Multiples

Decided to go with C-section. Any advice?

I'm currently 32w3 days pregnant with MonoDi twins and are currently on bed rest.  I have been hearing a lot about double wammy (vag and c-section) plus I also want to get my tubes tide.  With all this I told my ob i wanted a c-section.  I'm not sure if this is a right decision.  What do you guys think?

Re: Decided to go with C-section. Any advice?

  • I think if you want to get your tubes tied, it's the right decision. I wouldn't let the double whammy fear be much of a factor though.

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  • I am very early in my pregnancy with di di twins.  My OB had told me that a c-section is safer for babies but not for mom.  Vag delivery is safter for mom but not babies.  That was enough for me to elect a c-section.  I just want the babies to be safe.  Other's may disagree with what I was told though.  I am sure you will get different opinions on this.  I also heard that the double wammy is rare.  If you are really wanting a vag delivery ask if they will do a breach extraction.  Many ladies on this board have had this to avoid the double wammy.
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  • imageVenus04d:
    I think if you want to get your tubes tied, it's the right decision. I wouldn't let the double whammy fear be much of a factor though.

     

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  • If you're getting your tubes tied, I would definitely go c-section.  The chances of the double whammy are so slim, I wouldn't let that be a factor.

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  • My doctor told me the same thing at my appointment this week. I was very much on the fence about delivery options, but he basically told me a C section is much less traumatic for the babies, especially baby b, who may go into distress. I know this is a very controversial topic, and I completely understand both sides of the debate about delivery options for multiples.
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  • If you're planning on getting your tubes tied, then that's a good option. Listen to your gut, but try not to let fear impact things too much. 

    I opted for a section because my Twin B was changing positions so much in the days leading up to delivery, that my OB and I were concerned that she might get tangled in her cord during a vaginal delivery. It was a longer recovery, in fact, I'm still not 100%, but I feel like it was the best decision for me and my girls.

    I just recommend using your bed rest time to do some research and keep an open dialog with you doctor, that way you can make an informed decision that will be the best option for you and your LO's.  

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  • Mono-di is very different than di-di.

    Twin vaginal deilvery for di-di has been shown to be safe.  Mono-di is much debated.

    I would never choose a c-section for a tubal.  There are far too many permanent sterilization options that do not require a large abdominal incision.  But post partum tubal is the most effective form of permanent sterilization with the lowest failure rate.

    Only you and your OB can decide what is safest. 

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  • Had a c/s with my first. I knew we were heading down the c/s road and I really researched it. I got up and walked the halls just as soon as the catheter was out, stayed on top of my meds and stayed at the hospital all 4 days allowed. I think my recovery was amazing! I came home on just tylenol.

     

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  • If your babies are in a good position to be delivered vaginally then you owe it to yourself and them to at least attempt a vaginal delivery.  It is safer for you and for them. Having twins vaginally was NO joke, but I'm so glad I didn't opt for a c/s.  It would've meant a guaranteed longer recovery time for me for no reason at all. 

    Anyway, what you do is your business, but I wouldn't let fear of double whammy influence your decision.  If you feel your doctor is pushing you towards a c/s (not sure if he/she is or not) then I would not feel comfortable with that at all.  A c/s is NOT safer for you and your babies unless there is a clearly defined medical reason warranting it.

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  • If you're unsure about that decision, think about it some more. I was basically backed into a corner and ended up having a c/s, and it still makes me sad.

    I came in to this thread because my advice for anyone having a non-emergency c/s and feeling hesitant about it to ask for a u/s to check the babies' positions. I didn't and it haunts me to think that they both might have finally turned head-down and I just didn't know it.

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