What Would You Do??

[rachel65655]

I am 34 wks pregnant with twins and had been planning a home birth. They are in separate sacs and had separate placentas (at 20 wks) although today they could only see one (they might have fused together at this point).

Up until today, we believed (and I still think they were) both vertex.

At my U/S today, they started as both frank breech and had turned transverse during the course of the scan. I did wake up this morning feeling "different" than usual but the amount they were able to move around during the U/S seemed ridiculous to me since they are so crammed in there at this point.

Now I am so unsure of position that I am worrying myself terribly and am constantly trying to palpate where the babies are. I have had a migraine since we left our U/S appt. I only get these when I am REALLY stressed.

I know that I have 6 weeks until my due date but my midwives and I both didn't think I would make it that long. I have been having contrax for the past two weeks already and I am starting to have some pretty severe hip/pubic pain that I get at the end of my pregnancies and have been loosing my mucus plug. The babies still have time to move and flop around but I don't see now how I can be positive about their positions. I was so sure and now am completely doubting myself.

My midwife is willing to deliver after 36 wks and I am OK with that also. What is concerning me a lot right now is that she lives 3.5 hours away. Even if I called her the minute I know I'm in labor it will take her a long time to get here to even check on babies position. If the babies for some reason are still transverse, I obviously can't deliver them vaginally at home. The hospital is 1.5 hours away. That would be at least 5 hours from the time I go into labor until I could get to the hospital.

[jljeppson]

Get to a chiro! Find a chiro that is CERTIFIED in the Webster technique (not just says he/she does it) and go to an appt right away. The Webster can do amazing things for malpositioned babies.

[Eresh]

Have you posted in the multiples forum? I'm sure they might have some words of wisdom.

The only thing I can think of, and maybe I'm missing something, is that the danger with transverse is that they can't come out that way at all, so laboring several hours that way really wouldn't be that dangerous, would it? Or is it the additional stress on the babies?

Good luck

[kathan12904]

I agree with the pp about the chiro, although since webster might not be as easy to find or inexpensive as a regular chiro, the sign of someone to trust is a pregnancy table. If they do enough business to have a table with a belly drop, they've probably got the skills you're looking for. Also check out spinningbabies.com for good info on getting babies in a good spot. I also think its fine for you to wait until labor to assess the need for intervention. Anything can happen until then especially if you're helping it along with good posture and alignment. The contractions actually nudge the babies around in there, so you need to give your body and the babies a chance to work together.

[SamGroom]

Just wanted to give and say hang in there. Even though you and your midwives think you are close to labor you may not be. Many women lose their mucus plug well before labor begins. I would try to work out some of your fears, maybe read some twin homebirth stories and talk with your midwife about them.

Sending you great birthing vibes

[SuzyLee]

What resources do you have closer to you? Are there other midwives or an OB rpactice closer, who would be willing to do positions checks for you when you start labor?

Also, how fast were your previous labors? For me, baby #1 came in 3.5 hours so that long of a wait wouldn't be ok But if you have lnger labors maybe it will be fine.

The other thing is that really you don't need to worry at all until you are 36 weeks. In the next 2 weeks you have to go to the hospital no matter what, right? So schedule eitehr another U/S or a MW appt. for the day you hit 36 weeks to check baby position at that point.

[rachel65655]

I have completely bybassed my OB this time. He is very anti-home birth and I haven't seen him at all since my last baby was born. He is a great doc and very hands off with me because I want him to be but I am afraid of what he would do should he find out about our HB plans. The hospital that is 1.5 hours away is the only one that is an option. If I delivered before 36 wks at the closer one, they have no neonatal unit and would transfer us anyway so even going there is a waste of time. And even if I make it after 36 wks and needed to transfer for some reason, I would still prefer to go to the other hospital. The closer one is only closer by 30 minutes anyway.

I have a midwife appt on Wed. and each week until I deliver. My labors have usually been pretty fast. My longest being 9 hours - my first.

If this pregnancy follows the patterns of my last pregnancies, I probably won't be pregnant any more 2 weeks from now. I have been loosing my plug for almost 3 weeks now, which I typically start about a month before my babies have been born. I have been having around 10 to 12 contractions a day for about the same amount of time. The only weird thing about the contrax is that I am having them already. I have never had them before I was actually in labor.

My biggest fear right now is the transverse baby on the bottom becoming lodged in my pelvis due to all the contrax I've been having.

DH brought home our inversion table from his parent's last night and I am going to be using it a couple times a day.