Multiples

Vag vs C section

So my Dr made it sound very common that you go to have a vag birth but have one vag and the other has to be emergency C section. When I spoke to the L and D nurse she said she has only seen 2 of those. Either way I'm just wondering what everyone else has experienced or is planning on doing. I'm pretty sure I'm just going to opt for the c section but wanted to get opinions.

Re: Vag vs C section

  • My OB did not say that was common at all; it can happen, for sure, but it's certainly not the norm.  Like pp said, vaginal delivery is much safer.  We are shooting for that but are prepared for whatever's best at the time.  I had a previous CS and a terrible recovery so I'm especially hoping for a VBAC.

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  • I'm just waiting to see what the baby positions will be at around 37-38 weeks and then we will make a decision from there. I'm kind of worried about a C-section just because there are more risks but that is personal. This is what we will do:

    Baby A has to be in the head down position for me to even try a vaginal birth. I'm told that Baby B can be manipulated if not in the correct position, so basically Baby A will be the one to make the decision as to whether a C-section will be scheduled. Mine are transverse and Baby A is on the bottom. However, I don't know whether Baby B could potentially get into position and then Baby A can be manipulated or if due to their locations it is totally dependent on Baby A.

    I'll just be going with the flow, I'm really open to whatever as long as I'm okay and the babies are healthy.

  • My MFM will induce me at 37 weeks only if both babies are head down. If one or both are not head down we will schedule a c/s. I'm not attached to a vag birth so I'm not stressing about it.

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  • diz1313diz1313 member
    edited August 2014
    Due to previous trauma during a very not normal vaginal delivery we are planning on a c-section. As much as I would love to avoid major surgery what happened to me last time was pretty much major surgery done without being in a surgical space and the recovery took over 6 months.... They've told me I am a likely candidate for that happening again so..... we just won't.
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  • I had a somewhat-planned csection: we were going to schedule a csection anyway but then I got severe preeclampsia and it was a non-issue. There was no time to spare.
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  • The only thing my OB has said is that having both vaginal and a C is the 'worst case scenario.' Everything I've read about it says that it's pretty rare. Mine are very encouraging of a vaginal, as long as baby A is in the right place. I'm still unsure about trying for a vaginal. I don't think it's going to be something I know until I'm in the OR.
  • I have had two great vaginal deliveries- well as great as any delivery could be. My second was definitely a lot easier than the first- the first was a very long labor and a long recovery- still I am really hoping the babies will cooperate for a vaginal delivery.  With two small kids at home I really think the recovery would be easier without a c-section.
  • I am scheduled to be induced on Tuesday to have a vaginal birth. I was totally against a C-section my entire pregnancy, but the closer I got to having the babies, the most I thought about having a c-section! My doctor convinced me to have a vaginal birth because she said I am good candidate.

    One plus about a vaginal birth is the recovery time. My sister has had three c-sections and she said the recovery is extremely hard!
  • Thank you everyone this helps.
  • My mfm said statistically at her hospital 10% of twin births were a "double whammy" and the remainder were evenly split between vag and csec (both emergency and elective). I wanted a vag delivery and my dr was on board as long as A was head down, but ended up with a csec after 34 hours of stalled labor. Good luck :)

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  • I really would rather have a vag delivery. Not that I really have a choice. I'm scared about the recovery of a c section. I have had a successful vag delivery with ds so I'm prepared for the recovery time of that.

    But in the end I just want healthy babies and mommy, whichever way that has to happen.
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  • I was also quoted the 1% of a double whammy. I very much wanted a vag delivery but it wasn't to be. Baby A flipped breech around 19w and never budged. When my water broke, his cord prolapsed. I was put under general anesthesia - there wasn't even a discussion.
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  • I've heard of all cs for twins. My cousin tho had a v and c. Said she would have just gone with c since hers was an emergency and she wouldn't want to risk it again.
    I've only had a singleton and triplets so 2 cs...super easy recovery! Running again in a week.


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  • Running again in a week.

    Seriously?! I could not fathom running after my csection. Even if it had been vaginal, twins sucked every ounce of my energy and minute of my time. I am just contemplating running again now at 5 months. I'm impressed.

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  • LittleLady77LittleLady77 member
    edited August 2014
    Double whammy is 1% or less. A vag birth is better for both momma and babies and the recovery is so much easier. I felt very strongly about trying for a vag birth. I had two head down babies and tried for three days before being rushed in for an emergency c section where I lost so much blood I was getting blood transitions 3 days later. The traumatic birth and blood loss put my body in a very weak state. My milk never came in, I couldn't get out of bed for days and I certainly couldn't do much for the babies in their first few days. In retrospect I wish I had had a planned C Section.

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  • I am 8 days post c/s - I had the option of trying for a vaginal birth (A was head down and B was transverse) but after looking at the risks/benefits of c/s vs vaginal birth in our particular case we opted for c/s. Everybody is different and you really need a good doctor to talk you through the risks/benefits of each scenario - and I agree with pp that it sounds like the statistics your doctor gave you are off which is concerning. Is there someone else in the practice you could talk to?
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  • That is worse case scenario if a doctor has to do a stat C-section because Baby B has some sort of distress or cord issues after Baby A is born.  It is not "common" but a risk that a doctor is obligated to tell you about should you choose to proceed with a vag delivery.  It is part of the informed consent.  Perhaps your doctor was just making sure you understood it was a risk.

    I would clarify with your doctor.

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  • I delivered vaginally at exactly 37 weeks.  My Dr required that both babies be both head down and I go into labor on my own to deliver vaginally.  The would would also schedule a c-section between 37 and 38 weeks.  Baby B flipped head down from breach at 35 weeks and my water broke two days before my scheduled c-section.

    FWIW, after I delivered baby A, my OB waited until baby B had sunk down into position before breaking his water.  He said that cord prolapse was one of the main reasons for the double wammy and waiting to break Bs water would help avoid a prolapsed cord.
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  • I had a double whammy. That being said if I had to do it all again, I'd still try for a vaginal birth. My son's cord prolapsed which caused his emergency c section.

    This exactly. My ob said it was the first time in 20 years he had a twin mom have a double whammy
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