I was put on modified bedrest/procardia for irritable uterus /shortening cervix at 28 weeks. BR was successful as my cervix lengthened over the next few weeks. However there was some concern about a growth discordance with baby A measuring smaller.
Fast forward to 35 weeks where I am taken off br/procardia. At 36 weeks, mfm asks me not to go past 38 weeks because baby A's belly is only measuring 5th percentile. My cervix was already a 2-3 cm with 60% effacement, so OB suggests an amniotomy inducement at 37w4d.
The day before my inducement, I start having contractions at 3 am. They didn't really get into a good pattern, but OB wanted me to come in earlier since it was twins and my labor w/ DD was only 10 hours.
We were checked in triage at 6am and I was already a 6. U/s showed both babies were still head down (baby A since 28 weeks, B since 35 weeks). The OB was pumped for me to have a vaginal delivery (and was even willing to do a breech extraction with B before she flipped), but she did ask me to get an epidural in case of an emergency c-section (my last birth was med-free).
At 7 I got my epidural. I was already at 8-9 cm, so they wheeled me into the OR (just as a precaution). I was not feeling contractions/pressure/urge to push, so I had to rely on the nurses/OB watching the cx monitor. I was still able to push very effectively, remembering the technique from DD's birth.
Baby A was born at 7:53 am and Baby B followed at 7:57 am. She had the cord wrapped once around her neck, but pushing with an epidural was actually more controlled for me, so I had no problem stopping to allow for its removal. I also only required 2 stitches compared to the nasty labia tear from DD's birth.
I wanted to write my birth story to give hope to others who are dealing with a size discordance between A and B. A growth u/s 5 days before delivery had baby A at 5 lbs 12 oz and B at 7 lbs. My OB had zero qualms about doing a vaginal delivery even though most OBs require A to be bigger than B (or the one piece of peer-reviewed literature I found said it was safe up to 25% size dif).
Actual sizes were A 5 lbs 15 oz and B 7 lbs 1 oz. Good luck to all the MoMs-to-be!
Re: Di/Di Twin Birth Story (37 weeks)
BFP#1: 11/20/11, EDD 7/25/12, Emily Iris arrived 7/29/12 at 7 lb., 3.5 oz.
BFP#2: 8/25/13, EDD 5/4/14, MMC confirmed on 9/23/13, D&C on 9/26/13
BFP#3: 2/3/14, EDD 10/15/14, fraternal TWINS confirmed 2/21/14, two BOYS confirmed on 4/15/14!
Me: 32, DH: 34 / TTC since February 2011 / SA: all normal, HSG: all clear! / on Lovenox for anticardiolipid antibodies
4 IUIs with Clomid, Letrozole, and Menopur. All BFN.
9/12: lap / hysteroscopy: found and removed mild endometriosis, cervical polyp, and 2 para-tubular cysts
5/13 IVF #1: Follistim, Menopur, Ganirelix, 10R/4M/4F, ET of 2, 5 cell and 4 cell, no frosties = BFN
12/13 IVF #2 = November / December 2013. Microdose Lupron Protocol: 15R/6M/6F, Froze all 6 due to high E2 and P4
FET 1: Jan 22, 2014 of one 4AB blast and one 3BB blast (3 blasts on ice!)
BFP on HPT 4dp5dt, Beta #1 9dp5dt: 310, Beta #2 11dp5dt: 899
First u/s on 2/17/14: TWINS!!!!! both w/HBs of 114 at 6w3d, HBs 150 and 152 at 7w5d
5/27/2014: Team purple!!!! EDD 10/10/2014 /
Baby Boy 4lbs 1oz, 17 inches
Baby Girl 3lbs 5oz, 16 inches
N14 Nov. Siggy: CELEBRATION!
Names and pics???
