doctor rules for twin delivery

jmc1110 · February 2014

I just found out my doctor Requires delivery of twins in the OR ...even if its a vaginal delivery. Id like some other doctors rules on this. Im not too thrilled with this idea.

jocie2581 · February 2014

That's normal. My ob was the same way.

Rachiemoo · February 2014

The hospital I delivered at (Columbia Presbyterian in NYC) also had the same rule. It was fine - I ended up with an amazing vaginal delivery. It wasn't any different than my previous delivery in a normal labor and delivery room except that there were a lot more doctors and nurses in the room.

PurpleIris30 · February 2014

I think this is pretty standard - both from my experience and from what I've read on this board.

kdarden15 · February 2014

My doctor does not require it, but I changed doctors for a variety of reasons including this!

JAck5209 · February 2014

My doctor required this too. I ended up with a c-section so I was in the OR anyways.

caden · February 2014

Most of the OBs at my office had that policy too but there was one who didn't and as luck would have it, that's who delivered me. So I got to stay in a L&D room. Is there another doc at your office who would let you stay in a room? I will say that by the time I was ready to push I didn't care where I was. It's the part leading up to it that i would have wanted to be in a L&D room and that's how it would have been regardless of where I delivered.

LegallyBlonde217 · February 2014

That's normal at most hospitals. I was allowed to to push in my L&D room until Baby A was almost out. Then they moved me to the OR for her delivery and all of Baby B's delivery. It really is the best place to be - for you AND your babies. I hemorrhaged after delivering Baby B and was SO glad I was already in the OR with an Anesthesiologist at my head and all of the equipment they needed to save me right there.

Incrediblelife · February 2014

Depends on where you live. Here in Australia you only end up in OR for a csection. Everything else you stay in L&D.

carrotcake06 · February 2014

That's very common.

JennyS86 · February 2014

I agree that I am bummed that I won't have the "quiet and private" delivery in the LDR, but I will have to embrace the party atmosphere that is a twin delivery in the OR - there are so many people in there to celebrate our babies' birthdays! its pretty much the policy at my hospital, unless they come too quickly - prob won't be a problem for me as these are our first kiddos.

LittleLady77 · February 2014

I will be able to labor in a room but when it comes time for the grand finale it will have to be in the OR. It's pretty common.

macchiatto · February 2014

The first practice I was with had that rule. I switched hospitals and practices at 31w for various reasons. The OB I ended up with was fine with me delivering in the L/D/R room as long as the babies and I were doing fine; he had an OR team prepped and ready to go, waiting out in the hallway the whole time so they were prepared just in case. (Fortunately didn't end up needing the quick transfer to the OR.) They gave DH scrubs, we were right down the hall from the OR, and it would've been a very quick transfer had it been necessary.

sasky · February 2014

Interesting. I had no idea about this rule! Another question for my OB.

chickaboo1974 · February 2014

When I asked about this- it was a hospital policy and not the OB's. It was also a policy at my hospital for no breech extractions for baby b. Which I didn't mind their policies since they were the best ranked hospital in this area with specialist from a well known Children's Hospital. It didn't matter anyway since my boys were breech and a c-section was needed.

macchiatto · February 2014

chickaboo1974 said:

When I asked about this- it was a hospital policy and not the OB's. It was also a policy at my hospital for no breech extractions for baby b. Which I didn't mind their policies since they were the best ranked hospital in this area with specialist from a well known Children's Hospital. It didn't matter anyway since my boys were breech and a c-section was needed.

That kind of policy would bother me since C-sections are not shown to improve outcomes in those cases. I guess if they don't try to hire OBs who are experienced in breech extractions it makes sense, but that would have been a turnoff for me even if the hospital was well ranked otherwise. My A was head-down the whole third tri though and for the reasons mentioned in the article MrsLee posted below, I didn't want a C-section if it really wasn't medically necessary. (Though like you, if mine were both breech anyway I would have been fine with it!) I'm sure it's a fantastic hospital otherwise; it just bothers me when hospitals have strict policies that are not evidence-based.

Rynleigh · February 2014

We did a vaginal delivery with both boys head down but the hospital and HMO both had policies requiring all high risk (not just multiples, but any other big risk factor) be performed in the OR for safety and emergencies. Delivering on an OR table isn't the most comfortable thing in the world, but I had a very short delivery - I pushed for about 15min with Simon (A) and James was out exactly 10min after that. We were in that room probably an hour total when you factor in the baths, afterbirth, and APGAR stuff. Honestly I liked being in the OR more than I liked being in the tiny ass recovery room LOL

hootie123 · February 2014

same here - it didn't bother me one bit to deliver in the OR - although I didn't know any different.

southerncharm24 · February 2014

Normal. We are having s csection but regardless we would have been in an OR.

KatieGummow · February 2014

LittleLady77 said:
I will be able to labor in a room but when it comes time for the grand finale it will have to be in the OR. It's pretty common.

This. I can labor in the L&D room but have to deliever in the OR, in case of an emergency C Section, which I am fine with. Better safe than sorry!

JoDoc · February 2014

Same here. Both of my boys were breech so it was 98% chance it would be CS anyway, but they said that even if both were head down, I'd be delivering in the OR, simply because IF baby 1 came out and baby 2 suddenly went into distress, they were able to do an immediate and emergency C-Section without risking the health of baby or I. While it would be good to have delivered naturally and in a quiet LDR, I think of the safety involved with delivering in the OR and it made me feel much better.

BTW, they were still breech when my water broke, so they were C-Section.

kbeach82 · February 2014

I was able to labor in a standard delivery room, but my doctor did require me to deliver in the OR.

Bear in mind that there will likely be A LOT of people involved in your twin delivery. For my delivery, there were 2 NICU teams, the anesthesiologist, 2 nurses for me, my doctor, and a resident. The OR is a better place to accommodate that many bodies.

angie637 · February 2014

I labored in a regular room also but had to deliver in the OR in case of complications.

LegalLadyBug · February 2014

Normal, it's just a precaution. As for the quiet L&D experience...I find that funny lol. With DD I had a vaginal delivery in a normal room but there were still nurses in and out, etc. It probably depends on your hospital and how busy it is when you deliver.

katiebenes · February 2014

that's standard by me. I was upset at first but its better to be there in case twin B goes in to distress.
and honestly... I was more confortable in the OR than in my "comfy peaceful L&D room" because the OR is silenced in my hospital... They don't have the announcements, they don't have code calls... and the walls are thicker. Plus it was cooler in there lol

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