Multiples

If you delivered twins vaginally...

What was your experience with baby B?  Did he or she flip after A came out?  Were they breech to begin with?  Did your doctor have to go in a manipulate B into a better position?  What was your experience like?
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Re: If you delivered twins vaginally...

  • Baby B was transverse during labor. After A was delivered, my doctor pretty much threw her at a nurse and instantly turned his attention to Baby B. There were two other doctors in the room, one running the ultrasound and one to assist with external version. Baby B tried to settle into a breech position, but my OB used internal version while the other doctor pushed on the outside of my stomach, and they turned him vertex. There were only 16 minutes between Baby A's and Baby B's birth times, so it all happened very quickly. I had a great experience, albeit a whirlwind experience, and I'm so glad I attempted a vaginal delivery!
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  • Both my babies were heads down before going into labor.  After delivering my DS they kept a close eye on DD through the ultrasound machine to see if she was going to flip & to see when she was planning on moving down towards the birth canal, she never turned and continued heads down, making delivery very easy for me.  However, she did wait for 25 minutes after my DS was born to make her appearance, go figure. 
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  • imageJenLC99:
    Baby B was transverse during labor.  After A was delivered, my doctor pretty much threw her at a nurse and instantly turned his attention to Baby B.  There were two other doctors in the room, one running the ultrasound and one to assist with external version.  Baby B tried to settle into a breech position, but my OB used internal version while the other doctor pushed on the outside of my stomach, and they turned him vertex.  There were only 16 minutes between Baby A's and Baby B's birth times, so it all happened very quickly.  I had a great experience, albeit a whirlwind experience, and I'm so glad I attempted a vaginal delivery!

    Did you have an epidural?  I'm starting to get freaked out at the prospect of a doctor sticking his arm up in me.  

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  • imagejennyfur211:
    Both my babies were heads down before going into labor.  After delivering my DS they kept a close eye on DD through the ultrasound machine to see if she was going to flip & to see when she was planning on moving down towards the birth canal, she never turned and continued heads down, making delivery very easy for me.  However, she did wait for 25 minutes after my DS was born to make her appearance, go figure. 

    While you waited, did you have more contractions?  Or did you just "hang out" and wait?  Epidural? 

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  • Both my girls were head down going in.  After baby A was delivered, B flipped.  My doctor manipulated her internally until she was head down and we delivered her 17 minutes later.  I had an epidural (and am SO glad I did).  Honestly, I don't know if I had more contractions because of the epi.

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  • My twin B was frank breech and didn't turn with manual inversion. I ended up with a breech extraction of him and I had an epi. My ob told me beforehand that it would be wise to plan for one, not only because a breech extraction is painful but if they ended up doing a Cs I wouldn't have to be given general anesthesia. I had a great experience and there were 15 minutes between their births.
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  • After his brother was born, my baby B went wild: flipping and winding up transverse. My doctor said "we will give him a bit to get it together" and he did go head down and was born 9 min. after baby A.
  • Both of mine were head down going into labor.  After baby A was born, a nurse kept some pressure on my belly so baby B didn't flip while they got baby A cleaned up.  They let me rest a bit, broke her water, and B was born 16 min later.  When I got to the hospital, about 8 different nurses, including 2 on the anesthesia team, told me to get the epidural early, so that if something happened and I did have to have a c-section, that I wouldn't have to be put under general anesthesia, which I didn't want.
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  • Both babies were head-down when my induction started. It lasted about 12 hrs, including 3 hrs of pushing to get Baby A out. After he was out, the OB did a u/s and discovered B had flipped to breech (he had flipped back and forth a LOT in the third tri). I'm not sure if that happened during labor at some point or immediately after A came out. One of the reasons I had switched to this OB was because he was experienced in breech extractions (since B kept flipping, we were prepared for this possibility) so he reached in, broke Baby B's water, and pulled him out (breech extraction). It went pretty smoothly--probably thanks in part to my epidural and the OB's experience with breech extractions!--and B was born 7 minutes after his brother.
    fraternal twin boys born january 2009
  • This was a great question!  Thank you and thank you moms who answered.  I actually asked DH if he thought I should go for the epi straight out instead of waiting like I did with DD. 
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  • baby B was transverse, and he was delivered via breech extraction.  No epi, it was painful, but not anymore painful than pushing out his brother.  Luckily my Dr. was a small woman with thin arms :)
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  • imageKayJayDee:

