“I’m currently 20 weeks pregnant with twins. Is there a chance I can have a vaginal delivery? I’d prefer to avoid a C-section.” When expecting twins, it’s like getting two for the labor price of one (and trust me, having labored twice, that’s not such a bad deal). While you’ll be in labor just once, you’ll be delivering two babies, and which delivery method they choose can be uncertain.
Presently, your odds of having a vaginal delivery with twins are about 50-50, meaning there’s also a 50-50 chance of needing a C-section. The delivery method will depend on several factors, including:
- Positioning of the Babies: If both twins are positioned head-down, which happens only about 40 percent of the time, your healthcare provider may likely support a vaginal birth (given other conditions are favorable). However, if one or both babies are not in that ideal position—like breech or sideways—surgery may be the more viable option.
- Position of the First Twin: The position of the twin closest to the cervix is crucial. If this baby is breech or sideways, a C-section might be necessary. Conversely, if this baby is head-down, there’s a greater chance for a vaginal birth.
- Position of the Second Twin: If the first twin is delivered vaginally, the second twin may also have a good chance at following the same path, especially if they are head-down. Since the birth canal is already opened, it can make it easier for the second twin. However, if the second twin is breech or sideways, your doctor might attempt to turn them into a better position.
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As you navigate the journey of delivering twins, understanding these factors can help you prepare for whatever delivery path you may take.