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Ob appt really sucked....can't stop crying.
Just back from OB appt. Everything is looking good, no contractions, no cervical changes.
1) Baby A is still breech and has to turn if I want any chance at vaginal delivery.
2) If I do get a vaginal delivery, both the hospital I will deliver at and my OB require an epidural for twin delivery....so much for all the info from Birthing from Within Class.
3) I start taking steroids in two weeks and fetal fibronectin tests and ultrasounds at every appointment (every two weeks).
4) I can no longer pick up ds and need to arrange for someone to be at our place all while dh is at work so that I can relax more and not do any lifting or chasing of the toddler.
5) Even if nothing is wrong, hospital bed rest will start between 30-34 weeks just to ensure that the babies are well monitored and have the best chance at making it 37 weeks. OMG how will I be without my child for that long? How will he be without me? Will he forget that I'm mama and even know who I am? 
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Re: Ob appt really sucked....can't stop crying.
Mother's Day, 2011
I'm so so sorry.
P.S. Whatever came of your mil thinking she would have your ds for 2 months?
Awwwww, (((hugs)))
It will all work out in the end. He will NOT forget who you are. I'm sure he will be there to visit everyday.
Just think, soon you'll have some new additions to your family and it will make all of this craziness worth it.?
Big, huge, hugs to you. I don't know anything about 1-4, but for 5- I am SURE he will remember you and love you and miss you and come and see you.
Also, try to focus on the "everything looks great" part!
I hate that you had such an appointment too, but this seems a bit extreme, maybe its just your OB? My friend had twins just after 37w and was never on hospital bedrest (she did have an epi but she wanted one so i don't know if she had a choice) I do think she was on modified home rest or something because of PTL fears. Maybe consult with a different OB? If there's a good reason for this stuff and you're comfortable with the reason, that's one thing, but it doesn't sound like you are!
the epi is so that they can perform an emergency c/s if needed. some docs will allow you just to have the catheter placed, but no meds...ask about that.
the rest of it does seem a bit extreme. did you ask for reasons? take a deep breath, make a list of your concerns, and ask for your doc to call and discuss. in the meantime, turn that baby
big hugs coming your way. if i can help, let me know.
(((big hugs))) from me too.
I agree with PPs that those sound like a lot of precautions to take if there are no present medical issues. I'm so glad to hear that your boys are ok, but I know you must be so overwhelmed with all that information. Ditto heading over to the multiples board and see if any of those ladies have any input (or maybe you already have?). At any rate, your little boy will NOT forget you, so try not to worry yourself with that, ok?
Take the help that you can get with him and around the house and try to rest and relax while you can. Life's going to be all kinds of crazy in a few months when they get here, but it will be well worth it
Take care.
I know that they are worried about you have PTL but what they are asking seems very invasive. I hate that they are taking the choice away from you. I HATE it when they do this to patients.
Honey...please consider finding a doula. Even if you get someone who is still in training so that they are willing to do it for next to nothing or nothing at all. I know having a doula made my deliveries so much better.
HUGS
*hugs!*
I don't know how relevant this info is for twins, but does this help? It's still early to panic about breech, right? Hang in there!
Our Thanksgiving Day baby 11/22/07
Pregnant with #2 with LPD, uterine polyp/hysteroscopy, DOR (AMH = 0.17), 2 c/ps
Our early Christmas present 12/9/10
Well...first of all. I'm sorry for all the fear!
That stuff really bugs me.
Secondly, I'm with everyone else. If you aren't having any indications of problems, this all seems super invasive. Maybe check into another doc? Or like Hippy said, getting a doula?
I have to disagree here - in MOST cases for sections they call in the anaesthesiologist to take out the epi and perform a spinal block (different space).
I think, if you have had a completely uncomplicated pregnancy, that this sounds like bullshit and you have every right to cry, feel cheated, be pissed off, and outraged at such measures.
We can all say "I had a friend that...." but the fact remains that women all over this world carry babies (twins) without such intervention and unless there is a clear and present reason for such measures, I think you should seek a second opinion. This OB (if we have all of the info that you've had no complications or predicaments that would lead to such measures) sounds like he's operating on a "I'm scared of lawsuits" front rather than truly concerned with what's best medically.
