I was hoping to use a birthing center, but because I'm carrying twins no one will accept me. I am currently under my fertility specialist's care, but I have to transfer to a high risk specialist in a few weeks. I would really like to have a vaginal birth, preferably without an episiotomy. She has assisted at over 1,000 births and is currently teaching in the nurse-midwifery program at the University of Minnesota. Twins are not automatically indicative of a high risk pregnancy, although there are risks inherent that are not necessarily shared by singleton pregnancies.
Nurse midwives do co-manage multiple gestation pregnancies.
They might see the client with the obstetrician or take turns with the visits. CNMs may deliver the babies if all is going well with the obstetrician in attendance. If both babies are vertex and the labor is progressing smoothly, there would be no need for a cesarean. Most obstetricians would agree with this. The difficulty of course comes when there are signs of preterm labor, premature rupture of the membranes, growth discrepancies or abnormal presentation of one or both babies.