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Getting Breech Twins to Turn + a Little Ranting

post #1 of 9
Thread Starter 
Anyone do this successfully? As of last ultrasound, both twins were breech. I'm now around 30 weeks.

Unfortunately, I am seeing an OB group that does not like to do a vaginal birth even if A is vertex and B is breech. I feel like I should have quizzed them on their policy sooner, and now I am not sure if another provider would take me at this point. Earlier in pregnancy, they were both head-down, so it wasn't an issue. This was never an issue with my singletons, either, who were vertex and stayed that way. Others, including DH, don't understand why I wouldn't just have a C-section and be done with it. The only explanation that I have gotten from the OB group is that "turning Baby B doesn't always work out so well." When I asked about pulling out feet-first, she said that the head may get stuck.... Personally, I think they're more worried about their own liability than trying to get the birth that the patient wants.

I'm just not looking forward to the whole thing--esp. not looking forward to being in the hospital an extra day that a C-section would require. I hate being in the hospital and I hate the idea of having to "recover" from a birth. Of course I know that I will need some rest, but I have two other young children and don't have time to be down. Truthfully, I would love to just give birth at home in my bathtub and be done with it, but at this point, I don't see that I could get anyone to attend to it, and I don't want a totally unassisted birth.

And a final rant - this twin pregnancy has been really hard -- not physically, really, but mentally. I just still haven't really "accepted" it, I don't think, and can't seem to get past the idea that it's not what I wanted, not what I expected, and not what I will be able to handle well. I know these negative thoughts aren't serving me well, and maybe it's all the hormones that are bringing about these feelings of depression and regret. I'm trying to do natural things to improve upon this (fish oil, B vitamins, exercise), and I'm just hoping that it somehow gets better after they were born. Anyone else find that their twin pregnancy was much harder, mentally, than a single pregnancy? Thanks for listening!
post #2 of 9
Hugs, mama!
I remember that 30 weeks was a hard time mentally for me. I about felt "done" and couldn't believe that I had MONTHS to go. That was hard, but I actually felt better, physically and mentally by about 33 weeks.
That is a suprise about your OB, and I do know that one thing you could do is to continue care with your OB, but go to another hospital to birth, so that you would get a "hospitalist" delivering your babies, and typically (though you could interview the other hospital) they do breech B's, and deliver loads of babies. That was an option that we considered at the end as we were being told by our peri that I would have to LABOR in the OR as well as deliver. I knew that wasn't the best setup for me.
It might help to try to get DH a little more on board with your thoughts. Sometimes it's hard to verbalize why you want a vaginal birth, especially when it's potentially riddled with challenges. But I really think that the long term health of the babies is what's most desired, and I think that in the LONG TERM, a vaginal birth is desired. That's not to say that a ceasarean birth is not a godsend at times when it's really needed.
I remember being so upset at times about the increased risks, and how I had to continually be researching and questioning my providers about the birth. Happily, I did end up birthing our babies at home in our bathtub, and in the end, it was the simplest, most peaceful birth. Go figure!
post #3 of 9
Whew! It's been quite a while since I read a post that was just all-over "That was me!" I completely understand how you are feeling - for whatever that's worth.

Differences in our situation:
  • Twin A was vertex. Twin B was double-footling breech. Things were this way consistently from as least 28 weeks until I delivered at 39wks 4 days.
  • My husband was just as adamant as I was that a c-section or breech extraction was not a desirable "game plan" in the absence of a bona-fide emergency.
Similarities
  • Other young kids at home, not wanting to "recover" from a birth.
  • Being told vague things about Baby B like "doesn't always work out so well" (coupled with very little relevant scientific data).
  • The mental stress of the twin pregnancy being almost completely overwhelming (for both my husband and I. Not due to shock, fear, regret, etc. But due to the inability to find a naturally-inclined caregiver who would give us credit as reasonable individuals rather than hurling insults that I was "nihilistic")

We did not attempt a version as we did not think it was a good idea. Twin B was born virtually "effortlessly" (if one can say that about a birth) 17 minutes after his brother.

