Multiples

How did you deliver your twins?

Hi ladies,

Just curious, how did you deliver your twins. C-section or vaginally? Did you plan vaginally and have to have a C-section or delivery baby A vaginally and baby B via C-section? Or just straight up plan a C-section. If you delivered vaginally were both babies head down or did baby B get flipped or extracted?

My practice seems to be pushing a C-section no matter what and I'm just curious what others experiences were with this. I delivered DD vaginally and hoped the same for these two, but am not feeling the support. I plan to do what ever is most safe, but I feel frustration that I met with the specialist who seemed very positive about vaginally as long as baby A was head down to then meeting with the dr,'s that don't seem to be on board with it at all...

 

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Re: How did you deliver your twins?

  • My OB is only ok ing a csection too.  I have mono Di twins and they said the risks of vaginal aren't worth it.  A lot of people don't agree w that but I done care what risks there are for me or about not having a vaginal birth I just want the lowest risk possible so I'm just going w it.
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  • I really wanted a vaginal birth. My OB was willing to do a breech extraction of Baby B as long as Baby A was head down.

    By the end, Baby A was breech and Baby B was transverse across the top, so I had a c-section scheduled for 38 weeks.

    At 35 weeks, 4 days Baby A's water broke. I went to L&D where they did an ultrasound to confirm positioning and I was in surgery within an hour. 

    B/G TWINS born at 35wks 
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  • I had c section at 37weeks. Baby a was breech and B transverse. We decided 3 days before to do c section because A wasn't going to flip. If he had we would have tried. I told my doctor to do whatever was safest from the beginning. Whether it was vaginal or c section.
  • Mine aren't here yet, but A has been breech since 20w or so. B has spent the majority of his time breech as well. My two are di/di.

    The following stats/protocols have been shared with me:

    I can attempt vag if A is head down. B positioning is less important bc B can flip after A is out.

    If B falls into position after A is out, no one will rush to get B out as long as everyone is doing okay.

    It all depends on who's on call when I deliver. Some won't do vag regardless, but 2 attendings are always around and chances are, one would let me attempt vag if A is head down.

    No one will let me attempt vag if A Is breech.

    90 of the time if A is born vaginally, B will be as well. Regardless, delivery of all twins is in the OR. An epi is strongly rec but not required.

    I would 100 attempt a vag delivery, but I don't think A will cooperate.
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  • Mine was leary of a vaginal birth. Both my babies were breech so no decision there, it was a csection all the way!
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  • I delivered my mono/di twins vaginally at 34w. They were both head down. No complications.
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  • I delivered my didi twins vaginally, but both babies were vertex.
  • image carrotcake06:
    Mine aren't here yet, but A has been breech since 20w or so. B has spent the majority of his time breech as well. My two are di/di. The following stats/protocols have been shared with me: I can attempt vag if A is head down. B positioning is less important bc B can flip after A is out. If B falls into position after A is out, no one will rush to get B out as long as everyone is doing okay. It all depends on who's on call when I deliver. Some won't do vag regardless, but 2 attendings are always around and chances are, one would let me attempt vag if A is head down. No one will let me attempt vag if A Is breech. 90 of the time if A is born vaginally, B will be as well. Regardless, delivery of all twins is in the OR. An epi is strongly rec but not required. I would 100 attempt a vag delivery, but I don't think A will cooperate.

    This is petty much me. I'm not sure my OB would have been as relaxed about B being "where ever" if A was in position, but since A has NEVER been in position I never once thought I had a chance at vag after 20 weeks.  C-section is scheduled for next Friday and although I'm sure they will check the positions before hand if I go into labor between now and then, A still hasn't flipped so C-section regardless.

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  • I ended up having a csection with my twins. Both babies were breech and then flipped at 34 weeks. I was so happy because I really wanted a vaginal birth. I ended up developing HELLP syndrome and was sent to the hospital as soon as my blood work came back for an emergency csection.
  • image heaven22tw:
    My OB is only ok ing a csection too.  I have mono Di twins and they said the risks of vaginal aren't worth it.  A lot of people don't agree w that but I done care what risks there are for me or about not having a vaginal birth I just want the lowest risk possible so I'm just going w it.

    This was pretty much my situation too. Mono/Di twins. Both flipped a lot, so we just planned on c-section. I was fine either way, just wanted what was safe for everyone.  

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  • 39w vaginal delivery, both were head down.
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  • We're having mono-di twins, who (knock on wood!) are both vertex for the time being.  If A stays vertex, we'll try for vag.  If she flips (unlikely, but not unheard of), ill have a c/s.  I'd prefer vag all things being equal.
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  • I delivered them vaginally.  They were both head down. 
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  • Mono/di twins, both head down, planned c-section that ended up being an emergency c-section at 35w6d.

    I planned on the c-section even though my doctor was supportive of a vaginal birth because I didn't want to worry about the double whammy and there had just been too many issues with the pregnancy as it was, I didn't want to risk anything going wrong.

    TTC since May 2006. After 3 failed Clomid cycles, 2 failed Injectibles/IUIs, 2 failed IVFs and 1 failed FET, we moved on to adoption! 

