How did you deliver your twins?

andy711

Hi ladies,

Just curious, how did you deliver your twins. C-section or vaginally? Did you plan vaginally and have to have a C-section or delivery baby A vaginally and baby B via C-section? Or just straight up plan a C-section. If you delivered vaginally were both babies head down or did baby B get flipped or extracted?

My practice seems to be pushing a C-section no matter what and I'm just curious what others experiences were with this. I delivered DD vaginally and hoped the same for these two, but am not feeling the support. I plan to do what ever is most safe, but I feel frustration that I met with the specialist who seemed very positive about vaginally as long as baby A was head down to then meeting with the dr,'s that don't seem to be on board with it at all...

 

heaven22tw

My OB is only ok ing a csection too.  I have mono Di twins and they said the risks of vaginal aren't worth it.  A lot of people don't agree w that but I done care what risks there are for me or about not having a vaginal birth I just want the lowest risk possible so I'm just going w it.

mavargo

I had c section at 37weeks. Baby a was breech and B transverse. We decided 3 days before to do c section because A wasn't going to flip. If he had we would have tried. I told my doctor to do whatever was safest from the beginning. Whether it was vaginal or c section.

carrotcake06

Mine aren't here yet, but A has been breech since 20w or so. B has spent the majority of his time breech as well. My two are di/di.

The following stats/protocols have been shared with me:

I can attempt vag if A is head down. B positioning is less important bc B can flip after A is out.

If B falls into position after A is out, no one will rush to get B out as long as everyone is doing okay.

It all depends on who's on call when I deliver. Some won't do vag regardless, but 2 attendings are always around and chances are, one would let me attempt vag if A is head down.

No one will let me attempt vag if A Is breech.

90 of the time if A is born vaginally, B will be as well. Regardless, delivery of all twins is in the OR. An epi is strongly rec but not required.

I would 100 attempt a vag delivery, but I don't think A will cooperate.

wille2b

Mine was leary of a vaginal birth. Both my babies were breech so no decision there, it was a csection all the way!

yinyang124

I delivered my mono/di twins vaginally at 34w. They were both head down. No complications.

Felicity86

I delivered my didi twins vaginally, but both babies were vertex.

Corleyrae

carrotcake06:

Mine aren't here yet, but A has been breech since 20w or so. B has spent the majority of his time breech as well. My two are di/di. The following stats/protocols have been shared with me: I can attempt vag if A is head down. B positioning is less important bc B can flip after A is out. If B falls into position after A is out, no one will rush to get B out as long as everyone is doing okay. It all depends on who's on call when I deliver. Some won't do vag regardless, but 2 attendings are always around and chances are, one would let me attempt vag if A is head down. No one will let me attempt vag if A Is breech. 90 of the time if A is born vaginally, B will be as well. Regardless, delivery of all twins is in the OR. An epi is strongly rec but not required. I would 100 attempt a vag delivery, but I don't think A will cooperate.

This is petty much me. I'm not sure my OB would have been as relaxed about B being "where ever" if A was in position, but since A has NEVER been in position I never once thought I had a chance at vag after 20 weeks.  C-section is scheduled for next Friday and although I'm sure they will check the positions before hand if I go into labor between now and then, A still hasn't flipped so C-section regardless.

HattieDornbush

I ended up having a csection with my twins. Both babies were breech and then flipped at 34 weeks. I was so happy because I really wanted a vaginal birth. I ended up developing HELLP syndrome and was sent to the hospital as soon as my blood work came back for an emergency csection.

brookith

heaven22tw:

My OB is only ok ing a csection too.  I have mono Di twins and they said the risks of vaginal aren't worth it.  A lot of people don't agree w that but I done care what risks there are for me or about not having a vaginal birth I just want the lowest risk possible so I'm just going w it.

This was pretty much my situation too. Mono/Di twins. Both flipped a lot, so we just planned on c-section. I was fine either way, just wanted what was safe for everyone.  

CNYBride05

We're having mono-di twins, who (knock on wood!) are both vertex for the time being.  If A stays vertex, we'll try for vag.  If she flips (unlikely, but not unheard of), ill have a c/s.  I'd prefer vag all things being equal.

LegallyBlonde217

I delivered them vaginally.  They were both head down. 

kgs0505

Mono/di twins, both head down, planned c-section that ended up being an emergency c-section at 35w6d.

I planned on the c-section even though my doctor was supportive of a vaginal birth because I didn't want to worry about the double whammy and there had just been too many issues with the pregnancy as it was, I didn't want to risk anything going wrong.

macchiatto

Vaginally. Both babies were head down at the start of my induction, but B flipped at some point after that and was delivered by breech extraction.

MissMandyD

I am having mono/di twins and my doctor says that I don't need to think of a c-section as foregone conclusion but that I should prepare myself for the possibility. She said it all has to do with how the babies are positioned and if any additional complications come up. 

southernbride2009

The dreaded "double whammy" Baby A was delivered vaginally no problem but when he was out Baby B realized he had plenty of room and decided to change position the Dr tried for 15 minutes to get him out & he just wouldn't budge so off i went for a section. It was a very happy & scary time all at once!! 

Rachel Goldstein

harti09:

At 35 weeks, 4 days Baby A's water broke. I went to L&D where they did an ultrasound to confirm positioning and I was in surgery within an hour. 

