I was put on modified bedrest/procardia for irritable uterus /shortening cervix at 28 weeks. BR was successful as my cervix lengthened over the next few weeks. However there was some concern about a growth discordance with baby A measuring smaller.
Fast forward to 35 weeks where I am taken off br/procardia. At 36 weeks, mfm asks me not to go past 38 weeks because baby A's belly is only measuring 5th percentile. My cervix was already a 2-3 cm with 60% effacement, so OB suggests an amniotomy inducement at 37w4d.
The day before my inducement, I start having contractions at 3 am. They didn't really get into a good pattern, but OB wanted me to come in earlier since it was twins and my labor w/ DD was only 10 hours.
We were checked in triage at 6am and I was already a 6. U/s showed both babies were still head down (baby A since 28 weeks, B since 35 weeks). The OB was pumped for me to have a vaginal delivery (and was even willing to do a breech extraction with B before she flipped), but she did ask me to get an epidural in case of an emergency c-section (my last birth was med-free).
At 7 I got my epidural. I was already at 8-9 cm, so they wheeled me into the OR (just as a precaution). I was not feeling contractions/pressure/urge to push, so I had to rely on the nurses/OB watching the cx monitor. I was still able to push very effectively, remembering the technique from DD's birth.
Baby A was born at 7:53 am and Baby B followed at 7:57 am. She had the cord wrapped once around her neck, but pushing with an epidural was actually more controlled for me, so I had no problem stopping to allow for its removal. I also only required 2 stitches compared to the nasty labia tear from DD's birth.
I wanted to write my birth story to give hope to others who are dealing with a size discordance between A and B. A growth u/s 5 days before delivery had baby A at 5 lbs 12 oz and B at 7 lbs. My OB had zero qualms about doing a vaginal delivery even though most OBs require A to be bigger than B (or the one piece of peer-reviewed literature I found said it was safe up to 25% size dif).
Actual sizes were A 5 lbs 15 oz and B 7 lbs 1 oz. Good luck to all the MoMs-to-be!
Congrats!!! I love reading these stories. Thanks for writing it all out.
---------------Siggy Warning--------------------
Me: 32, DH: 34 / TTC since February 2011 / SA: all normal, HSG: all clear! / on Lovenox for anticardiolipid antibodies 4 IUIs with Clomid, Letrozole, and Menopur. All BFN. 9/12: lap / hysteroscopy: found and removed mild endometriosis, cervical polyp, and 2 para-tubular cysts 5/13 IVF #1: Follistim, Menopur, Ganirelix, 10R/4M/4F, ET of 2, 5 cell and 4 cell, no frosties = BFN 12/13 IVF #2 = November / December 2013. Microdose Lupron Protocol: 15R/6M/6F, Froze all 6 due to high E2 and P4 FET 1: Jan 22, 2014 of one 4AB blast and one 3BB blast (3 blasts on ice!) BFP on HPT 4dp5dt, Beta #1 9dp5dt: 310, Beta #2 11dp5dt: 899 First u/s on 2/17/14: TWINS!!!!! both w/HBs of 114 at 6w3d, HBs 150 and 152 at 7w5d 5/27/2014: Team purple!!!! EDD 10/10/2014 /
Delivered by c-section at 32w0d 8/15/2014 due to preeclampsia/HELLP syndrome Baby Boy 4lbs 1oz, 17 inches Baby Girl 3lbs 5oz, 16 inches
Congrats! My baby A was 5lb 10oz and B was 7lb. The size difference was not caught during any of my growth scans, even one week prior. I had a fairly uncomplicated vaginal delivery. A's cord was wrapped around his neck but they quickly removed it... I could tell right away that something was "wrong" when I started pushing for B. He was bigger and his shoulder got caught, but they reached up and helped him out. He was bruised but fine. He came just 13 min later.
Congratulations! you are a trooper! and give me hope!
************** Siggy Warning************
Married August 2012 -- Me (40 yrs old) My husband (45 yrs. old)
RE referral from ObGYN in late Jan. 2013 -- Testing Confirms Unexplained IF
IUI #"s1 - 3 (Femara + IUI) April - June 2013 - all BFN
Decided to do IVF...Began stimming on September 10th! Egg Retrieval 9/20/13. 19 eggs: 6 to mature to freeze after 6 fertilized with ICSI
3 morula stage embryos transferred on 9/25/13.....Beta #1 on 10/4/13/ = 7.5 Beta #2 on 10/6/13 = negative
IVF#2 - Lupron plan (set to begin on 10/28/13) (Planning on thawing and fertilizing our 6 eggs with ICSI as well as all of the mature eggs they retrieve with this fresh cycle.)
