I know that many twin births have proceeded well at home and elsewhere 
especially when the mother was encouraged /enabled to assume an upright 
posture or move off her back. This would surely enable gravity to do its 
job in aligning the baby more favourably and then bring it down more 
quickly (if that seemed necessary)?

An epidural would, in this case, be most undesirable, as the first casualty 
of an epidural is the loss of mobility for the woman. Even with the 
so-called "mobile" or "walking" epidurals, it can be hard to manoeuvre when 
there is a drip, monitor etc attached as well.

As twins are also usually smaller than a singleton baby, there should be 
less concern about the second twin being breech as the smaller baby will 
have more space as it progresses through the pelvis. This seems to be 
common sense to me ....  surely these issues could be made known to the 
woman who should have the final say anyway, without any undue pressure or 
loaded emotional statements from scared medicos to try and sway her thinking?

Stray thoughts from

Andrea

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