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A 40-year-old member asked:

What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?

2 doctor answers8 doctors weighed in
Dr. Sheila Goodman
Specializes in Obstetrics and Gynecology
About 4% but rising: The most common reasons for C-section of a second twin are heart rate problems and the baby coming down in a position other than head first. Many doctors used to be willing to deliver a second twin either butt first or by the feet, but few still have much experience in doing this. There is also a risk of injury to the nerves of the arm or learning disability in any baby that is born breech.
Dr. Alan Patterson
Obstetrics and Gynecology 42 years experience
IT should be very lo: Low as the only twins that should be delivered vaginally are if they are both head first, if either one is not head first then u need a c-section, and many docs will only do c-sections even if both twins are head 1st, if the first one comes out vaginally then it is an emergency csection usually because there is a problem which u want to avoid delivering the 2nd one.

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Last updated Mar 22, 2020
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