Late October 2013 - ectopic pregnancy - methotrexate injection....benched 3 months
CD1 - 12/5/13...Lupron set to start on 12/26/13; CD1 - 1/2/14....Baseline 1/3/14....begin follistim tonight and continue with lupron. (Got my calendar today! IVF#2 is a go!)
ER = 1/14/14 (11 eggs....9 were mature. 9 fertilized. Of the 6 mature eggs we thawed, only 4 fertilized. At this time, we have 13 eggs fertilized and growing. Waiting for news about a 3-day or 5-day transfer.)
ET = 1/19/14 (5dt).....3 blastocysts transferred! (All nine embryos didn't make it to freeze. =( )
Congrats on your new bundles of joy! Thank you for sharing gives us future MoMs hope.
Me: 37 DH: 41 Dx: Endometriosis TTC May 2012 Jan 2014 IUI#1: BFN Feb 2014 IUI #2: BFP Beta #1: 403 First u/s: 3/14 It is TWINS!! EDD: 11/12/2014 ~ Boys x2 ~~ All welcomed ~~
Congrats! My baby B was much larger and I had a vaginal birth too! Baby A was 5lbs with a tiny head (~20th percentile) and Baby B was 6lbs 9oz with a large head (90th percentile). They were 1 hour apart and all was good!
Wedding Fall 2007
Off OCP's since 9/08-started with BBT charts
Saw Ob/gyn May 2009
Blood work normal except single copy of MTHFR
Clomid 50mg May 2009
Clomid 50mg + IUI June 2009
Femara 5mg + IUI July 2009
Normal HSG July 2009
Femara 5mg + ovidrel+IUI August 2009
Femara 5mg +ovidrel + IUI September 2009
November 2009-normal lap
December 2009-met with RE
December/January-Injectible med cycle with IUI-Abnormal sperm morpology found-only 0-1% normal All Head defects.
Jan/Feb 2010 1st IVF with ICSI-5 week chemical pregnancy
Feb 2010-male infertility doc says DH's anatomy and blood work are normal so nothing he can do.
FET July 2010-BFP! Twin m/c @ 5.5 wks
Dec/Jan 2011 IVF #2 Only 4 eggs retrieved-Ganirelix dose messed up BFFN
Feb/March 2011 IVF #3 ER 3/9 9 eggs, 7 fertilized, ET 3/14, No frosties. BFN
IVF #4 ER 8/22 9R,7F ET 8/25-3 embies, 1 frostie! Beta 9/2= 54, 9/6=274, 9/8=625, 9/12=2953, 9/16 greater than 10,000. B/G TWINS born April 2012 @ 36wks & 1 day!
July 2014-going back for the frozen embryo! ET 7/28, heartbeat seen at 6wks1day with SCH. Miscarriage confirmed at 6wks4days
Re: Di/Di Twin Birth Story (37 weeks)
BFP#1: 11/20/11, EDD 7/25/12, Emily Iris arrived 7/29/12 at 7 lb., 3.5 oz.
BFP#2: 8/25/13, EDD 5/4/14, MMC confirmed on 9/23/13, D&C on 9/26/13
BFP#3: 2/3/14, EDD 10/15/14, fraternal TWINS confirmed 2/21/14, two BOYS confirmed on 4/15/14!
Me: 32, DH: 34 / TTC since February 2011 / SA: all normal, HSG: all clear! / on Lovenox for anticardiolipid antibodies
4 IUIs with Clomid, Letrozole, and Menopur. All BFN.
9/12: lap / hysteroscopy: found and removed mild endometriosis, cervical polyp, and 2 para-tubular cysts
5/13 IVF #1: Follistim, Menopur, Ganirelix, 10R/4M/4F, ET of 2, 5 cell and 4 cell, no frosties = BFN
12/13 IVF #2 = November / December 2013. Microdose Lupron Protocol: 15R/6M/6F, Froze all 6 due to high E2 and P4
FET 1: Jan 22, 2014 of one 4AB blast and one 3BB blast (3 blasts on ice!)
