Ask The Labor Nurse: The Truth About Twins | Fit Pregnancy

Ask The Labor Nurse: The Truth About Twins

Why I love Call the Midwife.


That all-C-section trend might be waning just a bit though as more doctors and hospitals are willing to give vaginal birth a go. Studies show (and so does history) that vaginal birth for twins can be a very safe option as long as the twin closest to the cervix is head down (vertex position). These studies also show that a pre-planned C-section birth isn’t necessarily a safer option, and in fact they don’t support policies of planned C-sections for twins at or after 34 weeks.  It all depends on babies’ positions and mom’s health. 

What else is different about twin pregnancies? Women pregnant with twins are at somewhat higher risk for such complications as hypertension, gestational diabetes, preeclampsia, placental issues and premature labor and delivery. If mom gets prenatal care and sees a midwife or doctor regularly, those complications will most likely be caught early. It’s when women don’t get prenatal care that they tend to get into trouble. 

Read more: How safe is a vaginal birth for twins?

If you’re ready to compare and contrast twin birth scenes, check out this blog on the Every Mother Counts website last week about an American midwife in Tanzania. It’s graphic and a bit gruesome, but a really great read.  Once you’ve finished, you’ll be more grateful than ever for your midwife or doctor, your hospital and nurses and the supportive team who will surround you at the moment of birth.

Jeanne Faulkner, R.N., lives in Portland, Oregon with her husband and five children. Got a question for Jeanne? E-mail it to

This Fit Pregnancy blog is intended for educational purposes only. It is not intended to replace medical advice from your physician. Before initiating any exercise program, diet or treatment provided by Fit Pregnancy, you should seek medical advice from your primary caregiver.


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