I am happy to present this information written by Kimberly Amato, a doula with expertise in twin births, as well as the mother of twins and a singleton. Kim has been a fantastic resource for me when I’ve been a doula for twins, as well as when I wrote about twin births on pages 211-214 of my book. Depending on the care provider or hospital, mothers of twins may be expected to: use an epidural even if they prefer natural childbirth, because of a small increase in the chance of a stat cesarean; have an induction as a routine protocol, or because complications develop that are more likely with twin pregnancies; and/or move into an Operating Room during the pushing phase of a vaginal birth, as a precaution in case of emergency. Kim has written an excellent guide that mothers and doulas can use to help them have a dialogue with care providers about birth options with twins. To correspond with Kim for more information, email her at kjpdoula@gmail.com.