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Giving birth to twins

Early birth is likely with twins being born on average at 37 weeks. They are more vulnerable at birth, largely because of their prematurity and weight - typically 2.5 kg, a full kilogram less than an average single baby. In addition, 40 per cent of babies from multiple births need time in special care.

However, the birth won’t be twice as long or difficult - in fact, because the babies are smaller it can be easier. If both twins are head down a normal vaginal birth is usually possible and even if one twin is breech, he may be turned to be born head down. Otherwise, or if the first baby is breech, a Caesarean may be needed. In fact up to half of twin pairs are born by Caesarean and some hospitals always like to deliver twins in an operating theatre.

An epidural is usually given though a general anaesthetic may be needed for a Caesarean. A drip is also usually set up in case it is needed and both babies are continuously monitored to reduce the risk of birth asphyxia. After the first baby is born, the position of the second is checked and if he’s well placed for birth the waters are broken ready for delivery. So long as the second baby is being monitored, there’s no need to hurry him out: it’s rare, but some babies have taken days to emerge!