Multiples

S/o vaginal delivery

How exactly does the delivery work?  Do you deliver A, then A's placenta, and then B and B's placenta?  Or do the babies come out first and both placentas after the fact?  I know everyone is different, but how long did you labor and/or push in between delivering the babies?  Was there long enough in between that you saw or held A first, or did you not really hold either until they were both here?  Anything else that would be different than a standard singleton delivery?  I have had a c-section and a VBAC, so I'm familiar with both, but adding a second baby just makes it kind of a mystery again.
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Re: S/o vaginal delivery

  • For me, it was Baby A, then Baby B, then both placentas.

    It turned out my placentas had fused but we didn't know that till afterward so I think it would've been the same either way.

    fraternal twin boys born january 2009
  • Oh and sorry, didn't answer your other questions:

    I asked them to put Baby A on my chest right away. They did, DH cut the cord, and the OB did a u/s to determine B's position. He discovered B had flipped to breech (he'd done that a lot during the third tri; always flipping back and forth) even though he was vertex at the start, so he reached in and did a breech extraction. They were 7 minutes apart and I held Baby A on my chest that whole time, then Baby B right away too. 

    I think the other major thing that tends to be different from singleton deliveries is that a lot of hospitals and OBs require twin moms to deliver in the OR just in case. I asked mine about delivering in the LDR room and he was fine with that but he did have an OR team prepped and ready to go, waiting out in the hallway just in case. (There was an OR right down the hall.)  There are also more people in the room since they have several people on hand for each baby. Other than that, I've never had a singleton so I can't compare too well. :)


    fraternal twin boys born january 2009
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  • I can only tell you how mine worked I don't know if it's typical or not.

    I was taken to the ER at ten centimeters to start pushing. Frankly, I have no idea how long I pushed with baby A, but it wasn't long. They held him up and he was immediately taken by the NICU team I was 37 weeks and NICU was there just in case. I had both my Mom and my husband with me, so my Mom went with baby A to the little room where they work on babies. Baby B was having serious decels and was in distress. He was also positioned hands first trying to enter the world Superman style. The doctor reached into my uterus and pulled him down. He was born in one push only five minutes after his brother. Again they held him up then took him to the second NICU team. DH went with Baby B.

    A few minutes later my mom and husband came over holding the babies, who were 100 fine. I know that some people would be upset at not being the first to hold their babies, but the beautiful image of my mom and my husband handing the boys to me is one I'll never forget.

    So like I said, probably not typical but that's one way it can go.

    The boys only had one placenta, and that came out last.
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  • imageMuseumMaven:
    I can only tell you how mine worked I don't know if it's typical or not. I was taken to the ER at ten centimeters to start pushing. Frankly, I have no idea how long I pushed with baby A, but it wasn't long. They held him up and he was immediately taken by the NICU team I was 37 weeks and NICU was there just in case. I had both my Mom and my husband with me, so my Mom went with baby A to the little room where they work on babies. Baby B was having serious decels and was in distress. He was also positioned hands first trying to enter the world Superman style. The doctor reached into my uterus and pulled him down. He was born in one push only five minutes after his brother. Again they held him up then took him to the second NICU team. DH went with Baby B. A few minutes later my mom and husband came over holding the babies, who were 100 fine. I know that some people would be upset at not being the first to hold their babies, but the beautiful image of my mom and my husband handing the boys to me is one I'll never forget. So like I said, probably not typical but that's one way it can go. The boys only had one placenta, and that came out last.

    your story made me tear up!! 

  • I delivered Baby A and she was taken to an isolette and evaluated.  My husband went to be with her (still within the OR just on the other side of the room).  I pushed for an additional 38 mins before Baby B was born.  The placentas were delivered after and it turns out they had fused.  I had had an episiotomy and while they were stitching me they put baby a on my chest.  Unfortunately there was no one there that offered to help get her latched so I didnt get to nurse her right away.  I was taken back to my L&D room and that is when I got to hold Baby B.  I didn't get to nurse either baby until after that.  I am very disappointed it that.  Make sure your husband knows your wishes and vocalizes for you because you may be too distracted. 

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  • cadencaden member
    My timeline went like this: ~10 min of pushing and A is delivered. Held A for a bit while they cleaned him. Then they took A to his isolette where they do whatever tests they do on newborns. After they took A the Dr broke B's water. 2 minutes later B was born. Held B while they cleaned him, then he was taken to his isolette. Then both placentas were delivered at the same time. Then they brought both back to me.
  • Mine shared a placenta, so it was Baby A, Baby B, then placenta... My boys were born exactly 5 minutes apart, they let me rest after Ben and then Alex took about 2 pushes.

    I didn't get to really hold Ben when he first came out, but I got to see him and DH cut the cord. I did get to hold Alex as soon as he came out, and then they brought Ben back to us while I was delivering the placenta and such.

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  • So amazing hearing all of your experiences! I'm inspired. : I really hope I can deliver my twins vaginally. Time will tell!
  • I had my first baby and then my body was all like "welp, we're done" and my cervix started to close.  My OB had to quickly break the water for baby B and give me pitocin to start my contractions back up.  It all worked out in the end, but it was odd and he said he's very rarely seen that happen in over 25 years of delivering  babies.  After I delivered the 2nd baby the placenta came (the 2 had fused into 1).

    I held baby A immediately after birth, but only very briefly.  I know I held my daughter after she was born only because my mom and husband tell me I did.  I have no memory of it.  I sort of blacked out from all of the pain (no drugs).  Also, I delivered in a regular room and not an OR.  My doc didn't see a need to have me go into the OR.

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  • My first set was c section so the latest twins were VBAC. I started in the OR but my doctor was bored so he switched me back to L&D. I pushed for four hours but A was having heart problems so they vacuumed B out and gave me him for a few minutes. Then they went way in there and vacuumed poor A. He had unexpected IUGR and was treated for hypoglycemia immediately. Several hours later he went to NICU for a few weeks but I did get to hold him first, too. There was more than a pound in weight difference and this took place at 38.5 weeks. The giant fused monster placenta was next, followed by hours of sewing. I couldn't walk or sit up that night so they left the catheter in. But out of four babies, that baby B was the only one I've ever had who escaped the NICU and stayed with me. However, despite three NICU babies I've not had problems with nursing or anything. I'm hoping for the most normal delivery ever this time.
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