I will try to get a good pic for our first outside HDBD
************** Siggy Warning************
Married August 2012 -- Me (40 yrs old) My husband (45 yrs. old)
RE referral from ObGYN in late Jan. 2013 -- Testing Confirms Unexplained IF
IUI #"s1 - 3 (Femara + IUI) April - June 2013 - all BFN
Decided to do IVF... Began stimming on September 10th! Egg Retrieval 9/20/13. 19 eggs: 6 to mature to freeze after 6 fertilized with ICSI
3 morula stage embryos transferred on 9/25/13.....Beta #1 on 10/4/13/ = 7.5 Beta #2 on 10/6/13 = negative
IVF#2 - Lupron plan (set to begin on 10/28/13) (Planning on thawing and fertilizing our 6 eggs with ICSI as well as all of the mature eggs they retrieve with this fresh cycle.)
Late October 2013 - ectopic pregnancy - methotrexate injection....benched 3 months
CD1 - 12/5/13...Lupron set to start on 12/26/13; CD1 - 1/2/14....Baseline 1/3/14....begin follistim tonight and continue with lupron. (Got my calendar today! IVF#2 is a go!)
ER = 1/14/14 (11 eggs....9 were mature. 9 fertilized. Of the 6 mature eggs we thawed, only 4 fertilized. At this time, we have 13 eggs fertilized and growing. Waiting for news about a 3-day or 5-day transfer.)
ET = 1/19/14 (5dt).....3 blastocysts transferred! (All nine embryos didn't make it to freeze. =( )
Beta #1 = 1/28/14 (2 weeks after ER) BFP! 209 (9dp5dt) EDD 10/7/14
Beta #2 - 1/30/14 (11 dp5dt) 302
Beta #3 - 2/3/14 (15 dp5dt) 1222
Ultrasound set for 2/17/14......TWINS! Twin A - HR 124 bpm; Twin B - HR 126 bpm
Final Ultrasound with RE 3/10/14 - Twin A - HR 176 bpm; Twin B - HR 177 bpm.
PAIF/SAIF Welcome!
Dx: Endometriosis
TTC May 2012
Jan 2014 IUI#1: BFN
Feb 2014 IUI #2: BFP
Beta #1: 403
First u/s: 3/14 It is TWINS!!
EDD: 11/12/2014 ~ Boys x2
~~ All welcomed ~~
Congrats! My baby B was much larger and I had a vaginal birth too! Baby A was 5lbs with a tiny head (~20th percentile) and Baby B was 6lbs 9oz with a large head (90th percentile). They were 1 hour apart and all was good!
Wedding Fall 2007 Off OCP's since 9/08-started with BBT charts Saw Ob/gyn May 2009 Blood work normal except single copy of MTHFR Clomid 50mg May 2009 Clomid 50mg + IUI June 2009 Femara 5mg + IUI July 2009 Normal HSG July 2009 Femara 5mg + ovidrel+IUI August 2009 Femara 5mg +ovidrel + IUI September 2009 November 2009-normal lap December 2009-met with RE December/January-Injectible med cycle with IUI-Abnormal sperm morpology found-only 0-1% normal All Head defects. Jan/Feb 2010 1st IVF with ICSI-5 week chemical pregnancy
Feb 2010-male infertility doc says DH's anatomy and blood work are normal so nothing he can do.
FET July 2010-BFP! Twin m/c @ 5.5 wks
Dec/Jan 2011 IVF #2 Only 4 eggs retrieved-Ganirelix dose messed up BFFN
Feb/March 2011 IVF #3 ER 3/9 9 eggs, 7 fertilized, ET 3/14, No frosties. BFN
IVF #4 ER 8/22 9R,7F ET 8/25-3 embies, 1 frostie! Beta 9/2= 54, 9/6=274, 9/8=625, 9/12=2953, 9/16 greater than 10,000. B/G TWINS born April 2012 @ 36wks & 1 day!
July 2014-going back for the frozen embryo! ET 7/28, heartbeat seen at 6wks1day with SCH. Miscarriage confirmed at 6wks4days