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A twin delivery, like a twin pregnancy, is ”high risk” so you will be delivered in hospital by one or more obstetrician, two pediatricians, and probably two midwives. Although many twin deliveries do proceed without any complications, there is a higher chance that the birth will need assistance with forceps or ventose or that you will have a Caesarean delivery.
With a normal vaginal delivery, the midwife can deliver your babies with an obstetrician in attendance. If there are complications, the obstetrician will probably deliver your babies or carry out a Caesarean Section.
This is not obligatory but sometimes it is advisable because, should you need help in the second stage of labor (such as forceps or ventose or a Caesarean), your pain relief will be in place and the delivery will not be further delayed.
After your first baby is born, your contractions may die away and there may be a pause before they pick up again, delaying the birth of your second baby. If this wait seems to be over-long you may be given a drug called syntocinon to increase the regularity and strength of your contractions. Once this baby is coming down the birth canal, the waters are broken to speed up the delivery.
Yes, a Caesarean is the least traumatic way for triplets to be delivered. This is because the babies may be in an awkward position, or are premature and very small and therefore unable to cope with the extra strains involved in a normal vaginal birth. They will also probably need special pediatric care after the delivery.
The position of twins can influence the kind of delivery you have. If both are in the same position, the outcome is easier to predict. If in the different position, a different type of delivery may be needed for each twin, for example, your first twin may have a vaginal delivery, but your second twin may be breech or get distressed and have to be delivered by Caesarean section.
With this presentation, a vaginal delivery may be possible for both babies.
The cephalic baby may have a vaginal delivery while the breech has a Caesarean.
With both babies feet down there is a strong chance of a Caesarean.
The transverse baby may be delivered by a Caesarean.