new research....

Desired11

I went to my regular OB appt. last Friday and the dr. told me that the MFM drs. suggest that anyone with mono/di should be delivered around 35 or 36 weeks.  However, the neonatal drs. do not agree with this new research.  My OB asked what I wanted to do.  I decided to continue with pregnancy as long as I can.  He informed me that if I did not have them by May 1 (38weeks), I would be induced...I agreed with this too. I'm sure it won't be an issue since I was on procardia to stop contractions since March 10.  I also was told to go off the procardia Monday, but plan to wait until Saturday (4/16) due to my daughter's bday being Friday....I don't want her to have to share her special day with her brothers.  Has anyone else heard about this new research or had this difference in dr. opinions?

E&RMommy

My kids are di/di (obviously they're b/g).  While I was pregnant, my MFM and I discussed peritnent literature regarding the optimal lenth of gestation.  The literature he'd been seeing was that all twins would optimally be delivered 36-37 weeks.  The old data shows a morbidity/mortality nadir at 38 weeks for twin gestations.  Our hands were forced when my pre-eclampsia got out of control.  I delivered at 36 0/7 via c-section.  No labor and no vaginal delivery.  It was the perfect storm for my son to have breathing difficulties.  He landed in the NICU for a week. 

Soooo....yes of course MFM and neo will continue to disagree on this.  Neo wants all babies to be delivered at 39 and beyond.  . 

It's a tough decision.  You will have to weigh the risks/benefits of expectant management versus delivery.  As an ob/gyn, I felt insanely guilty for not trying to hold out for a few more days in hopes that it may have prevented my son's NICU admission.  But that's life.  Me being sick = bad for babies.  I did a quick pubmed search for you but could not come up with anything good or new for mono/di delivery timing. 

Desired11

Thanks for that info.  I will be able to hopefully deliver vaginally.  I have no other problems and have had easy deliveries in the past.  If I do make it to May 1, I will be 38 weeks.  I'm hoping to make it at least 37 weeks, but I'm still taking the Procardia which seems to be helping...not sure how much longer though.