. 2016. Web. 12 Oct. 2016. <https://www.verywell.com/labor-and-birth-with-twins-2753691>.
Last Edited: February 19,2017
2. "Baby B Breech, Vaginal Delivery?" What To Expect. What To Expect & Everyday Health, n.d. Web. 12 Oct. 2016. <http://www.whattoexpect.com/forums/multiples-and-twins/topic/baby-b-breech-vaginal-delivery.html>.
3. "Two In The Oven." Fit Pregnancy and Baby. Meredith Corporation, 2016. Web. 12 Oct. 2016. <http://www.fitpregnancy.com/pregnancy/getting-pregnant/two-oven>.
4. Weiss, Robin Elise, PHD. "What You Should Know About Labor and Birth With Twins." Verywell. About, Inc., 11 Apr. 2016. Web. 12 Oct. 2016. <https://www.verywell.com/labor-and-birth-with-twins-2753691>.
Last Edited: February 19,2017
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