Vaginal Birth of Twins After C-section is Possible

A study looks at women who’ve attempted to give birth to twins after a previous c-section to find out whether or not they are more at risk of disease compared with women who got c-sections.

By Kate Phillipa Clark

A group of researchers from Israel wanted to explore the success rate of women attempting a vaginal birth after c-section (VBAC). They compared with other twin moms who had a planned c-section to find out whether or not there was an increased risk of disease for the mother. The study was published in the American Journal of Obstetrics and Gynecology in January 2018. 368 women pregnant with twins were included in the study. They all had a c-section during a previous delivery. Of those women, 86.1 percent had a planned c-section. 13.9 percent – 51 women – attempted a vaginal twin birth.

Almost all women succeeded in giving birth vaginally

Of the 51 women who attempted vaginal labor, 47 women had successful vaginal births. That’s 92,2 percent of the women. Only 7.8 percent – 4 women – had unsuccessful vaginal deliveries. One of those women succeeded in giving birth to twin a, and had a c-section for twin b. The researchers also found that women who attempted a vaginal twin birth after a previous c-section didn’t have an increased risk of disease compared to the women who had planned c-sections. That included uterine rupture and postpartum hemorrhage. Uterine rupture is a when the uterus tears during birth. Postpartum hemorrhage is excessive bleeding following birth of one or more babies.

Read twin birth stories

About the Author

Kate Phillipa Clark

Kate Phillipa Clark has a bachelor in Journalism and an Executive Master in Corporate Communication. She is an identical twin and so is her father.


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