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Pre- and post-intervention study shows improved twin birth rates and provider confidence from training interventions, highlighting the need for effective practices.
In settings with a high background cesarean section rate, a rapid increase in the vaginal birth rate of twins is possible without adversely affecting maternal or neonatal outcomes, via either staff-wide training or specialist teams. Simulation and skills training can improve provider confidence, knowledge, and skill levels as well as impact clinical practice in the labor ward.
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Celentano et al. (2026) studied this question.
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