If you’re expecting triplets or more, it’s almost certain that your babies will be delivered via c-section, so their positioning for labor is a nonissue. (It’s very difficult to monitor the babies in the womb while one baby is being delivered, so most OBs will eliminate vaginal delivery as an option.)
But if you’re birthing twins, there may be a chance you can deliver vaginally. If this is the case, baby A (the one that’s coming out first) should be in a vertex position, which means head down and facing your side in the womb, but will come out facing your back. Her head will duck as she descends through the birth canal, so she’ll come out crown first (hence the conehead look many newborns sport).
Once baby A is delivered, baby B is sometimes able to shift into a vertex position, but if baby B is transverse (on its side) or breech (feet or butt down), you may have to undergo a cesarean to get her out. In some cases, your OB will be able to turn baby B into a vertex position or, in other cases, will manage to deliver the baby breech.
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