induced

sarahvarno

So we had our BPP today and met with the MFM. He told us he would like to induce me next week because of the mono-di twins. I am going to attempt a vaginal delivery. I am wondering if anyone has delivered at 36 weeks and their experience?

 

srbmvp

DS1 wasn't born until 38 weeks, but I was induced and delivered vaginally. Are you planning for an epidural? Pitocin can make your contractions get pretty intense. I would have 5 contractions literally back to back, then about 30 seconds to rest and the next 5 would come. The epidural was my lifesaver, before it I couldn't relax in between contractions long enough for them to be productive. AFter the epidural, I progressed pretty quickly. DS was born 7 hours after my water broke.

So... I guess I'm saying keep the epidural as a tool in your pocket, it really can help! Good luck! I am so hoping I can go vaginal this time around too, it was truly an incredible experience.

ougrad1

34.6 wks via repeat section....Landry was 4.2 lbs and Hudson was 5.9 lbs.  They both spent 14 days in the NICU.   They both had two apnea episodes that they recovered from on their own but, that bought them 10 days each.  Otherwise, they were there for eating, growing and keeping warm.

It sounds like you are good to go...congrats making it this far.  Good job mama! 

islandlife

I was induced at 36 weeks with my twins due to high blood pressure.  I was given pitocin and I didn't experience 1 single painful contraction even after being hooked up for 19 hours.  I ended up with a c-section because I didn't progress.  I figure that my body just wasn't ready for labor at that time.  

Baby A was in the NICU for a week and baby B was there for two weeks.

 Good luck.   

reillyroowho

I am surprised you are having a vaginal delivery. My MFM STRONGLY advises against it due to an increased risk of TTTS during labor. I am scheduling a C-section for that reason. I really don't look forward to it but it sounded like the safest option. You might want to talk to your doc about this.

kelliwill

I delivered at 36 weeks my mono-di twins.  It was a c-section though.  Baby A weighed 5 lbs 2 oz. and Baby B weighed 4 lbs 3 oz.  They were both breathing fine and eating fine but Baby B was in the NICU due to weight.  They both also ended up with jaundice and had to be under the lights.  Baby A was in our room with us though.  I had them on a Monday and left the hospital on Friday with Baby A.  We picked up Baby B from the hospital the next morning.  GL to you and your babies!

Jen0204

reillyroowho:

I am surprised you are having a vaginal delivery. My MFM STRONGLY advises against it due to an increased risk of TTTS during labor. I am scheduling a C-section for that reason. I really don't look forward to it but it sounded like the safest option. You might want to talk to your doc about this.

I've never heard of any doctors worrying about TTTS during labor. From my understanding, that's when one twins grows much faster then the other because they're "stealing" the nutrients, so how could that happen in the span of a few short hours/days while labor occurs? I only get an u/s every two weeks to monitor for TTTS, so if it could all of the sudden pop up during labor to the point of being a risk to the babies lives, wouldn't they do ultrasounds more frequently? This just makes no sense to me.

OP, I'm sure you've had many doctors appointments and conversations about your delivery. If you want to deliver vaginally, more power to you. I wish I could, but both are breech. If there are any complications at all during your delivery the doctors are well trained to do what's necessary, which is also why most hospitals require even multiples vaginal births to be done in the OR. 

Good luck! 

reillyroowho

I just copied this off the FAQs on the TTTS Foundation page. Definitely talk to your doctor about this risk. I know someone that had no symptoms of TTTS through the entire pregnancy but her babies started to transfuse during labor and they had to do an emergency C-section. Her babies were fine but one needed NICU time and a blood transfusion 2. What are Acute and Chronic TTTS?Acute TTTS is a transfusion that happens quickly, typically after 30 weeks of pregnancy without much warning. It can also happen during labor in a vaginal birth, or after the cord of one baby has been clamped.