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  • Vaginally. Both babies were head down at the start of my induction, but B flipped at some point after that and was delivered by breech extraction.
    fraternal twin boys born january 2009
  • I am having mono/di twins and my doctor says that I don't need to think of a c-section as foregone conclusion but that I should prepare myself for the possibility. She said it all has to do with how the babies are positioned and if any additional complications come up. 
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  • My two were head down the whole time. I delivered vaginally.
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  • The dreaded "double whammy" Baby A was delivered vaginally no problem but when he was out Baby B realized he had plenty of room and decided to change position the Dr tried for 15 minutes to get him out & he just wouldn't budge so off i went for a section. It was a very happy & scary time all at once!! 
  • image harti09:

    At 35 weeks, 4 days Baby A's water broke. I went to L&D where they did an ultrasound to confirm positioning and I was in surgery within an hour. 

    Me almost to the letter but mine were slightly earlier. The joys of a multiple pregnancy.

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  • I had a vaginal delivery. Both boys were headdown for the entire second half of the pregnancy. No breech extraction.

    My MFM made the call of vaginal vs. Csection I only saw an MFM. He never indicated that mo/di vaginal delivery was any riskier than di/di.
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  • image southernbride2009:
    The dreaded "double whammy" Baby A was delivered vaginally no problem but when he was out Baby B realized he had plenty of room and decided to change position the Dr tried for 15 minutes to get him out amp; he just wouldn't budge so off i went for a section. It was a very happy amp; scary time all at once!!nbsp;

    I'm a big candidate for this! Baby A is in great head down position but baby B is very high up and very transverse. She's been that way for months. So, scheduled c sec, here I come! I really don't want to try out vag and c sec in the same day..
  • Both babies were breech. I had a scheduled c section at 37wks 5days. If baby A was head down my OB was very supportive of a vaginal delivery.
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  • I delivered baby a vaginally with a planned breech extraction of baby b. After baby a was born baby b flipped to head down. He had his arm up by his face so we waited for almost an hour until he moved it. When he finally did, they broke his water and he had a prolapsed cord. I then had an emergency c section for baby b.
  • C-section. Baby A was breech from pretty early one so we knew I'd have a c-section. 

    I had one scheduled for 38 weeks, but my water broke at 36 weeks and I started having strong contractions.  I was already 5cm dilated by the time I got to the hospital. So it wasn't an emergency c-section, but it was kind of a rushed one.

    People successfully deliver twins vaginally all the time (even my OB did!) So if you want to go that route, I'd push for it. In my experience the Csection was a lot harder than the vaginal delivery. 

    Married 07.07.07. Mom to 3: Ruby 11/08 and Oliver & Austin 12/11
  • I delivered vaginally at 36 weeks, 5 days.   Both babies were head down from 24 weeks on.  Baby B was bigger by a pound and a half.  No induction.  My water just broke on its own and labor progressed without any intervention.

    I hoped all along that I would be able to deliver vaginally.  My doctors were cautiously optimistic and made me aware of possible issues, but they were ultimately supportive and told me throughout my pregnancy that they would at least let me try for a vaginal delivery (barring any unforeseen complication, of course) .  My birth plan had been fingers crossed for vaginal, but ultimately to keep everyone safe. 

    I too got different answers sometimes.  It's hard to know who calls the shots-- the OB or the MFM.  Sometimes I would be led to believe that vaginal wasn't possible because B was so much bigger; then another doctor would tell me it didn't matter.

    Good luck.  I hope that whatever happens, you have a safe and healthy delivery!



  • Both boys were head down and I delivered vaginally at 37w (di/di)
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  • Ivee4Ivee4
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    I was induced at 37 W 1 D and baby A was vertex and baby B was breech. I delivered vaginally with an internal version. I had no tears or complications so I was extremely happy with the birth.
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  • image macchiatto:
    Vaginally. Both babies were head down at the start of my induction, but B flipped at some point after that and was delivered by breech extraction.


    This was the same with me, except that the day before induction B was transverse, but my OB was ok with vaginally as long as A was head down. Getting B out was harder than A, but we were still successful.

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  • Both babies were head down, but I ended up with a double whammy...vaginal and c-section. 

    Honestly speaking, now that I've been through the whole ordeal, I would STILL try for a vaginal birth even if there were risk of vaginal/c-section. The first 2 days were hard, I felt pretty good (just slow moving) at a week after they were born and back to my normal self by 2 weeks. 

    If you just opt for a c-section because you're afraid you'll end up with both, you're signing yourself up for major surgery. If you go for vaginal, you might get them both out (especially if your doctor is comfortable with a breech extraction) and then your recovery will be SO much easier than a c-section.

     If you get both...yeah it sucks, but you recovery quickly and it's all a distant memory.  

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  • I had a vaginal delivery of both. My OB was really encouraging in helping me make this decision. It was hard b/c EVERYONE just assumed I'd have a c-section. They were both head down so we went for it. I delivered A and then they did an u/s to be sure B hadn't flipped. Since she hadn't, we continued and B was born 45min later!

    I'm glad I decided to go for a vaginal birth. I would've been ok with a c-section if it'd been needed but I'm happy that I had the choice to try for a vaginal birth.

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