[Timing, place and method of delivery in twin pregnancy].

Over the past years, rate and number of twin births have increased, in general, due to innovations in infertility treatment. Delivery in twin pregnancy has its own specifics in the three periods of delivery. Contemporary tendencies in twin pregnancy management and elective birth timing are been reviewed in this article. The general rules defining the place of delivery and general organizational and diagnostic problems are outlined. The methods of delivery are discussed in detail whereby types of incisions and anesthesiological specifics for abdominal operative delivery are focused. Contemporary possibilities for vaginal delivery are described as well as methods and specifics of the anesthesia. The knowledge of the specifics of twin pregnancy delivery as well as the definition of time and place of delivery is of high significance for successful perinatal outcome and long-term prognosis.