Twin pregnancy: Is early induction warranted?

My daughter is 35 weeks pregnant with twins. I understand this is considered term with multiples. Her doctor has recommended inducing labor. Her pregnancy has been uneventful and the babies are around five pounds each. Is induction warranted?

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Peg Plumbo CNM

Peg Plumbo has been a certified nurse-midwife (CNM) since 1976. She has assisted at over 1,000 births and currently teaches in the... Read more

Twins are at substantially higher risk of 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 be done to rule out intrauterine growth restriction.

If the babies are monoamniotic (one placenta and one bag of waters) then perhaps 35 weeks is closer to term. 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.

I wish your daughter much success with her babies.

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