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Multifetal Gestation: Mode of Delivery. The incidence of twin, triplet, and higher-order multifetal gestations, has increased dramatically in the recent years. Rates of cesarean delivery for multiple gestations also have risen, largely due to the perception that cesarean delivery improves neonatal outcomes. Until recently, data to support the "best" mode of delivery for multifetal gestations was lacking. However, recent high-quality retrospective studies and a prospective randomized trial now offer the obstetrician guidance as to the optimal intrapartum management of women with multiple gestations.