Research being presented this week at the Society for Maternal-Fetal Medicine’s annual meeting opens up possibilities for women pregnant with twins. A large randomized controlled study shows that when the first baby (Baby A) is head down (most are), a planned vaginal birth is as safe for mom and baby as a planned c-section.
“The results of the study show that vaginal birth is safe and should continue to be offered to women who are pregnant with twins,” said Dr. Jon Barrett of the University of Toronto and one of the study’s authors. “There’s no evidence that a cesarean section is better for the babies or you… My advice to a woman pregnant with twins is that she should attempt to find an OBGYN that is trained in vaginal birth, as there is no harm.”
The study looked at nearly 3000 women from 26 countries. Among this group about half had planned (induced) vaginal births between the weeks 32-38 of pregnancy. The other half had planned c-sections in the same time frame. In all cases Baby A was positioned head down.The outcomes revealed no advantage in opting for a c-section under these circumstances. Very cool. I think this is exciting for mothers expecting twins.
I wonder if outcomes might not be even better if mothers of twins are given the option to let labor start spontaneously. *The women in this study had their labors induced with synthetic hormones.
Know your choices! And go with a care-provider who respects them.
Photo credit: Baby2See.com