You're right...it was a long time. Too long. Today there would be imaging to show the position of the twins (or that there were in fact twins!). A C-section would have been performed when the second twin was seen to be in a compromised position. Back then, panicked doctors frantically used forceps to reposition the baby and facilitate delivery. This resulted in great harm.
Can't say enough about proper prenatal care.
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We are living with the strengths and weaknesses of our era. We discussed the cons in another post already :(