Twins and early delivery

KatieBlondie27

I haven't been back to the ob/gyn since my twins came up on the ultrasound at the imaging center (appointment in a week and a half), but I'm just wondering, do the usually push for twins to come early?  Is a c-section usually the way it goes?  I have high blood pressure (not pre-e (yet)) so I was sort of thinking they would do one to avoid a spike during labor.

KozieKim

My OB and Peri said 38 weeks is the norm for twins but didnt think a Csection was always necessary. I was hoping for one for the safety of the twins. As for HB they will manage it as long as they can without it becoming an issue for you or the LOs but it is serious during preg. You will most likely be high risk..with twins and HB and have to see a Perinatologist along with your OB.

LucyRicardo3

My Dr told me last week that he won't let me go past 37 weeks if everything is going well. (Although I had a friend who's twin girls are now 10 yrs old and her dr let her go 40 wks.)

I've never had issues with blood pressure or pre-e. I did have fast labors with my first two pg's and I live an hour from the hospital. But he said it was pretty much how he handles all multiples unless there is some specific reason that they need to wait a little longer.

I asked him about delivery options and I want a V and he said as long as they are in the right position and not in distress he has no issues with that. I'd rather avoid a c/s if the conditions are right because I have other children at home to take care of and I recovered quickly from my first two v deliveries.

Temp6313048411121614

So much depends on the doctor.  My OB likes to get twins out by 38w but will go to 39 if the mom prefers.  Different docs have different requirements for vaginal vs. c-section.  For MY OB, both had to be head down and A had to be larger (A was breech so I had a c/s).  No experience with the blood pressure, mine's always been perfectly normal.

hunt2005

I know my doc does C-Sections between 37-38 weeks. If you want a vaginal they will let you go to 39 if you haven't gone into labor on your own yet. That's all assuming no blood pressure issues, though. If you have any pre-e or other problems he nixes a vaginal delivery and will do a c-sec earlier depending on how bad it gets. All docs are different, though. There are only 2/8 in my practice that will let me attempt vaginal with triplets even if I wanted to, so if I go into labor and neither of them are there, it will be tough to talk the others into it.

SOOO much can change during a multiples pregnancy, though. No matter what plan you make right now it can change 20 times between now and 30 weeks from now. We have to stay flexible (a lot easier to say than do!)

blondek8

My OB didn't want me to go much further than 37-38 weeks. I was induced and had both my guys vaginally at 37w6d. I had an uncomplicated pregnancy.

Kristen61607

I requested a scheduled c/s and my OB does them at 38 weeks with twins. They said they have no problem doing a scheduled one if you're having multiples but it has to be 38 weeks or after. They can't schedule one any time before that (I tried, I wanted mine scheduled the day before I hit 38 weeks and it was a no go). But either way I'd need a c/s because both babies are transverse, I couldn't attempt vaginal even if I wanted to.

ardilla

From the moment we found out we were having twins, my OB said that she fully expected them to arrive by 38 weeks, if not sooner.  That said, I wound up in PTL at 22w1d and on full bedrest from that point on, so we were then expecting preemies and hoping for each day to keep them inside and growing.  At 35w6d, since both babies were breech, my OB scheduled a c/s for 37w0d.  My LOs had other plans though and were born at 36w0d.

SoldiersGreenBean

A c-section is not always required in multiples pregnancies.  Many OBs will allow you to attempt a vaginal delivery if Baby A is head down, although some require them both to be head down.

kafunder

My OB would have let me deliver vaginally as late as 39w if both babies were head down and I was in good health. However, both babies remained breech my entire pregnancy, and I went on bedrest at 22w. Around 28w, when I was on bedrest, my dr. let me schedule my c/s for 38w1d, just so I'd have an end goal in mind. I thought I'd make it that far, but my twins ended up being delivered at 36w4d b/c my BP was rising. It was a c/s.

Mrs. Alice

My OB said I would not go past 38 weeks and to expect delivery closer to 36 weeks.  Her policy for vaginal delivery attempt is only if both babies are head down, if not then I will have a scheduled c/s.  All multiple pregnancies are considered high risk, but not all develop complications.  It sounds like you have pre-existing hypertension?  I'm sure you will be monitored very closely for that.  Congrats on your twins!

Nikollicious2011

I see a perinatologist (high risk OB).  I also have high BP.  My BP without meds is 210/100 about.  My doctor said I wouldn't go beyond 36 weeks.  He said it's 50/50 chance with C-Section vs. vaginal.  High BP does put you at a higher risk for Pre-E but doesn't mean you will have it.  I also have diabetes so that might add to his conclusion of a 36 week delivery. You really should see a high risk OB.  I'm not saying a non-high risk OB would be bad but they just don't have the same experience and knowledge.  Atleast do a consult with one and get their advice.  I picked my doctor based on a doctors referral and because he delivered the first set of live octuplets, so I figured what the heck.

Best wishes!!

browneyedgrl4282

I was told from day of my pregnancy with the twins that I would delivery no later than 38 weeks if I did not go on my own. I was high risk to start with because of a blood clotting disorder. I was scheduled for a c/s at 37 weeks because of the blood clotting disorder and breech postion. My waterbroke a few days before my scheduled c/s!

jboricua

as far as the HPB I couldnt tell you anything about that but as far as the delivery goes it depends on the Dr, my OB wont let me go past 39 weeks and he wont induce before that neither unless a complication arises and both my babies are head down and baby A is bigger than baby B which is what they prefer so, so far it looks like a vaginal is possible in my case

MuseumMaven

I don't have experience with high BP, so I'm afraid I can't comment on that.

My MFM has said that I won't go past 38 weeks - if I don't go into labor by then they'll induce.  I have the option for a scheduled C-section or to attempt V if baby A is head down and bigger.  Both babies have been head down for some time now, so hopefully I can do the V.

I agree with PP, it's important to be flexible.  Things can change quickly with any pregnancy.  Good luck!

Bethany06

My ob said to expect them anywhere from 36-38 weeks.  My ob pushed for a vaginal delivery if A is head down.  I ended up delivering at 34 weeks via c-section due to pre-e.