Objective: To treat twin pregnancies in Thai Nguyen Central Hospital. From 2016 to 2017. Method: A Cross-sectional descriptive study used in the study with a sample size of all pregnant women giving birth in Thai Nguyen Central Hospital. From 2016 to 2017. Results: A Caesarean section accounted for the highest rate (80,7%). In the normal delivery ( not operated), 19,3% seen in the first fetus and 17.3% in the second fetus After the normal delivery in the first fetus, we found that in the second fetus. The rate of caesarean section was higher than that of vaginal delivery in all age groups. The highest in the group> 35 years (95,2%) and the rate of vaginal delivery was highest in the age group 20-24 years (44,4%). The percentage of cesarean sections in the term group was higher than that in the preterm group, whereas the prevalence of vaginal birth in preterm groups was higher than in the term group.