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Pregnancy Today's Advisory Panel Answers:
I am 30 weeks pregnant with twins. Baby A seems to be settling into
a head down position, but Baby B has always been, and continues to be, in a
transverse position across the top of Baby A with his head on the side of my uterus
where Baby A seems to be most of the time. They each weigh over 3 lbs at this
point. What are the chances of Baby B turning head down at this
point?
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Question
I am 30 weeks pregnant with twins. Baby A seems to be settling into a head
down position, but Baby B has always been, and continues to be, in a
transverse position across the top of Baby A with his head on the side of
my uterus where Baby A seems to be most of the time. They each weigh over 3
lbs at this point. What are the chances of Baby B turning head down at this
point?
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Answer
As a general rule, if the first twin is head down, both babies can be
delivered vaginally. Twins typically do not grow quite as large as
singletons so they are less likely to get "stuck." At 30 weeks with the
second baby as a transverse lie, there is some chance that the baby
will convert to head down or breech, but the odds are pretty good that
he/she is comfortable in that position. After the first baby has
delivered, the second baby will often change its position to head down
or breech. If it remains transverse, it can be typically guided into
one position or the other and delivered vaginally.
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