Does he know that the introduction of an epi ups your risk of sectioning by 60% in most cases? Does he realize that the introduction of an epi results in augmentation (pitocin) 90+% of the time which also leads to fetal distress because of the strong, crazy contractions it causes and the mother can not feel or react to because of the epi? Does he understand that this is a vicious cycle that is not one that is the best route for mom or baby?!
Sorry to rant, this is my hot topic issue. I can't urge you enough to go talk to other OBs - yes, i know that's so much easier said than done mid-pregnancy with a toddler but if you feel as strongly as you're letting on, you REALLY REALLY must. Talk to some midwives, granted, I don't know the laws in your state but some allow midwives to attend twin births. Talk to them about options and about their input.
I wouldn't settle for this if I was in your position. It sounds like bullshit to me.
I'm very sorry you're going through this and would do anything to give you a huge TWIN LOVE hug right now....you deserve to be treated better than this. Your opinons and desires deserve a lot more attention and credit than they're being given. You are wise, your body is wise, you deserve someone who credits your body and your soul and your opinions.
I'm always here to talk - even if you'd like to talk offline on email - my email is my screen name (@) msn dot com
I agree 100% on every single point. My MW does home birth delivery of twins, so its not anywhere near out of the ordinary.
Mama, you DO deserve better!!!!
I don't know if it would help you to read about a positive twin homebirth or not...but if it would let me know and I'll post a link to my doula's twin homebirth.
I know for me it's too hard to read homebirth stories right now...that's why I won't post the link if you aren't ready to read it.
I'm so sorry that you had a bad appointment. ((hugs))
My friend just had her twins a couple of months ago and it was her first pregnancy and she was on modified bed rest at 34 weeks - granted this was her first pregnancy and she didn't have a toddler she was running after. I don't know about the other things but I know she had a c-section because of her bp.
As for your son, he will not forget you!! Don't even think that. You're his mom and even if you can't take care of him like you used to, he will still know you're there for him.
From what I have read, usually if they have to do a truly emergency c/s they will put you under even if you have an epi, bc a normal epi is not strong enough for a c/s, and to turn it up, they have to wait 15ish minutes for it to kick-in.
So if nothing else, I would fight them on that.
Living in B-more you must have other OB options, right? Have you shopped around?
And honestly, you can choose to ignore their bedrest suggestions. You can not show up at the hospital to check in for this hospital bedrest. The whole thing sounds like they want to medically manage you as much as possible and wring as much $$$ as possible out of your insurance (or your pocket).
I'm glad you know the epi is just to physically manipulate the other twin. That's what I was going to say. But just because that might hurt/be uncomfortable/whatever, doesn't mean you HAVE to have it. If he cannot give you a medical reason to go on bedrest, I wouldn't. Please see if you can find another OB, or at least get on the same page with this one.
I'm so sorry you're upset, though. I really hope you can find some peace. It is no fun having to worry about this. ((hugs))
i didn't mean for this to sound like i agreed w/ it...i'm just saying that's the reason obs give.
I'm so sorry sweety, that does suck. Big hugs coming your way
Sorry mama :-( I'm with everyone else that your OB seems to be asking or rather demanding unreasonable things. I don't understand the hospital bedrest if everything is looking good. I wouldn't do it unless I was given a darn good reason. I can certainly see taking it easy at home but the hospital part seems a bit unwarranted.
Any chance you can switch OBs? I know it is late in the game but I switched to a midwife at 35 weeks - best decision I made during my pregnancy. My midwives are hospital based and actually take twin pregnancies - maybe there is someone like that in your area?
Do focus on the positive though - your babies are growing strong!
Breastfeeding Counselor with Breastfeeding USA
Babywearing Guide ** Newborn Carriers
Cloth Diaper Guide
Safe Bed Sharing Info
I don't have a lot to add, but I wanted to say I am sorry your appointment was so bad. It definitely sounds like they are going overboard and I would definitely look in to a second opinion and a doula. It sounds like you really need someone to advocate for you, and there does not seem to be any reason for the interventions and bedrest. I could see if you were having extreme multiples, or if there were already problems in your pregnancy, but twin pregnancy is relatively common and normal.
