Twin Deliveries – Where Are We Now?

Amir Aviram*, Jon F.R. Barrett, Elad Mei-Dan, Nir Melamed

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


The mode of delivery in twin gestation has been a matter of debate for decades. In 2013, the only randomized controlled trial concerning mode of delivery in twin gestations was published, answering some of the most pressing questions in this matter. The Twin Birth Study (TBS) randomized patients carrying dichorionic-diamniotic or monochorionic-diamniotic twins, with the first twin in cephalic presentation, between 32 and 39 weeks of gestation, to planned vaginal versus planned cesarean delivery, and found no significant differences in perinatal or maternal outcomes. In this chapter, we try to address the known literature before and after the publication of the TBS. We also review the literature with regard to scenarios beyond the scope of the TBS, such as delivery of preterm twins, the impact of chorionicity, combined delivery, and more.

Original languageEnglish
Title of host publicationTwin and Higher-order Pregnancies
PublisherSpringer International Publishing
Number of pages17
ISBN (Electronic)9783030476526
ISBN (Print)9783030476519
StatePublished - 1 Jan 2021
Externally publishedYes


  • Combined delivery
  • Non-cephalic twin
  • Planned cesarean section
  • Planned vaginal delivery
  • Preterm
  • Twins


Dive into the research topics of 'Twin Deliveries – Where Are We Now?'. Together they form a unique fingerprint.

Cite this