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The cow shouldn't go for more than an hour between calving out twins, because there's a risk of the second twin suffocating due to the placenta detaching itself from the uterine wall. However, there is a chance that the second calf is a PATERNAL twin (not a maternal, as maternal twins ALWAYS share a placenta), and it could be some time, however rare, that the second calf will be born. Normally, though, twins usually follow soon after the other. Thus, the second twin should be within minutes after the first, so, if you suspect the cow has twins, you should get her in the head gate as soon as possible, glove up and go in to see if you can feel for another calf. If you do, quickly position the calf in the normal birthing position (if it isn't already), put the calving chains on, and start pulling. I'm sure your vet would tell you the same thing if he/she were asked that same question by you.

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Q: How many hours can a cow go after delivering the first calf when she is having twins?
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