(((((Hugs)))))
huge hugs.
But know that if you do not want an epi, they CAN NOT force you to have one. It's part of the patient bill of rights. If their only argument is in case of a C/S they can put you under general anesthesia in less than a minute in most cases.
I'd keep fighting!
Does your doctor have actual medical reasons why he is taking all these precautions? If not, I would find a new OB/MFM/peri.
The pp's posters covered the c/s thing but what are his reasons for the steroid shots and hospital bedrest?
Hi! I don't normally post on this board, but someone else thought I might be able to give you some helpful information.
First of all, if you aren't already seeing a perinatologist, I highly recommend that you find one ASAP. It sounds like your OB may not have enough experience with multiples and moms of multiples really do need some extra monitoring.
1) Some OBs will still allow you deliver vaginally if you have one breech twin as long as the first baby to present is the bigger twin. You would certainly run a risk of having a vaginal and a c-section.
2) The epi requirement would be because of the possibility of needing a c-section.
3) I can't see any reason why they would start the FFNs at every appt unless you were having some kind of issues. It isn't a guarantee of PTL and seems very excessive. I never had one. Absent signs of PTL there is no reason why you should get steriod shots.
4) Lifting restrictions are not uncommon. Although it seems a bit early for them if you aren't showing signs of pg issues.
5) I would highly question your OBs experience with multiples and insist on more information as to why they would want to take such dramatic measures. There is no reason at all to be on hospital bed rest at 30 weeks if the babies are doing well and you aren't having PTL or other issues. I made it to 37 weeks and wasn't on bed rest of any kind until my pre-e started getting bad at 36 weeks. Even then I only spent 3 days in the hospital, went home for 2 days and then when in for my c-section.
Please take a deep breath and try to relax. You have a long way to go without having an OB upsetting you like this. I hope this information is helpful to you. If you have any questions, feel free to PM me or page me on the Colorado nest board.
Isabella and Caitlin
Wheee!
Our Blog
Hi!!! I was asked to come over and offer some advice b/c I'm a MoM and a quasi-tree-hugger hippie-at-heart. I will try and make you feel better, I hope I can.
First of all, I can't believe that your OB and hospital won't let you deliver w/o an epi! Is it b/c they want you ready to go in case you need an emergency c-sec on baby B? If you are serious about going au natural, you might want to consider a different hospital. I had an epidural during my triplet delivery, but that's b/c I had to have a c-sec. I wanted to do a VBAC until I learned it was triplets (I labored unmedicated for 53 hours with my oldest, and ended up having a c-sec b/c she was too big - 9lbs, 1oz - and was developing a conehead without even being in the birth canal after all that. Truthfully I think my OB was rushing me too though). At any rate, I had full placenta previa, plus baby A was frank breech and babies B & C were transverse in an X shape, opposite ends of each other. It would have been virtually impossible to get them all into position for a vag birth, kwim? You are still really early - babies tend to turn closer to the end of the pg, so there is still a chance that your baby A will turn, though they might be running out of room. Mine didn't; they were active, flipping and turning until the very end.
I never got steroids. I never got a FFN test. I didn't have a peri or neonatologist, just my OB and midwife. I did have lots of ultrasounds and visits and NSTs and BFPs though.
I worked up until 30 weeks when I went on bedrest due to PTL, and they would have let me work as long as I was comfortable and safe. I was careful and lazy though, so I took it easy as often as possible. I would pick up my DD when I had to, but not often. A lot of the time we'd sit on the couch and snuggle, or she'd get into bed with me and we'd play or read there. There are definatley ways to stay connected and keep them and you happy. My DD was fine, and she remembered who I was, though I think it was weird for her since I was always the one driving her to daycare and bathing her, etc., and now DH was doing it. Maybe she didn't care and it was just weird for me, I don't know. She doesn't care now though. And she's none the wiser. She did continue to go to daycare, jsut b/c I insisted on listening to my body and knew caring for her while on modified bedrest was NOT a good idea.
Just listen to your body, and be creative.
It'll be a hundred times harder after the twins come, so enjoy the alone time with your DS now, and take advantage of the peace and quiet and alone time. It will be short lived. 
I hope this helps! If you want to PM me to talk more, please feel free!!!