Doctor insights on:
Do Twins Do Better If Born Naturally Or By C Section
C-section!: 80% of all twins are born via c/s in the us nowadays. The reason is that the second twin has a 20% greater chance of dying at birth compared to the first twin. I recommend prelabor cesarean section for all twins at this time, especially if bilateral tubal ligation is planned - talk to your maternal-fetal medicine specialist to see if that is good option for you. ...Read more
I have two children. My youngest is 18 months. Both were born by c-section. Is it safe to try to have twins? I'm 35, husband 33. What % chance twins?
See below: Yes it is safe to have twins. The likelihood is dependent on many factors. Overall the % is between 1-3% and does increase as you get past the age of 35. Good luck. ...Read more
No: Plans can change. Mode of delivery (vaginal, abdominal) depends on many things up to time of delivery: presentation and sizes of the babies, condition of the babies, condition of the mom, placenta locations and presence of bleeding, heart rates of both babies, pregnancy complications, etc. This decision is best made at the time with mom and the most experienced OB provider present or available. ...Read moreSee 1 more doctor answer
No: C-sections carry the complications of surgery and anesthesia. If the twins are presenting both head first and are size appropriate for the mother, then a trial of labor could possible be considered. In any other presentation such as breech (bottom first) then caesarian section should be seriously considered. ...Read moreSee 1 more doctor answer
Depends: Early delivery for any pregnancy (singleton or twin) should be avoided. If early delivery is not avoidable, then your doctor may decide that a c-section is safer for the babies than a vaginal delivery. This usually occurs for very small babies and for babies that are breech or transverse and not head down for delivery. ...Read more
Where & how much?: Are you having vaginal bleeding or bleeding at the incision site? I assume you mean vaginal bleeding. If so, is it heavy and red or primarily spotting, reddish brown? While it is possible to have benign persistent spotting, if it is anything more, you should see your clinician. All postpartum patients should have a followup gyn exam 4-6wks after delivery anyway. ...Read more
What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?
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. ...Read moreSee 1 more doctor answer
Delivery method: You may have some say in this. Talk with your OBGYN ahead of time and make your wishes known! Don't be afraid to speak up. ...Read more
Is vaginal delivery safe for twins? I read lots of articles wich says it is ok and even better than c-section.
Depends : Vaginsl delivery is the preferred route of delivery for twins but certain criteria must be met to qualify. The list is long and your doctor can help guide you through. ...Read more