随着辅助生殖技术的迅速发展,双胎妊娠的发生率呈逐年上升趋势。国内多数双胎妊娠选择剖宫产分娩,但双胎妊娠并非剖宫产的绝对指征,且剖宫产手术也有一定的风险。双胎均为头位或第一胎儿为头先露时原则上可经阴道分娩。文章就双胎妊娠的经阴道分娩相关问题进行探讨。 With the rapid development of assisted reproductive technology, the incidence of twin pregnancy has been increasing year by year. Most domestic twin pregnancies choose cesarean delivery, but twin pregnancy is not an absolute indication of cesarean section, and cesarean section surgery also has a certain risk. Twins are the first bit or the first fetus for the first time in principle vaginal delivery. This article discusses the issues related to vaginal delivery of twin pregnancies.