As with any pregnancy, women with twins need to carefully consider their delivery options. Dr. Colin Walsh is highly experienced in both vaginal and caesarean delivery for twins and will help you make the best decision for you.
It is often helpful to have a preliminary discussion about birth preferences early in the pregnancy and then reach a definite decision at 32-36 weeks, when further information about fetal growth is available.
Women expecting DCDA and MCDA twins can usually try for a twin vaginal birth, provided that Twin 1 is in a head-first position and there are no major fetal growth concerns. Of course, some women prefer the certainty offered by an elective caesarean section, which is always reasonable in twin pregnancies.
There is a small (<5%) risk of a successful vaginal birth for Twin 1 but then requiring an emergency CS for Twin 2.
Women expecting triplets or MCMA twins should always have a caesarean delivery.