Birthing Question

misskittykt

I just had my OB Appointment this morning, and as far as I'm concerned it went amazing.
During the beginning of my pregnancy I lost 11lbs due to M/S, and as of today I'm +5lbs, which is awesome. If anyone is concerned with this, at my U/S at 28 weeks both babies were weighing just over 2.5 lbs each. So they're doing great.
But here's the interesting part of today's appointment. We were waiting to see how the babies would be positioned at this last ultrasound before determining whether or not he was going to schedule a csection. A is currently Breech and B is Vertex, so I thought forsure that today we were going to be scheduling a date. But my Dr said he isn't the least bit worried and that I'm a tough girl, that he is going to try a vaginal delivery whether A is breech or vertex, so long as it isn't transverse he isn't concerned.

Has anyone else delivered A breech? I know that usually A has to be vertex and it doesn't matter what B is because they can just correct it.

I'm pretty happy he is wanting to try a vaginal delivery because I had surgery 2 years ago to remove a gartner cyst that was 25 cm in diameter, about the size of a volleyball. So I know the pain involved, even though it is a completely different situation. But I just don't want to get my hopes up if this seems a little far-fetched.

leslie13510

Honestly, with all of the extra risks that already come along with the "perfect" twin vaginal delivery situation, I would absolutely NOT risk a vaginal delivery if A is not vertex.  No way in hell, you couldn't pay me to take that kind of chance.  I had the perfect situation.  Both were vertex, Baby A was fully engaged and descending well, Baby B was up high and off to the side out of A's way, and his cord STILL somehow got wedged between her and my pelvic bone (I'm pretty sure she grabbed it on her way out just to be spiteful LOL), and I had to have an emergency section to literally save his life since he was getting no blood flow and his heart rate dropped to almost nothing.  That's a somewhat rare situation, and not meant to scare you, just to show that when there are 2 babies on the playing field, anything can happen even in the best of situations. 

That said, you still have PLENTY of time for baby A to turn.  Mine were doing 360 flips in there up until 35 weeks.  I wouldn't worry about it much at the moment.  

Mrs.Greg

Is your doctor older?  Mine is in his 60s (not old but definitely not a new doctor) and he was willing to do a breech extraction for Baby B and I know a lot of doctors would have scheduled c-section even if Baby A was head down.  As far as doing a breech delivery for Baby A, I'm surprised he would be willing to do that considerng the possible complications.  But I'm not an expert by any means.

misskittykt

Mrs.Greg:

Is your doctor older?  Mine is in his 60s (not old but definitely not a new doctor) and he was willing to do a breech extraction for Baby B and I know a lot of doctors would have scheduled c-section even if Baby A was head down.  As far as doing a breech delivery for Baby A, I'm surprised he would be willing to do that considerng the possible complications.  But I'm not an expert by any means.

 Yes he is an older Dr and has delivered many multiples, that's why I wasn't too taken back when he suggested a vaginal delivery either way. But I didn't think it was that common.

Fancy3Face

I don't think I'd be comfortable with that. 

Mrs_MBed

Fancy3Face:

I don't think I'd be comfortable with that. 

I wouldn't either....  

cookiemonster03

With the exception of my mom, who was born in Germany in 1953, I have never heard of a breech Baby A being delivered vaginally on purpose. Heck, I haven't heard of anyone in our current times delivering a singleton breech on purpose. A breech extraction of B is a little different due to the time/space issues (though I'm not sure I'd do that even, but that's just me)

emma12210

I agree w/ PP's... I've done a lot of research on this b/c my OB is comfortable w/ breech delivery only if baby A is vertex... In all of my research of current literature (I'm a nurse) I did not find anything that mentioned delivering baby A breech. It seems pretty unheard of. Most of the literature promotes breech delivery only if A is vertex and B is breech.

It seems unusual, so ask your OB a lot of questions! Ask how many multiples he has delivered this way (successfully), and when was the last time he did it. I would also consider the type of hospital you're delivering in... could they handle an emergency well? Is it a large hospital that has at least 2 OR's for L&D? Actually, I think you should at least be delivering in the OR for this type of birth, so they can be ready for an emergency c/s. Just b/c a dr/surgeon is comfortable with a certain procedure does not mean the hospital and staff around him/her can handle it.

GL!

E&RMommy

I planned a breech/breech vaginal delivery.  Baby B turned cephalic at 35 1/2 weeks.  Most books do not supports breech/vertex vaginal delivery because of the possiblity of interlocking heads.

In retrospect for the safety of my kids, I am glad I did not attempt a breech/breech vaginal delivery.  If I had a vaginal delivery prior and a proven pelvis, it would be one thing.  These were my first kids, so I had not prior vaginal deliveries.

Only you and your doctor know what is right for you.  I was really bummed to have a c-section.  Everyone thought I was nuts to consider breech/breech delivery.  In the end what mattered is the safe arrival of my kids.

Keep us posted.

amanda31H

I wouldn't do it.

But also- you're only 29 weeks.  My babies turned after 29 weeks, you have some time.

missfire

If your doctor is experienced with breech births, I think it is awesome and would definitely try for a vaginal birth myself. In my state, it's very hard to find a doc who will do breech births because of liability, and most doctors have little experience with them now. But there has been very recent research showing that breech births and c-sections have the same rates of complications for the baby, and vaginal births are much safer for moms. (I'm sorry I don't have the source for this, but I know someone on the Natural Birth board would.)  

I was born breech (34 years ago), when my mom gave birth too fast for a c-section. She told me the room was filled with doctors and interns, because so many of them wanted to see a breech birth. A generation of doctors has had very little exposure to them now, and delivering breech babies is a skill that could easily die out in our country. It's really a shame, and one of the reasons why the U.S. has a higher maternal death rate than most other developed countries. 

My Baby A was breech, and my only options were a c-section or an unlicensed out-of-hospital midwife, which I definitely was not comfortable using with twins.  

crystaleyes39

Mine OB told me that if I deliver before 34 weeks i'll have to have c section reguardless of their positions because the heads are still bigger than the bodies at that point. Also, she told me that she is completely comfortable doing a vaginal delivery w/ B only being breech and B would have to be smaller than A in size.