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https://www.twin-pregnancy-and-beyond.com/twin-pregnancy-labor-and-delivery.html
Be sure to discuss all of your twin pregnancy labor and delivery options with your doctor or midwife. There are many women who have had successful natural, un-medicated twin births in a hospital setting, in their own private room. A home birth for your twins may be another possibility. The health of the mother, position of the babies, and the expertise of the midwife or other practitioner will better …
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.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.
https://www.whattoexpect.com/pregnancy/twins-and-multiples/giving-birth/multiple-birth-experience.aspx
Jan 30, 2015 · The second twin in a vaginal delivery often comes within 20 minutes of the first, and most mothers report that delivering Baby B is a cinch compared to Baby A. Depending on the position of Baby B, he or she may need some help from the doctor, who can either reach in and move the baby into the birth canal (internal version) or use suction or forceps to speed the delivery.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960113/
May 18, 2018 · Vaginal delivery of second twin is managed and intended not active. The process of vaginal delivery of the second twin with non-cephalic presentation is summarized in the following: After delivery of the first twin, concomitant oxytocin infusion support is stopped.
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