What is the difference between labor with a multiples and labor with a single baby?

More complicated: When the babies are correctly positioned, with the first baby head down, or vertex, rather than breech, they can be delivered vaginally; otherwise a c-section may be required. This usually limits labor to twins. Most concerning is that the uterus starts to contract after delivery of the first infant, which can compromise the placenta of the twin still inside. Should only be done in hospital.

See below: This tens to be done with other doctors nearby. Here in charlotte it is done in one of the OB or's with anesthesia lurking in the background in case we are needed. Neonatal doctors are also usually around as twins tend to be smaller and may need help at start. Fo mother the pushing is doubled, once for one child, and then again for the second. Talk to your ob.

See below: Multiple pregnancy is considering to be a high risk pregnancy. Neonatologist always assist during the labors. The single baby delivery if there is no complications from mother or a baby is not assisted by neonatologist.