Options for delivering twins

OGBYN Sheryl Ross, MD, explains the important factors to consider when deciding how to give birth to twins and discusses the statistics for the different delivery options
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Options for delivering twins

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The mode of delivery when delivering twins, begins with a detailed conversation between the parents and the obstetrician. Factors to be considered are the presentation of the twins, preference of the parents, and the experience of the obstetrician. 60 percent of twins are born via cesarean. However, a vaginal birth can occur if the head presentation is either vertex/vertex, or head down/head down, or vertex/non-vertex, which would be head down/breech, or transverse lie. A trial of a vaginal delivery can happen without any complications, as long as the first twin is delivered and the second twin is continuously monitored. The second twin can be delivered anywhere from minutes to hours following the birth of the twin. As long as they are safe, there is no time limit in delivery between the first and the second twin.

OGBYN Sheryl Ross, MD, explains the important factors to consider when deciding how to give birth to twins and discusses the statistics for the different delivery options

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Sherry Ross, MD

Obstetrician & Gynecologist

Sherry A. Ross, MD, received her OB/GYN training at the University of Southern California School of Medicine and she was honored with two teaching awards as a senior medical resident. She was a medical consultant on the books Expecting Fitness and Two at a Time.  She also has appeared on MTV, consulted for Fit Pregnancy, People, In Touch, and Shape Magazine. She has been in private practice in Santa Monica, California for the past 20 years. In addition to her medical practice, Dr. Ross was the President of the Upper and Middle Division of Brentwood School and has been on the board of Planned Parenthood, Los Angeles, for three years. She is married and has three children.

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Transcription: 
The mode of delivery when delivering twins, begins with a detailed conversation between the parents and the obstetrician. Factors to be considered are the presentation of the twins, preference of the parents, and the experience of the obstetrician. 60 percent of twins are born via cesarean. However, a vaginal birth can occur if the head presentation is either vertex/vertex, or head down/head down, or vertex/non-vertex, which would be head down/breech, or transverse lie. A trial of a vaginal delivery can happen without any complications, as long as the first twin is delivered and the second twin is continuously monitored. The second twin can be delivered anywhere from minutes to hours following the birth of the twin. As long as they are safe, there is no time limit in delivery between the first and the second twin.