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Vaginal delivery twins

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    There are many suitable recommendations for twin gestation term in the literature. In many protocols, resolution is recommended for dichorionic pregnancies around 38 weeks, at 36 weeks for monochorionic devoid of complications and at 32—34 weeks in cases of single amniotic chamber. The main risk associated with vaginal delivery is connected to the possibility of anoxia of the second twin. However, a cesarean delivery performed by non-cephalic presentation of the second twin is associated with increased maternal morbidity without improved neonatal outcome. The most important factors in the decision of the delivery mode include the presentation of the fetus, gestational age, and weight or the weight difference between the fetuses.
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    What to Expect During the Labor and Birth of Twins

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    What to Expect During the Labor and Birth of Twins

    Back to What happens in labour and birth. It's important to understand your birth options if you're expecting more than 1 baby. Twins and triplets are more likely to be born early and need special care after birth than single babies. It's a good idea to discuss your birth options with your midwife or consultant early on in your pregnancy. You'll normally be advised to give birth in a hospital, as there's a higher chance of complications with twins. There are usually more health professionals at a multiple birth — for example, there may be 2 midwives, an obstetrician and 2 paediatricians 1 for each baby.
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    An Evidence-Based Approach to Determining Route of Delivery for Twin Gestations

    Metrics details. Spontaneous vaginal twin delivery after 32nd week of gestation is safe when first twin presenting cephalic. Aim of this study is to identify obstetric factors influencing the condition of second twin and to verify whether non-cephalic presentation and vaginal breech delivery of the second twin is safe. Obstetric parameters were evaluated in three groups with descriptive, univariate logistic regression analysis for perinatal outcome of second twins. Serious adverse fetal outcome is rare and we found no differences between the groups.
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    Try out PMC Labs and tell us what you think. Learn More. These complications drive the perinatal mortality rate of twins to seven times that of singletons.
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