Abstract
Vaginal delivery of twins requires a provider experienced in vaginal breech delivery of the second twin. ACOG/SMFM suggest vaginal delivery is reasonable in diamniotic twin gestations ≥ 32-0/7 weeks with a vertex presenting twin. Evidence is limited regarding delivery mode for twins < 32 weeks. Our practice is to offer vaginal delivery to diamniotic twins with a vertex presenting twin, regardless of gestational age. The objective of this study was to evaluate outcomes of diamniotic twin pregnancies < 32 weeks by mode of delivery.
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