Labor and Delivery of Twin Pregnancies

Stephanie Melka; James Miller; Nathan S Fox

doi:10.1016/j.ogc.2017.08.004

Labor and Delivery of Twin Pregnancies

Obstet Gynecol Clin North Am. 2017 Dec;44(4):645-654. doi: 10.1016/j.ogc.2017.08.004.

Authors

Stephanie Melka¹, James Miller¹, Nathan S Fox²

Affiliations

¹ Maternal Fetal Medicine Associates, PLLC, and The Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, 70 East 90th Street, New York, NY 10128, USA.
² Maternal Fetal Medicine Associates, PLLC, and The Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, 70 East 90th Street, New York, NY 10128, USA. Electronic address: nfox@mfmnyc.com.

PMID: 29078946
DOI: 10.1016/j.ogc.2017.08.004

Abstract

Obstetricians who care for twin pregnancies should be aware of the challenges that may arise during the labor and delivery. With recognition of these issues and proper training, providers should be able to help women with twin pregnancies achieve a safe delivery for them and their babies. With the use of breech extraction of the second twin and active management of the second stage of labor, women with twin pregnancies can also achieve a high vaginal delivery rate of both twins.

Keywords: Active management; Breech extraction; Cesarean; Delivery; Labor; Twins.

Publication types

Review

MeSH terms

Delivery, Obstetric / methods*
Female
Humans
Labor Presentation
Labor Stage, Second
Pregnancy
Pregnancy Outcome
Pregnancy, Twin*