BFP on HPT 4dp5dt, Beta #1 9dp5dt: 310, Beta #2 11dp5dt: 899
First u/s on 2/17/14: TWINS!!!!! both w/HBs of 114 at 6w3d, HBs 150 and 152 at 7w5d
5/27/2014: Team purple!!!! EDD 10/10/2014 /
Baby Boy 4lbs 1oz, 17 inches
Baby Girl 3lbs 5oz, 16 inches
N14 Nov. Siggy: CELEBRATION!
Names and pics???
I will try to get a good pic for our first outside HDBD
************** Siggy Warning************
Married August 2012 -- Me (40 yrs old) My husband (45 yrs. old)
RE referral from ObGYN in late Jan. 2013 -- Testing Confirms Unexplained IF
IUI #"s1 - 3 (Femara + IUI) April - June 2013 - all BFN
Decided to do IVF... Began stimming on September 10th! Egg Retrieval 9/20/13. 19 eggs: 6 to mature to freeze after 6 fertilized with ICSI
3 morula stage embryos transferred on 9/25/13.....Beta #1 on 10/4/13/ = 7.5 Beta #2 on 10/6/13 = negative
IVF#2 - Lupron plan (set to begin on 10/28/13) (Planning on thawing and fertilizing our 6 eggs with ICSI as well as all of the mature eggs they retrieve with this fresh cycle.)
Late October 2013 - ectopic pregnancy - methotrexate injection....benched 3 months
CD1 - 12/5/13...Lupron set to start on 12/26/13; CD1 - 1/2/14....Baseline 1/3/14....begin follistim tonight and continue with lupron. (Got my calendar today! IVF#2 is a go!)
ER = 1/14/14 (11 eggs....9 were mature. 9 fertilized. Of the 6 mature eggs we thawed, only 4 fertilized. At this time, we have 13 eggs fertilized and growing. Waiting for news about a 3-day or 5-day transfer.)
ET = 1/19/14 (5dt).....3 blastocysts transferred! (All nine embryos didn't make it to freeze. =( )
Beta #1 = 1/28/14 (2 weeks after ER) BFP! 209 (9dp5dt) EDD 10/7/14
Beta #2 - 1/30/14 (11 dp5dt) 302
Beta #3 - 2/3/14 (15 dp5dt) 1222
Ultrasound set for 2/17/14......TWINS! Twin A - HR 124 bpm; Twin B - HR 126 bpm
Final Ultrasound with RE 3/10/14 - Twin A - HR 176 bpm; Twin B - HR 177 bpm.
PAIF/SAIF Welcome!
Dx: Endometriosis
TTC May 2012
Jan 2014 IUI#1: BFN
Feb 2014 IUI #2: BFP
Beta #1: 403
First u/s: 3/14 It is TWINS!!
EDD: 11/12/2014 ~ Boys x2
~~ All welcomed ~~
Congrats! My baby B was much larger and I had a vaginal birth too! Baby A was 5lbs with a tiny head (~20th percentile) and Baby B was 6lbs 9oz with a large head (90th percentile). They were 1 hour apart and all was good!
Wedding Fall 2007 Off OCP's since 9/08-started with BBT charts Saw Ob/gyn May 2009 Blood work normal except single copy of MTHFR Clomid 50mg May 2009 Clomid 50mg + IUI June 2009 Femara 5mg + IUI July 2009 Normal HSG July 2009 Femara 5mg + ovidrel+IUI August 2009 Femara 5mg +ovidrel + IUI September 2009 November 2009-normal lap December 2009-met with RE December/January-Injectible med cycle with IUI-Abnormal sperm morpology found-only 0-1% normal All Head defects. Jan/Feb 2010 1st IVF with ICSI-5 week chemical pregnancy Feb 2010-male infertility doc says DH's anatomy and blood work are normal so nothing he can do. FET July 2010-BFP! Twin m/c @ 5.5 wks Dec/Jan 2011 IVF #2 Only 4 eggs retrieved-Ganirelix dose messed up BFFN Feb/March 2011 IVF #3 ER 3/9 9 eggs, 7 fertilized, ET 3/14, No frosties. BFN IVF #4 ER 8/22 9R,7F ET 8/25-3 embies, 1 frostie! Beta 9/2= 54, 9/6=274, 9/8=625, 9/12=2953, 9/16 greater than 10,000. B/G TWINS born April 2012 @ 36wks & 1 day! July 2014-going back for the frozen embryo! ET 7/28, heartbeat seen at 6wks1day with SCH. Miscarriage confirmed at 6wks4days