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https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
Uncomplicated twin pregnancies — The optimum time to deliver uncomplicated twin pregnancies depends on chorionicity and amnionicity. However, spontaneous or medically indicated preterm birth complicates over 50 percent of twin pregnancies; thus, scheduling the timing of delivery is not at the discretion of the obstetrician in most cases [ 1 ].
https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/twin-pregnancy/art-20048161
Feb 14, 2018 · For twins, vaginal delivery is often possible if the first baby is in a head-down position. If not, a C-section might be recommended. In some cases, complications after the vaginal delivery of the first twin might require a C-section delivery for the second twin. For higher order multiples, the more common route of delivery is a C-section.
https://www.brighamandwomens.org/obgyn/maternal-fetal-medicine/for-medical-professionals/twin-pregnancy-labor-and-delivery-guidelines-for-medical-professionals
A recent randomized trial of Di-Di and Mo-Di twin births indicated that for uncomplicated pregnancies between 32-38 6/7 weeks with a presenting vertex twin, a planned cesarean delivery did not decrease the risk of fetal or neonatal death, or serious neonatal morbidity, compared with a planned vaginal delivery.
https://www.whattoexpect.com/pregnancy/ask-heidi/twin-delivery.aspx
Oct 26, 2018 · Twin Delivery When it comes to being pregnant with twins, you get two for the laboring price of one (and take it from someone who's labored twice — that's not a bad deal). But while you'll be laboring only once, you'll be delivering twice — and it's probably anyone's guess at this point which delivery route your babies …
https://www.whattoexpect.com/pregnancy/twins-and-multiples/having-vaginal-birth-twins/
Mar 21, 2019 · It's the most cooperative possible fetal position that twins can wind up in on delivery day, and it happens about 40 percent of the time. You'll likely be able to go into labor naturally and attempt a vaginal birth.
https://americanpregnancy.org/multiples/complications/
Preterm labor/delivery is defined as delivery before 37 completed weeks of pregnancy. The length of gestation typically decreases with each additional baby. On average most single pregnancies last 39 weeks, twin pregnancies 36 weeks, triplets 32 weeks, …
https://www.brighamandwomens.org/obgyn/maternal-fetal-medicine/for-medical-professionals/twin-pregnancy-obstetric-care-guidelines
Following the demise of one twin after 14 weeks, the risk of demise of the co-twin is 12-15% in a monochorionic pregnancy and 3-4% in a dichorionic pregnancy. Immediate delivery after the demise of a twin in the late second or early third trimester has not been shown to be of benefit for the other twin.
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