The heartbeat of one had slowed to the lower end of normal at her last examination and it is from here that the presumption of inducing is coming. She has assisted at over 1,000 births and is currently teaching in the nurse-midwifery program at the University of Minnesota. Thanks for the encouraging words and - congratulations. You are one busy grandmother. Well, yes, in a way this is a different ball game.
Twins are at substantially higher risk of antepartum and intrapartum complications.
But this does not mean that induction should be done routinely. Most obstetricians that I practice with would say that 37 weeks is term with twins. A biophysical profile with a non-stress test should be done on each baby to see if there is any compromise to the maternal fetal circulation. Ultrasound should rule out intrauterine growth restriction. But if they are dichorionic and appear normal in all parameters, are still growing and both have normal biophysical profiles with non-stress tests, they would probably be better off gaining some more weight and lung maturity.