    imageJenLC99:
    Baby B was transverse during labor.  After A was delivered, my doctor pretty much threw her at a nurse and instantly turned his attention to Baby B. There were two other doctors in the room, one running the ultrasound and one to assist with external version. Baby B tried to settle into a breech position, but my OB used internal version while the other doctor pushed on the outside of my stomach, and they turned him vertex. There were only 16 minutes between Baby A's and Baby B's birth times, so it all happened very quickly. I had a great experience, albeit a whirlwind experience, and I'm so glad I attempted a vaginal delivery!

    Did you have an epidural?  I'm starting to get freaked out at the prospect of a doctor sticking his arm up in me.  

    I did not have an epidural, no pain meds of any kind. My doctor assured me that if we needed to do a c-section there would be time to put in a spinal, and he said even if I had an epidural that in the case of a true emergency I would still be put under general anesthesia. The pain of the version was intense, but no more intense than natural labor. 

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  • Mine were both head down when I went into labor. Once A was born, my OB went in to feel out the positioning of Baby B. They also did an u/s to confirm that. He stayed head down the whole 3 hours until I delivered him. I did have an epidural.
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  • Well, my goodness. I'll be having a RCS, but this was terribly educational! I had no idea they could flip babies around that fast!
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  • imageLadynikon:
    This was a great question!  Thank you and thank you moms who answered.  I actually asked DH if he thought I should go for the epi straight out instead of waiting like I did with DD. 

    I waited till I was about 7cm to get the epi, so I could walk around and be in different positions.

    Also, I should have mentioned this in my previous post but breech extraction is actually safer than a manual version (if the practitioner is experienced) so that might be something to consider:

    https://rootbeertwins.blogspot.com/2010/04/what-if-baby-b-is-breech.html

    fraternal twin boys born january 2009
  • My Baby B was breech. My dr told me early on that he would do a breech extraction for Baby B if she didn't flip on her own and he wasn't able to flip her. My little Fiona came out feet first. It was only for seconds but her head did get stuck. It was a very intense moment right before she was born. But she was and is perfectly fine. 
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  • B was head down but when A came out B turned sunny side up.  OUCH!!!!  I ended up needing a vacuum assist with B.
  • imageKayJayDee:

    imagejennyfur211:
    Both my babies were heads down before going into labor.  After delivering my DS they kept a close eye on DD through the ultrasound machine to see if she was going to flip & to see when she was planning on moving down towards the birth canal, she never turned and continued heads down, making delivery very easy for me.  However, she did wait for 25 minutes after my DS was born to make her appearance, go figure. 

    While you waited, did you have more contractions?  Or did you just "hang out" and wait?  Epidural? 

    Baby A was born at 9:44pm and Baby B was born at 12:02am. In that time we waited for contractions to start again. They monitored baby b with ultrasound. He remained head down but took his sweet time! We just hung out and waited. The doctors and nurses just chatted like it was any old day at work while I laid on the table in the OR on full display. I have my full birth story on my blog...LIS. A few posts back. 

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    Boy/girl twins born at 37w1d and 37w2d

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  • imageJDe'Nae:
    After his brother was born, my baby B went wild: flipping and winding up transverse. My doctor said "we will give him a bit to get it together" and he did go head down and was born 9 min. after baby A.

    I giggled a little bit at this. I keep thinking that when baby A comes out, B is going to be thinking "Woah, where did all this room come from?" and then kind of starfish inside my ute lol.

