 [ Symptoms ] having twins at 44 years old does vaginal birth cause incontinence i am 44 years old and 35 weeks pregnant with twins they are head down and perfect for vaginal delivery my obgyn said that 90 percent of vaginal twin births with women over 40 cause permanent incontinence he want to do c section i prefer vaginal delivery what do i do [ Disease ] it is complications is gonna be like other iv access infection inflammation… etcbut abdominal infection is a lol bit dangerous so make it in some where you are well trained to access