The Fit Pregnancy article, Two in the Oven: Facts about twin pregnancies that you might not know states, "Though vaginal delivery is an option for women expecting twins, you are most likely to deliver by c-section than if you were having one baby. 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. The good news is more than half of twin pregnancies are delivered vaginally. According to this article, combined deliveries, where the mother has Baby A vaginally and Baby B through Cesarean is rare and would happen if Baby B needed to be rushed into emergency surgery, such as a transverse baby that can not be moved" (Weiss 2). It is said only 5% of moms delivering twins has a combined delivery (Fierro).
I found this interesting article titled, How You Get Pregnant With Twins or Multiples: How Twins are Made, to summarize the part about a twin delivery, "The American College of Obstetrics and Gynecology recommends a vaginal delivery for twins as long as the first baby, Baby A is vertex (head down), because ACOG believes it's safer for multiples, who frequently need the stimulation and rise of hormone levels associated with of labor. However, monoamniotic twins where the babies are in one sac will be born by Cesarean due to a risk of cord entanglement" (Weiss 1).
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. The good news is more than half of twin pregnancies are delivered vaginally. According to this article, combined deliveries, where the mother has Baby A vaginally and Baby B through Cesarean is rare and would happen if Baby B needed to be rushed into emergency surgery, such as a transverse baby that can not be moved" (Weiss 2). It is said only 5% of moms delivering twins has a combined delivery (Fierro).
I found this interesting article titled, How You Get Pregnant With Twins or Multiples: How Twins are Made, to summarize the part about a twin delivery, "The American College of Obstetrics and Gynecology recommends a vaginal delivery for twins as long as the first baby, Baby A is vertex (head down), because ACOG believes it's safer for multiples, who frequently need the stimulation and rise of hormone levels associated with of labor. However, monoamniotic twins where the babies are in one sac will be born by Cesarean due to a risk of cord entanglement" (Weiss 1).
How
This reveals that there is three possible type of twin deliveries:
- Both twins delivered through Cesarean Section, also known as C-Section
- Baby A vaginally and Baby B delivered through Cesarean Section
- Both twins vaginally
Sources
1. Fierro, Pamela Prindle. "Is a C-Section Mandatory for Delivering Twins?" Very Well. About, Inc., 6 July 2015. Web. 13 Oct. 2016. <https://www.verywell.com/will-i-have-to-have-a-c-section-with-twins-2447487>.2. "Two In The Oven." Fit Pregnancy and Baby. Meredith Corporation, 2016. Web. 12 Oct. 2016. <http://www.fitpregnancy.com/pregnancy/getting-pregnant/two-oven>.
3. Weiss, Robin Elise, Ph.D. "How You Get Pregnant With Twins." Very well. About, Inc., 14 June 2016. Web. 12 Oct. 2016. <https://www.verywell.com/twin-pregnancy-2759468>.
4. Weiss, Robin Elise, Ph.D. "What You Should Know About Labor and Birth With Twins." Very well. About, Inc., 11 Apr. 2016. Web. 12 Oct. 2016. <https://www.verywell.com/labor-and-birth-with-twins-2753691>.
Last Edited: February 18, 2017
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