Birth with twins and more

Birth with twins and more

Close up of new born twins lying together During pregnancy you will have an appointment to discuss your options for the birth of your twins. More than 40% of twins are born vaginally with the remainder being born by either planned or emergency caesarean. The most common way for twins to lie is both with their heads down. It is common for one or both babies to be feet or bottom down (breech). Some babies lie across your womb (transverse lie) and if this is the case with the first twin to be born, you’ll need a caesarean section. If you’ve had a vaginal birth for the first twin but the second is lying across your womb, they may need help to turn so they can be born. In some cases a planned caesarean will be recommended, for example, if your babies share one placenta, or the first baby is in the breech (bottom first) position. During labour, it is recommended that your babies have continuous electronic fetal monitoring, as the risk of complications during labour is higher for twins. It may also be recommended that you have an epidural, in case you require an emergency caesarean birth quickly. There will be more people at the birth of twins, often two midwives, two obstetricians and two neonatal doctors. If you have triplets or more, planned caesarean birth would be recommended for you as the safest way to deliver your babies.