Abstract: Twin pregnancy belongs to the category of high-risk pregnancy，which is often complicated by other pregnancy comorbidities and complications，and has a high incidence of adverse maternal and child outcomes. It remains one of the most challenging events in obstetrics how to choose the appropriate time and mode of delivery in twin pregnancy. Based on the domestic and foreign latest literature and guidelines on vaginal delivery of twin pregnancy at home and abroad，and combined with the experience of vaginal delivery of twin pregnancy in our hospital，this article aims to promote natural delivery and provide help for the effective control of cesarean section.

Key words: twin pregnancy, vaginal delivery, labor management

摘要： 双胎妊娠属于高危妊娠范畴，常合并其他妊娠并发症及合并症，母儿不良结局发生率高。双胎妊娠如何选择适宜的分娩时机和分娩方式仍是产科最具挑战性的事件之一。文章以国内外双胎妊娠阴道分娩的最新文献、指南为基础，结合双胎妊娠阴道分娩经验进行阐述，旨在促进自然分娩，为有效控制剖宫产率提供帮助。

关键词: 双胎妊娠, 阴道分娩, 产程管理