The pregnancy (due to the doctoring stresses) was the darkest period of our lives. But I'm glad we stuck to our guns about what we believed was right for us and for our sons.

So. . . fairly closely BTDT. Don't envy your current lot at all, but wishing you much support.
post #4 of 9
Maybe this is the season for breech babies. I was just logging on to start a thread about my breech baby, but here there are two brand new threads. Freeman, I am right there with you about wishing I could just have these babies in the bathtub without interference.

Yesterday my midwives were shocked to discover that Baby A is breech (even though I told them I dreamt about the birth and the first baby came breech). Now, at 38 weeks, I'm faced with midwives who are nervous to go forward with our homebirth plans. So much of this pregnancy feels like it's been a fight to have the birth we want. I'm being told to consider what my tolerance level is... basically, what if one or both babies die. I know this is a very real possibility with any birth, but I also know that these babies are healthy and I am strong. Now, because we live 15 minutes from a hospital, I'm feeling pressured to go to the hospital in case one of the babies needs resuscitated. Plus we keep getting this vague "doesn't work out for Baby B" bit that Novella got.

Argh! This part of having twins is so frustrating! Honestly, if I could do it over again, I would never have consented to the first ultrasound.
post #5 of 9


I DID give birth to my double breech twins at home. In fact, Baby B turned vertex after his sister's breech entrance. Bet your OBs would all about crap to hear that!

Anyway, I wouldn't rule out a midwife assisted birth. If you're otherwise low risk I'd say a midwife has a MUCH better chance of haing experience with a normal breech delivery. Look around, ask online, ask at LLL, ask ask ask until you find someone else, even an OB, who you're happier with. It's hard to look back and think "if only I had done...." later.

I'm so sorry this has been so hard on you. Carrying twins was hard and I did NOT have that same sort of stress. And like Mamaeliz I was just DONE by 30 weeks and really struggled to get to about 37 weeks when I was just able to let go and be at peace with things. Much love.
post #6 of 9
Thread Starter 
Thanks to all for the encouraging thoughts.

Quote:
Originally Posted by Nanasi View Post
Argh! This part of having twins is so frustrating! Honestly, if I could do it over again, I would never have consented to the first ultrasound.
I definitely hear you on this. At this point, I think I would prefer to have been surprised at delivery rather than have all the worry, stress and "twin-shock" for 9 months! I don't know why I am dealing with the whole idea of twins so poorly. I am hoping that it is something hormonal and related to pregnancy rather than something that will persist post-partum. I haven't been so down in past pregnancies, but those were planned and singletons. The thing is, I was never really concerned about the delivery w/ the twins before b/c I felt that they would both be vertex and that I would have a similar delivery to what I had in the past. I was much more concerned with what would happen after delivery.

I find it very strange that OB's do not offer supporting articles or research with their vague statements of "it doesn't always work out well with delivering Breech Baby B." Our pediatrician's office is fairly good about offering articles/reasons to back up their reasons for recommending something when questioned. I feel that the OB's I have spoken to are fairly young and probably do not have a lot of practice in delivering breech babies since it has basically been "phased out" in the US medical community. And, they are driven to avoid "risk" due to costs of liability. I am going to talk to the perinatologist soon, who is much more experienced. If I don't get a good answer or some alternatives, I am going to look elsewhere...
post #7 of 9
twin pregnancy = SOOOOO much more stressful than most singleton ones. honestly, i think anyone who wants a normal birth times 2 (or more) is going to be stressed out. i know my hospital gave a sigh of relief when my twins came early and i couldn't homebirth (the senior midwife admitted it!)
i made SCBU pay for it as much as possible though

it's better to deal with the thought of twins poorly now rather than later feel it as a disaster now and you'll likely be pleasantly surprised
i think there's even some study quoted in birthing from within that states mothers who worry to the max during pregnancy get better birth outcomes.

