Multiple births generally present no unique delivery problems. Follow this procedure:

a. When the first baby is born, tie off the cord to prevent hemorrhage.

b. If the second baby is not delivered within 10 minutes of the first baby, transport the mother and first baby to the hospital for delivery.

NOTE: Babies born in multiple births tend to be small. Like premature infants, babies in multiple births need to be especially protected against a fall in temperature. Keep babies in multiple births warm.