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Position of Twins During Labor. The position of the babies in the uterus will largely determine how the twins are born—vaginally or by cesarean. About 40% of twins are both heads down (vertex) at term, another 30% see the first baby (Twin A) vertex, and Twin B in a breech position. Both of these positions are acceptable to consider a vaginal birth. And in fact, many women carrying twins do go into labor naturally during this time. However, when a twin pregnancy goes too long there is a possibility of depletion of the placenta which may lead to devastating consequences. Because of the significant load that is put on the placenta during a twin pregnancy your physician may want to induce labor or plan a Cesarean twin.
The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. This educational content is not medical or diagnostic advice. Here’s what you can expect from your labor and delivery: Labor. Your labor may begin very similarly to a singleton labor — either with contractions or with your water breaking.
With a twin vaginal birth, you run the risk of having an emergency C-section for the second twin. Once the first baby comes out, there is no telling what the second baby will do. With all of the newfound space, it is possible for them to flip around and have the umbilical cord wrap around their neck, or go into distress. During this phase, contractions become more frequent, helping your cervix to dilate so your baby can pass through the birth canal.
Discomfort at this stage is still minimal. What to Expect During the Labor and Birth of Twins. By Robin Elise Weiss, PhD, MPH Types of Labor and Delivery Complications. By Robin Elise Weiss, PhD, MPH Discussing With Your Provider About a VBAC. By Robin Elise Weiss, PhD, MPH When Should You Cut Your Baby’s Umbilical Cord?
Usually the doctor will rotate the baby’s head a quarter of a turn to be in alignment with the baby’s body, which is still inside you. You’ll. This phase typically lasts up to 12 hours although it’s usually considerably shorter for second and subsequent babies.
As labor progresses, the contractions get longer and stronger. Active phase. Often this phase lasts up to six hours, although it can be a lot shorter. You should be in the hospital or birth center by now or en route. Women who are expecting twins or higher order multiples often wonder if they will be able to have a vaginal birth, or if they will be required to have a cesarean section.
Well, as long as your labor is uncomplicated, it is entirely possible (and usually recommended) to deliver both babies vaginally.
List of related literature:
|from The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth|
|from Practical Guide to High Risk Pregnancy and Delivery E-Book|
|from Expecting 411 (4th edition): The Insider’s Guide to Pregnancy and Childbirth|
|from Maternity and Women’s Health Care E-Book|
|from The Pregnancy and Postpartum Anxiety Workbook: Practical Skills to Help You Overcome Anxiety, Worry, Panic Attacks, Obsessions, and Compulsions|
|from Nancy Caroline’s Emergency Care in the Streets|
|from Emergency Care and Transportation of the Sick and Injured|
|from Intrapartum Management Modules: A Perinatal Education Program|
|from What to Expect When You’re Expecting 4th Edition|
|from Chestnut’s Obstetric Anesthesia E-Book|