[Delivery of multiples, particularly of twins]

Abstract

Multiples run various risks. While for triplets and higher-grade multiples caesarean section is the first-line mode of delivery, the method is still under discussion in the case of twins. Evidence-based data in favour of a general elective caesarean section are lacking but prospective randomized study results on this subject are expected. The organization of the clinic is essential for the safety of twins during vaginal delivery. The prerequisites for the vaginal delivery of twins and its management under various conditions are discussed in light of the literature.