Twin pregnancy ! what to expect differently during labour?

Increased risks of Intrapartum hypoxia, fetal growth restriction, cord accidents, and malpresentations make twin deliveries high risk than singleton deliveries.  

• For monochorionic monoamniotic twins: CS should be done by 34 weeks gestation.
• For monochorionic diamniotic twins: CS should be done owing to the risks of cord accidents, acute twin-to-twin transfusion, and premature placental separation.
• For Dichorionic diamniotic twins: the vaginal delivery is recommended if the presentation is cephalic.
• Also, If the first twin is cephalic and the second twin is non-cephalic, vaginal delivery is still advocated. But If the first twin is non-cephalic then CS is planned.
• Women with previous CS often deliver by repeat CS because of the great risk of scar dehiscence.