In New Zealand expectant mothers must choose who they want to be responsible for their care during the pregnancy and for the first 6 weeks following the birth of the baby.

Midwife
If you are expecting twins your LMC can still be a midwife. When choosing a midwife we recommend checking with your midwife whether she has been LMC for twins before and how many times. Other questions to ask your midwife would include what their policy is when a c-section is required. Some midwives still attend the c-section while others do not (the chance of c-section is greater with twin pregnancies so this is an important consideration). Some midwives will not be comfortable providing your care if you are carrying twins or more, and while it may be disappointing for you it is important to respect their decision as it takes a true professional to admit when they can't do something. If this happens to you ask the midwife to recommend a colleague. Usually if using a midwife you will probably be in their care for the first 18 or so weeks (unless there are earlier complications or your pregnancy is considered high risk eg in the case of twins sharing a placenta) then they must transfer your care to or share your care with a specialist either at a local hospital or through their midwifery practice. The midwife should refer you and the specialist should be free of charge in most cases - check with your midwife though as sometimes there are charges.

GP Obstetrician
A GP Obstetrician will normally handle your care in much the same way as a midwife would. Provided your pregnancy is trouble-free you will probably see the GP at first and then later in your pregnancy start seeing the specialist as well. Who actually ends up delivering your twins will depend largely on the type of delivery required and timing.

Hospital Specialist and Midwife Team
Most hospitals with maternity facilities offer shared specialist and midwifery care for multiple pregnancies. For specific details contact your local maternity hospital or ward.

Private Specialist
Some women are more comfortable seeing a specialist from the beginning of their pregnancy. This is certainly an option. However, it is an option that you will have to pay for. Specialist fees for twin pregnancies vary from city to city but are generally $3,000-$5,000.

The information above is intended only to give you a brief guideline of what to expect. Services do vary between district health boards so please check with your LMC to confirm what services they provide and at what stage in the pregnancy.