i'd leave well alone with the breech issue and insist as far as you can that they make their arrival whichever way they choose (mine were transverse for ages. not clever. but ds turned even during labour from oblique breech to breech. so, it's not over till it's over, and if a baby themselves insists on a section birth, well, then it's probably for the best in a way we don't necessarily understand)

KEEP HOPE.

it's hard with two on the outside, but easier than two on the inside in lots of ways. and by thinking things through now you'll have contingency plans for when they're with you

sometimes, at least a few times a day it's just the best feeling in the world to have two together
post #8 of 9
I just wanted to say that 30 weeks seems a bit early to be really concerned. My twins are still moving all over the place. At 31 they were transverse/transverse, at 33 they were breech (A) & vertex (B), at 35 weeks there were vertex (A) and transverse (B). The ob wants another scan at 38 weeks (in one week). I'm thinking of getting out of it since I know he'll deliver them so long as A is vertex. However, I also know they'll probably check during labor anyways and wish to keep the hope alive now.

If you want to help, review the spinning babies techniques. Supposedly they work just as well for twins as for singletons.

Also, I agree with previous posters about the mental challenges of a twin pregnancy. I believe I actually went into depression from about 30 weeks to at least 34 weeks and I was very close to pursuing therapy/treatment. However, now at 36 weeks, my attitude has changed and all of a sudden I am more at peace with the chaos that will soon descend on our family.
post #9 of 9
Quote:
Originally Posted by Freeman View Post
Anyone do this successfully? As of last ultrasound, both twins were breech. I'm now around 30 weeks.

Unfortunately, I am seeing an OB group that does not like to do a vaginal birth even if A is vertex and B is breech. I feel like I should have quizzed them on their policy sooner, and now I am not sure if another provider would take me at this point. Earlier in pregnancy, they were both head-down, so it wasn't an issue. This was never an issue with my singletons, either, who were vertex and stayed that way. Others, including DH, don't understand why I wouldn't just have a C-section and be done with it. The only explanation that I have gotten from the OB group is that "turning Baby B doesn't always work out so well." When I asked about pulling out feet-first, she said that the head may get stuck.... Personally, I think they're more worried about their own liability than trying to get the birth that the patient wants.

I'm just not looking forward to the whole thing--esp. not looking forward to being in the hospital an extra day that a C-section would require. I hate being in the hospital and I hate the idea of having to "recover" from a birth. Of course I know that I will need some rest, but I have two other young children and don't have time to be down. Truthfully, I would love to just give birth at home in my bathtub and be done with it, but at this point, I don't see that I could get anyone to attend to it, and I don't want a totally unassisted birth.

And a final rant - this twin pregnancy has been really hard -- not physically, really, but mentally. I just still haven't really "accepted" it, I don't think, and can't seem to get past the idea that it's not what I wanted, not what I expected, and not what I will be able to handle well. I know these negative thoughts aren't serving me well, and maybe it's all the hormones that are bringing about these feelings of depression and regret. I'm trying to do natural things to improve upon this (fish oil, B vitamins, exercise), and I'm just hoping that it somehow gets better after they were born. Anyone else find that their twin pregnancy was much harder, mentally, than a single pregnancy? Thanks for listening!

Yes, my twin pregnancy was really hard for me.

I have to ask you....what do you want? Do you want another provider? What are your instincts telling you about this team and about this birth? Do not dismiss your own observations and instincts in this and in working with your birth team and/or finding another provider.

The webster method is a chiropractic technique that has successfully turned my babies. My twins, however, turned back. They were born at home, after 40 weeks, and were a frank and footling breech.

My twin pregnancy was very stressful and I thought they might be breech at the birth so I was sure to find birth support experienced and comfortable with breech twins. I knew my own comfort zone as well and was ultimately at peace with things even if that meant transferring to the hospital.

I remember it being a long time from 30 weeks to 36 weeks and even longer to when they were born. It is tough but worth it. Keep drinking LOTS of water and eating extremely well! If you have access to a pool ---that will help too.

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