So I'm only 8 weeks pregnant but I'm already thinking ahead to the birth of these babies. I had a great natural birth in a hospital with a midwife for my first child and I would love to get as close to that experience as possible with these twins. So, tell me if this is possible. I've already spoken to my midwife and she can be present for the birth but the hospital also requires a doctor with twins. Should I also expect a ton of other people to be present? What about laboring in a tub? How many end up with c-sections?
I'm honestly clueless here and would love to hear twin birth stories. I'm so curious about what's coming.
Re: Questions about natural birth
I will be required to have an epi in *just in case* I need a csection. I've been told it can have a low dose and allow me to feel things still.
Those are my hospital rules. each hospital is different; so for sure talk to the midwife to find out
I had mono/di twins (share a placenta), and delivered them vaginally with no epidural placed. They were both head down. I labored in a regular room until Baby A crowned, and then they wheeled me to the OR across the hallway. During my labor, I chose to stay in bed. They would have allowed me to labor in whatever position I wanted to though. I had two nurses in the room with me. They monitored their heart rates for 25 minutes every hour, and I did have an IV in for dehydration. In the delivery room, I requested no medical students. There were 2 NICU teams (I delivered at 34 weeks) of 6 people each, 2 nurses, 1 anesthesiologist, my MFM and the delivering resident. Oh, and my husband! If you choose to not get an epidural placed, you must be prepared to go under general anesthesia in case of an emergency.
I was lucky to have the delivery I wanted. You should mentally prepare to be OK to do whatever is necessary to get those LOs out safely. There are so many extra variables with twins that we just have no control over!
I took a hospital tour when I was pg and asked all kinds of questions about what a vaginal delivery with twins would be like and that info was really helpful in knowing what to expect.
Since about 20w, baby A was breech. Baby B flipped every couple of weeks, but A was wedged down in there and didnt ever flip. My water broke at 34w and when I was first checked it was discovered that baby A's cord had prolapsed. Once that was found, everything was a blur. Codes were called, I was inundated with what felt like dozens of people, and then when they started to lose Baby A's heart rate, it got even crazier. DH missed their birth bc everything happened so fast.
I didnt get to see them for about 14 hours as I was recovering from the general. I was a hot mess. They ended up spending 13 days in the NICU. But they are doing wonderfully and BFing has been successful so far which is something I really want to work.
Awesome! I'll definitely check that out.
"I'll love you forever,
I'll like you for always.
As long as I'm living,
my baby you'll be."
It's more difficult to have a natural birth with twins, but absolutely possible. You can also get close to that experience, even if you aren't able to be completely med free.
I really wanted a med-free hospital delivery, but that went out the door when my Baby A stayed breech. I had a scheduled C section at 38 weeks 4 days.
If I'd been able to delivery vaginally, I would have had an epidural placed, but asked them to hold off on administering it until/if I requested it. I wanted it there in case it looked like I might need an emergency C, or that they'd need to reach up and try to turn Baby B. Personally, I wasn't willing to take the chance of needing general anesthesia if I needed an emergency C section, but that's totally an individual decision.
From what I've seen, pretty much all hospitals require twin moms to deliver in the OR, just in case of emergencies, but you don't HAVE to get an epidural. They usually encourage you to get one because of the chances of needing to turn a baby (which I would imagine is extraordinarily painful!) or have an emergency section, but they shouldn't require you to do that. My hospital would've let me labor in the tub and use wireless fetal monitors.
I started my prenatal care with a midwife, but was required to go under the care of an OB after we found my twins at 20 weeks. I insisted on continuing to see my midwife, so I alternated care with her and my OB for the rest of my pregnancy. Because I was having twins, my OB delivers with another doctor, and she was OK with having that be my midwife. So I actually got to have both my OB and my midwife there during my C section, which was awesome. My midwife sort of served as my "C section doula" for all intents and purposes. I was comforted by her being there, and knew she'd advocate for me seeing and touching the babies as soon as possible.
So, in a nutshell, it's possible. Check with your hospital about their policies and push for what you want!
Dx: balanced translocation and LPD
TTC since Oct 2011
BPF 02/19/12, EDD 10/31/12, natural m/c 02/28/12 (4w6d)
IVF (BCPs starting 10/30/12, ER 11/18/12, 5dt of 1 beautiful, healthy embryo 11/23/12)
BFP 12/02/12, u/s @ 6w,5d showed 2 HBs! Identical twins!!
Bed rest from 21w-35w due to short cervix, hospital bed rest from 23w-32w due to PTL
Our rainbows were born 07/19/13 (36w, 5d)
"I'll love you forever,
I'll like you for always.
As long as I'm living,
my baby you'll be."