Evaluation of vaginal delivery for twin pregnancy

Careful management of twin pregnancy is needed because of the high risk for mother and babies, and it is uncertain if vaginal delivery or cesarean delivery is favorable. The purpose of this study was to examine the effect of the mode of delivery on maternal complications and short-term neonatal outcomes in twin pregnancy. Of the 50 cases, vaginal deliveries were attempted in 25 cases, with 17 achieving successful vaginal delivery of both twins and eight requiring emergency cesarean delivery. The other 25 cases underwent planned cesarean delivery. There were no differences in the neonatal outcome including birth weight, Apgar scores, and umbilical artery pH between cases with successful and failed vaginal delivery, or between failed vaginal delivery and planned cesarean delivery, even though vaginal delivery failed in some cases. These findings suggest that vaginal delivery can be attempted safely in twin pregnancy.