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Twins can usually be delivered vaginally if the lower twin is presenting headfirst (cephalic). If only the lower twin is headfirst, as shown here, your health care provider might deliver the lower twin vaginally. Then, your health care provider will rotate the remaining twin by placing his or her hands on your abdomen and applying pressure (external cephalic version) and deliver the baby vaginally or if the baby is breech and certain conditions are met, deliver the baby buttocks first. If this can't be done, your health care provider will discuss delivery by C-section.
If the lower twin isn't positioned headfirst or neither twin is headfirst, both twins are usually delivered by C-section.
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