Generally, if you are carrying twins, you should be able to deliver them vaginally if both fetuses are in the vertex (head facing down) position and there are no other complications. Also, in many cases where the first twin is vertex, but the second twin is not vertex (head not facing down), you can still have a vaginal delivery. After the first fetus delivers vaginally, the doctor will either turn the second fetus to the vertex position or deliver it breech (buttocks or feet are presented first). Since these procedures can increase the risk of problems, such as a prolapsed cord (when the cord slips down through the cervical opening), an emergency Cesarean section (C-section) for the second fetus may be needed. Vaginal deliveries often take place in an operating room because of the greater risk of complications during birth and the potential need for a C-section when delivering multiple.

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