The Delivery of Twins

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Many women with twin pregnancies will undergo cesarean delivery.  In the US, approximately 75% of all twin births are born via cesarean delivery.  However, with the use of breech extraction of the second twin, more twins can be delivered vaginally, and safely. In the setting of a breech (bottom first) or transverse presenting first twin,

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Twin Pregnancy in Women 45 Years or Older

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With advances in assisted reproductive technology including In-vitro fertilization (IVF) and egg donation, women are now able to conceive well into their 40’s and 50’s.  However, uncertainty exists regarding the safety of these pregnancies for women and their newborns.  Additionally, twin pregnancy is a common result of IVF, and all twin pregnancies are higher-risk pregnancies.

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