NST's for di/di twins?

dega9

I just had my 35 week appointment and my Dr. does not want to see me back for 2 weeks (I'll be 37.1).  My c-section is scheduled for 37.6.  I am on bedrest, but it's more precautionary than anything else (no complications other than never ending BH).

I am a little concerned that we are not having NST's at all, though that seems like the normal procedure for twins - even di/di with no complications. 

Does this sound normal to you guys?  Should I be worried and insist on NST's until my c-section? 

 

Kadie331

I'm having di/di twins and have had zero complications this pregnancy, not even morning sickness, and I go twicea week for NST's. I started them at 35 weeks I believe. I would just ask about them.

shaunah816

I had a complication free pregnancy with didi twins and never had an NST. I made it to my scheduled C section at 38 weeks 4 days. By 35 weeks I was having weekly BPPs, weekly OB visits, and growth scans every two weeks.

Ruthie04

I had a few minor complications, so NSTs were a must for me. But, I would have had them weekly from 32 weeks on regardless of any issues. I would request them for my own peace of mind, but that is me.

notallisonmarie22

I had weekly NSTs and weekly BPPs with my di/di twins starting at 34 weeks until I delivered at 37 weeks.

macchiatto

I had di/di twins with no complications. From 31w on they saw me weekly. They did growth scans every other week and a BPP every week--but just the u/s part without the NST part. I never had an NST for some reason. IIRC they said if they had seen anything concerning on the BPP they would've done them.

Are they doing BPPs for you? I'm a little shocked they're not having you come in for 2 weeks when you're that far along with twins.

dega9

The only appointments I have scheduled now are a growth scan at my MFM during weeks 36 and 37 and an OB appointment during week 37 for a regular check 5 days before my c/s.

I'm starting to think that's not good enough.....

 

karebearmccroar

I've been seen more often by my OB since 30 wks because of complications. Even if I had no complications, though, I would have been seen weekly by my OB starting somewhere between 32 and 34 weeks. I started having twice a week NST's at 34 weeks, and that is just standard practice for all twins (I have di/di, mo/di or others may be seen earlier for NSTs).

The NST nurse the other day was telling me how fast she sees things change with MoMs especially- one day there will be tons of fluid, looking great, then no fluid just 3 days later. And there are other issues toward the end like pre-e, etc, and that is why MoMs are monitored so much especially toward the end- things can change rapidly. I would ask for weekly OB appts, but I think the NSTs or BPPs are more important to check on the babies- my OB appts are quick, the other appts would actually detect fluid, heart rate, movement probs, etc. 

dega9

Who does the NST's - your MFM or OB?

karebearmccroar

Some OBs in my area do NSTs. Mine does, but only has one machine, so he can only do singleton babies. My MFM office doesn't do them. I have to go to a special dept in the triage floor of the hospital where they only do NSTs all day long. I think it varies greatly depending on where you are, your OB office, etc. I didn't mean to imply in my earlier post that something would go wrong- it may not for you and I hope not! I just feel reassured to have all of this monitoring at this stage. GL!

dega9

Thanks, everyone!  I'm starting to overthink everything now that I'm getting closer to the end!  Appreciate the information

megs2011

I started getting weekly NSTs at 29 weeks and only got a BPP if the NST didn't look good. I started weekly appts at 32 weeks and Only got 1 growth scan. I think I should have been having weekly BPPs at least. My girls were delivered early (34w4d) because of HELLP syndrome causing Pre-E and IUGR. I often wonder if this would have been caught earlier, if something could have been done to prevent it. I would say, talk to your doctor about at least getting weekly BPPs. I had a complication free di/di twin pregnancy and then all of a sudden things completely went to h3LL within a week.

Ourfamilyof5

So far I've had a complication free di/di pregnancy. I've been seeing my OB every 2 weeks this entire pregnancy and my MFM every 3-4 weeks since 14 weeks (there was a huge size difference during my 1 and 2 tri, but baby B caught up). I started seeing my OB weekly just last week at almost 34 weeks. She has me coming in for weekly BPPs starting next week until my induction day (scheduled for 38w2d). At first she said I should go to the hospital for NSTs, but changed her mind and said it'd probably be easier for me to just come into the office for BPPs so that's what I'm doing. 

kelandspence2012

I had nst's twice a week starting at 32 or 34 weeks for my di/di twins!

kelandspence2012

I forgot to add no complications!

festivus

I have an inherited clotting disorder that made it more likely I could get clots in the cords or placentas. Sadly people with my disorder (Factor V Leiden) are at risk for late term miscarriages and stillbirths. I lived in fear of that happening to me, even though I was doing everything possible to avoid it (blood thinners, aspirin, followed by OB, MFM, and hematologist throughout the pregnancy). Because of my risk, my ob agreed to TWICE weekly NSTs and BPPs from about 30 weeks. I don't know that he thought it was medically necessary. However, he knew it alleviated some of my stress. Because of that, he thought it was worth it.