What does this article add?
 This was a retrospective cohort study from a single tertiary centre. The neonatal outcomes between vaginal birth and cesarean birth were similar in term pregnancies with first twin cephalic presentation, whereas adverse neonatal outcomes were increased in the vaginal birth group in preterm second twin. Results of this study could help obstetricians and midwives inform women with twin pregnancies and make decisions about management during their labor.