About 1 in 3 of all sets of twin births are vaginal births. You may choose to have an elective caesarean, or your doctor may recommend a caesarean section because of potential complications. Even if you plan a vaginal birth, you may end up having an emergency caesarean section due to complications during labour.
Vaginal Birth of Twins
The good news is that even though you have two babies, you only have to labor once. Once the cervix is open, each baby will have its own pushing stage. This means you will have to push twice, but the majority of the time the second twin is born much more easily than the first.
If you are keen to avoid a c-section, the first and best decision you can make is to choose a care provider who supports natural twin birth. Stay as healthy as possible by eating well during pregnancy in order to avoid issues like gestational diabetes and encourage your babies to settle into an optimal birth position.
Overall, it is considered that twin delivery should be around 37 weeks for dichorionic twins and 36 weeks for monochorionic twins. With singletons, the neurodevelopmental outcomes are best with delivery at 41 weeks, but the odds of death around the time of delivery are best at weeks 38-39.
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That's not all, Monga says. Women pregnant with twins complain of more back pain, sleeping difficulties, and heartburn than those who are carrying one child. Being pregnant with twins also carries a higher rate of maternal anemia and a higher rate of postpartum hemorrhage (bleeding) after delivery.
About 1 in 3 of all sets of twin births are vaginal births. You may choose to have an elective caesarean, or your doctor may recommend a caesarean section because of potential complications. Even if you plan a vaginal birth, you may end up having an emergency caesarean section due to complications during labour.
If you're pregnant with twins, chances are that you can expect to go into labor a little bit sooner than you would if you were carrying just one baby. If you're expecting twins, here's what you need to know about the delivery and leading up to it.
A little more than half of twin pregnancies end in preterm delivery (before 37 weeks). While 40 weeks is the full gestation period of the average pregnancy, most twin pregnancies are delivered at approximately 36 weeks (range 32-38 weeks depending on the type of twin pregnancy).
Tightening or low, dull backache that may be constant or come and go, but changing positions and other comfort measures don't ease it. Menstrual-like cramps or lower abdominal cramping that may feel like gas pains, with or without diarrhea.
According to the literature, intentional delayed delivery of the second embryo in twin pregnancies is of very rare occurrence.
Physically recovering from a multiple birth, whether it was vaginal or via C-section, is much like recovering from a singleton birth — only more so. Indeed, the postpartum period can be worse with twins or triplets, as everything you experience will feel just a little bit more painful and last a while longer.
You won't necessarily need to have a caesarean section if you're expecting twins. Many women expecting twins have a vaginal birth. Talk to your midwife and obstetrician about your circumstances, and the birth options open to you. It's natural to feel nervous about vaginal birth if you're expecting twins.
The longest interval between the birth of twins is 90 days, in the case of Molly and Benjamin West, dizygotic (fraternal) twins born in Baltimore, Maryland, USA to parents Lesa and David West (all USA) on 1 January and 30 March 1996.
You're more likely to have a vaginal birth if the first twin is in a head-down position. But there may be medical reasons why a vaginal birth is not recommended. If you have had a caesarean section before, for example, it's not usually recommended that you have a vaginal birth with twins.
The hardest thing about having twins is...
“Managing the movement of two babies. Carrying them both up and down the stairs, getting them into the car, etc.” —Simeon R. “Often having to make one baby wait!” —Catharine D. “Being outnumbered—the logistics of two on one is definitely the hardest.
Premature Rupture of Membranes
During pregnancy, the fetus—or in the case of twins, fetuses—is enclosed in the amniotic sac. As a part of the labor process, the sac will break open (known as "water breaking").
Drink Alcohol, Use Drugs, or Smoke. It's never advisable to drink alcohol excessively, smoke, or take drugs, whether you are pregnant or not. When you are pregnant, doing so exposes your unborn babies to toxic substances, raising their risk of birth defects and chronic illnesses.
The risk of preterm labor and premature birth are heightened when there is more than one baby in the womb. 1 Other conditions such as preeclampsia, placental dysfunction, and twin-to-twin transfusion syndrome are more prevalent in twin pregnancy and increase the risk of an early delivery.
The average weight of twins is 2.5kg.
Most practitioners advise women who start their twin pregnancy at a normal weight to gain 37 to 54 pounds. You should gain a little more if you were underweight (between 50 and 62 pounds) and a little less if you were overweight (between 31 and 50 pounds).
Since many twin births happen early, the average twin arrives weighing about 5 1/2 pounds.
The time between giving birth to your first and second baby varies from woman to woman, but the second baby is usually delivered within about 30 minutes to an hour after the first. In very rare cases, some women deliver 1 twin vaginally and then need a caesarean section to deliver the second twin.
“Having twins is not twice as hard—it's exponentially more difficult,” says Natalie Diaz, author of What To Do When You're Having Two and CEO of Twiniversity, a global support network for parents of twins.
Caesarean section surgery usually takes 30-60 minutes, although the entire process takes a few hours. There'll be many people in the operating theatre with you. You can usually have a support person.