Intrapartum management of twins: truths and controversies.

Twin gestations pose a challenge in management, and the intrapartum phase of care is not exempt. Despite increasing numbers of twin gestations, the literature does not adequately answer several basic questions regarding appropriate intrapartum management. This article provides an overview of the available literature supporting appropriate intrapartum actions in twin gestations and highlights areas that are still awaiting further study, with the eventual goal of optimizing intrapartum conditions, leading to an improved neonatal outcome.