Cesarean
If you are pregnant with multiples it does not necessarily mean that you will have a cesarean birth. The common recommendation for the delivery of triplets and higher order multiples are a cesarean, but twins are commonly delivered vaginally. The vaginal delivery of twins depends on the presentation of the babies. Twins can be delivered vaginally when:
- The gestation is greater than 32 weeks
- Twin A (the baby closest to the cervix) is the largest
- Twin A is head down
- Twin B is head down, Breech, or sideways
- Twin B is smaller than twin A
- There is no evidence of fetal distress
- There is no cephalopelvic disproportion (CPD)
Reprinted with permission from American Pregnancy Association