Me almost to the letter but mine were slightly earlier. The joys of a multiple pregnancy.

MuseumMaven

I had a vaginal delivery. Both boys were headdown for the entire second half of the pregnancy. No breech extraction.

My MFM made the call of vaginal vs. Csection I only saw an MFM. He never indicated that mo/di vaginal delivery was any riskier than di/di.

ceechie

southernbride2009:

The dreaded "double whammy" Baby A was delivered vaginally no problem but when he was out Baby B realized he had plenty of room and decided to change position the Dr tried for 15 minutes to get him out amp; he just wouldn't budge so off i went for a section. It was a very happy amp; scary time all at once!!nbsp;

I'm a big candidate for this! Baby A is in great head down position but baby B is very high up and very transverse. She's been that way for months. So, scheduled c sec, here I come! I really don't want to try out vag and c sec in the same day..

Dragonfly1226

Both babies were breech. I had a scheduled c section at 37wks 5days. If baby A was head down my OB was very supportive of a vaginal delivery.

kari.sandall

I delivered baby a vaginally with a planned breech extraction of baby b. After baby a was born baby b flipped to head down. He had his arm up by his face so we waited for almost an hour until he moved it. When he finally did, they broke his water and he had a prolapsed cord. I then had an emergency c section for baby b.

hayleydeee

C-section. Baby A was breech from pretty early one so we knew I'd have a c-section. 

I had one scheduled for 38 weeks, but my water broke at 36 weeks and I started having strong contractions.  I was already 5cm dilated by the time I got to the hospital. So it wasn't an emergency c-section, but it was kind of a rushed one.

People successfully deliver twins vaginally all the time (even my OB did!) So if you want to go that route, I'd push for it. In my experience the Csection was a lot harder than the vaginal delivery. 

Rynleigh

Both boys were head down and I delivered vaginally at 37w (di/di)

Ivee4

I was induced at 37 W 1 D and baby A was vertex and baby B was breech. I delivered vaginally with an internal version. I had no tears or complications so I was extremely happy with the birth.

MandaS08

macchiatto:

Vaginally. Both babies were head down at the start of my induction, but B flipped at some point after that and was delivered by breech extraction.

This was the same with me, except that the day before induction B was transverse, but my OB was ok with vaginally as long as A was head down. Getting B out was harder than A, but we were still successful.

Ourfamilyof5

Both babies were head down, but I ended up with a double whammy...vaginal and c-section. 

Honestly speaking, now that I've been through the whole ordeal, I would STILL try for a vaginal birth even if there were risk of vaginal/c-section. The first 2 days were hard, I felt pretty good (just slow moving) at a week after they were born and back to my normal self by 2 weeks. 

If you just opt for a c-section because you're afraid you'll end up with both, you're signing yourself up for major surgery. If you go for vaginal, you might get them both out (especially if your doctor is comfortable with a breech extraction) and then your recovery will be SO much easier than a c-section.

 If you get both...yeah it sucks, but you recovery quickly and it's all a distant memory.  

PurrCrasher

I had an emergency c-section at 36w6d due to placental abruption but would have had a planned c-section two days later regardless due to DD being breech as she was baby A.

Sunglow28

My boys were vertex/vertex. I delivered Baby A, Baby went Breech. One failed breech extraction and placental abruption later - it was an emergency c!

Mrs. Alice

One of my twins had reversal of the blood flow in is umbilical artery which is very dangerous so I had to have an emergency c-section.  We had prepared in advance for it since I was already in the hospital for monitoring.  Vaginal was not an option for me.

bilti

Ok, this thread freaks me out... Granted, I was rather freaked before this too  I'm 33w2d with mo/di girls. Mine have both been head down since week 16 and I get mixed messages for all the doctors.

 Has anyone heard of having A vaginally and then the cervix starts to close, requiring a c/s? 

wntrgrl83

38 week vaginal deliver- Both head down!

andy711

Thank you everyone for so many responses. It really makes you think! I'm going to try and let my mind rest till a later ultrasound to see where they are positioned...even though it sounds like they can flip at any point anyway!!

SkyBee

Vaginal.  A was head first B was breech extraction.

edb2002

My OB required both twins to be head down for a vaginal birth, that said I did everything I could to encourage that (spinningbabies.com). However, as it turned out during my induction bc of my preeclampsia at 36w0d BA wasn't tolerating labor well and we went with a C section. I really wanted a vaginal birth, but I encourage you to keep an open mind and realize that with these twins births, they dictate what happens.

 

Good Luck!

starrkitten89

I had a repeat c/s at 36w3d. I had a c/s with my singleton and was not interested in having a VBAC if they would have allowed it because I was happy with my first c/s.

leapgirl8

C-section at 36w3d. 

Planned to try vaginally, took the class, read the books. Baby B was breech and larger. If Baby B had been smaller or the same size as A, we would have pushed for a vaginal delivery with breech extraction. Doctor was concerned that the size difference would make for a difficult or impossible breech extraction. He said "I will support you if you want to try for a vaginal delivery, but I'm not comfortable with it." Given his level of experience, we took his advice and did a C-section. No regrets - easy recovery w/ no complications, and really did not mourn the loss of the experience of vaginal birth at all, despite all of our intention and preparation. 

MamaHook

My OB was okay with a vaginal delivery but Baby A ended up being breech so I had a planned c section at 38 weeks, 2 days.