A vaginal delivery or a caesarean section?
Whether you can have a natural delivery depends on the position of the babies in the uterus. A vaginal delivery is also possible with twins. In the case of a triple or multiple, it is almost always a caesarean section. A natural delivery is usually allowed if both babies have their heads down. Other positions usually recommend a caesarean section.
For safety reasons you will often be in hospital. Even if the first baby is naturally born, it is still possible that the second one should be taken through a caesarean section.
A scan can be made to determine the position of the second baby after the first is born. The way the second baby is born depends on a number of things. If the baby is head down, you can push. But if the head has not fallen as far as the first, or if the umbilical cord is around the head, it will have to be a caesarean section. If the second baby is breach, birth can take place in three ways:
The caesarean section
When a caesarean section is performed, you are usually awake. You will then get a local anesthesia. Sometimes one or two family members are allowed with you. In the operating room there are also several doctors and nurses who help at birth.
Often you know beforehand that you will get a caesarean section. You will therefore know which day and when the operation will take place. You probably get fluid through an infusion against dehydration, and your blood will be checked. 6 or 8 hours before surgery, you can not eat and drink anymore. The heartbeat of the babies is constantly measured, and a catheter, a small soft rubber tube, keeps your bladder empty during surgery. Your belly is shaved from your navel to a piece of your pubic hair. In the operating room you are given anesthesia. Your belly is cleaned and coated with a bactericidal cream. A cloth is placed in front of your head, which means that you can not see the operation itself. This canvas is part of the sterile field around the caesarean section and prevents possible infection. The babies are born after about 30-40 minutes. You will stay in a recovery room for about an hour.