                              

  • Both babies started out head down.  Baby B was having some trouble handling the contractions, so the doctor reached in and pulled him down after A was born.  He was also trying to come out hands first, so the doctor pushed his hands back (earning him the nickname "Superman).  He was born in the next push, 5 minutes after his brother.

    This sounds awful, but I didn't feel it at all and had no idea the doctor had pulled him down until she told me.

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  • My baby b was funny, she was breech 2 days before I delivered but was transverse the day I delivered, like she was linning up. But she ended up being a breech extraction bc once a was delivered she flipped. They tried to turn her but she wasn't having it. I had an epidural and they gave me a bolus of fentanyl after a was delivered so the turning procedure wasn't painful. I get that some people want a med free birth but I couldn't have asked for a better delivery. I actually giggled through the pushing. It wore off in an hour and I had a very speedy recovery. I wouldn't have changed a thing and if I ever have another delivery I'll definetly be signing up for that epi again.
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  • I did continue to have contractions but I had an epidural so I couldn't necessarily feel them but the monitor would tell the drs. when I was having them & they would tell me to push or sometimes I would feel the urge to push on my own.  As for what I did in the 25 between DS and DD, I just laid there on the bed with my feet all up in the stir-ups while the drs., nurses, and my DH conversated about everything under the sun....I know how crazy that sounds but at one point they were all joking around and what not...it made laying there much less uncomfortable and time went by quickly.  I didn't even realize 25 mins. went by until they announced her time of birth.

    The epidural, to me, was the best thing EVER!!!! I have had one now with all 3 births (DS, twins, DS), which were all vaginal and each time I made sure to get it in enough time.  A word to the wise, if you plan on getting one don't wait til you really can't handle the pain b/c you don't know how dilated you are.  My sister waited til she couldn't handle it any more and by then it was too late b/c she was 9cm and had no idea, she gave birth without drugs & she wasn't thrilled since her first son was with an epidural and the pain is completely different without an epidural.

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  • Baby A came out with a vengence. There is supposed to be a slight pause before the baby starts making their way out of the birth canal after 10 cm, but hhe just came, which dropped his heart rate. They had to push him back in, which caused him to wait a while, then he came, still pretty fast. But as soon as Baby A was out, Baby B took up all the room! He decided to take his time, about 35 minutes to finally begin to make his way out of there! Overall my experience was fine, but the sudden drop in heart rate was very scary, I was glad I did vaginal.
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  • Hi all, just getting back on after my crazy birth experience. As you may know I had a very unconventional birth on the side of the highway haha. At 36 weeks baby b had flipped head down but I'm not sure what he was before birth at 37 weeks. Obviously I had no epi and was literally holding baby A in while I waited for emt to arrive. So legs closed not at all in a birthing position.  Baby A still managed to get out when they asked me to move out of the car. I was holding his head as I moved to the stretcher. I had about 2 or 3 more contraction after he was born and then was ready to deliver baby B. The ambulance pulled over and this time I had enough sense to open my legs haha. I barely felt baby B come out but he was smaller by a pound. After I asked if he was head down and the emt was like yes- which I should have known because I remember pushing his head out and then the rest of him. 

    So I had a vaginal unmediacated birth with zero dr intervention. It's not something I would recommend but I wonder how different it would have been if I was in the hospital (epi, sonograms, holding babies in place, etc).  

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  • Interesting reading others' experiences.  Thanks for posting.
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  • my baby b flipped several times.  I went in the hospital one morning and he was flipped into position then all progress stopped and I was sent home.  Several hours later I went back to the hospital (around 1 a.m. the next morning) and he had flipped back breach.  At 4:30 a.m. when my doc came in to do one last ultrasound before taking me back to deliver (because I really wanted vag delivery) he had flipped back into position...so you never know what you will get.

     

    Good luck

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