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There can be a higher risk of complications with twins than with single births. Along with the regular monitoring of fetal growth and normal complications of pregnancy, like high blood pressure, you will also be monitored for complications specific to multiple births, such as intrauterine growth retardation and twin-to-twin transfusions.
In years past, cesarean was the common way for delivering multiple births. However, vaginal birth is usually very safe for multiples, who frequently need the stimulation and rise in hormones levels associated with labor. Whether or not you will have a vaginal birth will depend on many factors, including the position of the babies and how the babies tolerate labor.
If your babies are in a position where neither can move, they are said to be locked. These babies will have to be born via cesarean. Breech babies really depend on the size of the baby and the skill of the practitioner. Usually if one of the babies is head down, a vaginal birth will be attempted. If the second baby is breeched or transverse, an internal or external versiom may be attempted to help out with the birthing process.