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Homebirth -what gestational week safe?

post #1 of 47
Thread Starter 
My midwife is comfortable delivering our twins at home at any time after 36 weeks. I'm leaning towards 37 weeks.

Any thoughts on this? I'm being monitored very closely by both my midwife as well as an OB and monthly Perinatologist visits and u/s for growth. (over kill I'm sure, but it's making me more comfortable).

So far all is well. I'm 31 weeks 4 days and feeling fantastic.
post #2 of 47
I would have done 36 weeks. I think there is a lot that can go into the decision including how close a hospital is, the situation you would be going into if transfering (who the doc would be, how the hospital is with hb transfers, etc.), how the mw feels about it, how you feel about it, etc. Hopefully you will carry them beyond that and not have to make that decision!
post #3 of 47
Thread Starter 
Quote:
Originally Posted by sarahloughmiller View Post
Hopefully you will carry them beyond that and not have to make that decision!
That's the goal!
post #4 of 47
My MW had originally said 36weeks, 6 days, and later (much later), said she would do 35 weeks. I, myself, had a 37 week goal. It was my first homebirth and I just wanted to feel as *secure* as possible. I think it can vary, and I really wanted to hit 37 weeks, as it seemed that my MW would have preferred it. In the end, I made it to 38 weeks, and my babies were not as big as the u/s said they were. The u/s was saying a little over 7lbs each and they ended up at 5lbs 14oz, and 6lbs 10oz. Though they were "small", they were incredibly healthy and nursed right away. In fact, they are crazy healthy to this day, only having had small sniffles up to this point (8mos).
post #5 of 47
In my fairly ignorant opinion, I'd be comfortable with 36 weeks too. An unmediated birth means more alert babes who are less likely to need resuscitation, and for whom I hear resuscitation is easier if needed. So, once born, the concerns would be temperature regulation and feeding. Both can be managed, or at least started at home. If you have a small baby with difficulties with temp. and feeding, you can transfer after the birth. Those are issues that aren't critically time dependent. It's the breathing to worry about, and 36 week twins that come spontaneously in their own time, without drugs, I'd think are going to be OK.

Funny, I should have researched that when prepping for my HB! I just took my MW's word for it when she said 36 weeks was fine. I think she would have done 35 weeks.

But I hope these are moot issues! Here's a link I post everywhere to a collection of stories about twin moms going full term. Lots of twin momma do it! Best wishes for keeping those babies "cooking!"

http://www.lookydaddy.com/weblog/200..._that_mos.html
post #6 of 47
Thread Starter 
Quote:
Originally Posted by Gena 22 View Post
Here's a link I post everywhere to a collection of stories about twin moms going full term. Lots of twin momma do it! Best wishes for keeping those babies "cooking!"

http://www.lookydaddy.com/weblog/200..._that_mos.html
I read that a few months ago as it was posted on another thread. I love it. I had to re-read the stories again today. I hope I can put my story up there too.

My goal is 38 weeks 3 days (March 1) But I say that now at 31w4d, fairly comfortable. But I must say I am pretty big. I'm 5' tall and measuring 42cm.
post #7 of 47
March 1 is my older ds's b-day My goal was 40 weeks and I made it to 40w 3d and took castor oil to get things going!
post #8 of 47
I was *terrified* that I wouldn't even make it to 36 weeks! But I would have homebirthed at 36 weeks. As it happened, I made it past 38 and it wasn't an issue.
post #9 of 47
Thread Starter 
Well you ladies are making me have even more confidence in my midwife. I guess if she's okay with 36 weeks than I'm okay with it.

Besides, I'm really hoping to make it to 38. Everything is going so well I just hope it continues this way. And since I'm all about positive thinking, I have no reason to believe it is going to go bad!
post #10 of 47
My MW would assist my HB starting at 37 weeks, FWIW.
post #11 of 47
My midwife was comfortable with 36 weeks and so was I.
post #12 of 47
My goal was to make it 36wk. We made it to 37w5d!
post #13 of 47
I've heard 36 weeks mentioned by a few friends that homebirthed twins--I'd be very leery of anything earlier than that, though. My 35w1d boys had a 10-day NICU stay for breathing/feeding issues.
Here's to baking them good and long, though!!!
post #14 of 47
Even though mine were born at almost 38 weeks one still had preemie issues with sucking, so really it could be 35 or 37 or 36 or 40 weeks.... every baby develops differently so every day in longer can have big and long-term benefits.
post #15 of 47
I'd be happy to have 36 weekers with support at home. My second was 36 weeks ( probably a little more like 35 weeks actually by my dates ) and he had b'feeding difficulty, but otherwise lovely
I was ok with giving him special care at home iyswim, so although hospital birth (no homebirth support) we came home asap afterwards and I'd drip by drip feed him pretty much around the clock.
post #16 of 47
Quote:
Originally Posted by DeannaK View Post
I had to re-read the stories again today. I hope I can put my story up there too.

My goal is 38 weeks 3 days (March 1) But I say that now at 31w4d, fairly comfortable. But I must say I am pretty big. I'm 5' tall and measuring 42cm.
Glad you liked those! Comfortable at nearly 32 weeks is great. Likely that you won't get too much more uncomfortable at this point. March 1 sounds like a good goal, but St. Paddy's Day would be cool too . . .
post #17 of 47
Quote:
Originally Posted by Gena 22 View Post
An unmediated birth means more alert babes who are less likely to need resuscitation, and for whom I hear resuscitation is easier if needed. So, once born, the concerns would be temperature regulation and feeding. Both can be managed, or at least started at home. If you have a small baby with difficulties with temp. and feeding, you can transfer after the birth. Those are issues that aren't critically time dependent. It's the breathing to worry about, and 36 week twins that come spontaneously in their own time, without drugs, I'd think are going to be OK.
This exactly. I'd prefer later than sooner of course but I absolutely would not have gone into the hospital if I had gone into labor at 36 weeks. My mw's minimum date was 36 weeks and I was fine with that. I felt comfortable that IF the babies needed more care, we could keep them stable at home and in transit w/o a problem. As it turned out, they came at 37w 4d and did great, although we did give baby B a little bit of oxygen after having trouble getting him to pink up on his own.
post #18 of 47
My midwife would assist me at home from 36 weeks with a singleton, and twins' lungs generally develop faster than singletons'.

Lex
post #19 of 47
Thread Starter 
Thanks everyone for your thoughts and experiences. Because I'm doing regular OB care along with my midwife care, the monitoring is going into overkill stage!

At today's OB appointment, my OB (who I really like) told me that because one of the twins is so much smaller than the other (estimated 10th percentile vs 66th percentile) that she wants me to do weekly NST now, starting today. So off I went to do that. While there they did a quick u/s to check positions, not to check sizes. The amazing thing is my bigger baby has cut in line! He has always presented himself as "B" and the smaller one "A" has always been closest to the exit. Well now that he isn't breech he's darn right pushy!

But this certainly is good news for me as a lot of people prefer the larger baby to exit first. Hopefully at my next u/s appointment on the 28th my "Lefty" baby will be growing well and we can continue with our home birth plans!
post #20 of 47
It's great to see a group of homebirthers here. Twins "risk" me out of homebirth, so I don't know what I'm gonna do. But I'm thinking creatively!
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