Questions for MoM's about labor/delivery

tarajayne

Today I am 50% effaced (was at 30% last week), and baby A is at a -3 position (not sure what that means, but she said last week he was -4) so he has dropped a little.  Anyone have a similar situation and how much longer did you make it?

Also, did anyone deliver 1 baby vaginally and 1 C-section?  Although I won't know their position and sizes until my u/s next week, I am already getting nervous about this possibility.  If you had baby B in a position other than head down did you try vaginal and hope he would flip?  What is the recovery like when you do both? 

 

BeccaLandes

my doctor didn't do cervical length checks after 30 weeks, but prior to that i was already mostly effaced- my cervix measured about 1.2-1.6 cm from 22 weeks on.  my ob said that after 30 weeks, length was not important and he only wanted to know about contractions.  i didn't go into labor until i was 36w1d.

i think the ob's will do everything they can to avoid a vaginal+c-section delivery.  if both aren't head-down, you will probably have a c-section (unless your dr does breech deliveries of a smaller baby b, which you would have to ask about).  mine went head-down and stayed there from 20 weeks on, so i had an uneventful vaginal delivery. 

srbmvp

I can't answer about the first question, but will your dr. do a breech extraction on Baby B? Mine will as long as they are close in size (which thankfully mine are so far). He even suggested that should B go into distress, he'd probably just reach in there and grab him, versus going the c-section route.... it's something worth asking your dr. about.

jellolz

srbmvp:

I can't answer about the first question, but will your dr. do a breech extraction on Baby B? Mine will as long as they are close in size (which thankfully mine are so far). He even suggested that should B go into distress, he'd probably just reach in there and grab him, versus going the c-section route.... it's something worth asking your dr. about.

this. my dd was 9lbs+, so my doctor has confidence that as long as baby b isn't transverse when his/her time comes, i can push him/her out. if baby a is anything but vertex then i will have a c/s, but he's willing to do whatever he can to give me a vaginal delivery.

angelfire02

srbmvp:

I can't answer about the first question, but will your dr. do a breech extraction on Baby B? Mine will as long as they are close in size (which thankfully mine are so far). He even suggested that should B go into distress, he'd probably just reach in there and grab him, versus going the c-section route.... it's something worth asking your dr. about.

I haven't delivered yet but this is exactly what my Dr. has told me.  As long as the first baby is head down he would like the second to be feet first so he can just reach up and grab him and pull him out.  My MFM dr is very pro-vaginal if I can deliver without a c-section so this is what we are planning on as long as they are in the correct position.  It might also make a difference if you are having di/di or mono/di twins, my dr. told me that with only one placenta they have to get that second baby out fast, much faster then if there were two placentas. 

cleeksock

My Baby A was head down, he came out with a few pushes.  Baby B was transverse througout my whole pregnancy.  My Dr. did a breech extraction with him, no problem.

You never know what position Baby B will be in once Baby A comes out.  My friend delivered her Baby A and then B, who has been breech, flipped to head down.

macchiatto

I don't remember effacement or stations but I was dilated to "a 2 or 3" for a week or two before my induction. Both boys were head-down when my induction started but B flipped to breech at some point after that and was delivered by breech extraction.

tarajayne

Thank you all for sharing your stories.  At the last u/s (3 weeks ago) A was head down, and B was transverse, and B is the bigger baby.  They haven't said anything about breech extraction, just that once A gets out then they could try to turn baby B.  They are going to talk to me more in detail about all this next week.  If they aren't both head down, it's really my option whether I want to go straight for a C or try vaginally and hope for the best.  I really want to try vaginally but of course however they need to get out safely is fine by me!  They are di/di so that is less worry about the placenta.  I will definitely ask them about the breech extraction, thank you!