Originally Posted by Gindugirl
Adorkable- Thanks for that story! So question? Had you been having problems with BP before, or did it just spring up while you were in labor? Were you eating/drinking during labor or on IV? And did they make you deliver in an OR?
I am mono-di with one placenta, same chorion sac and very thin membrane between them. The one placenta is the main issue. Most Peri's are now recommending induction by 36 weeks! Yes, 36 weeks. I did my research and apparently this comes from a study that says after 36 weeks (in only mono-di, one placenta twins) the rate of still birth increases. But I read the study and I didn't find it so super compelling that all MFM doctors should jump on the 36 weeks band wagon. With the absence of an emergency, my doc is willing to push it longer, but like I said, he loves to remind me that this wouldn't be his recommendation. There are still a lot of docs out there who aren't even willing to vaginally deliver mono-di twins...at all!
so i did have two placentas, though they were fused i understand that you are in a different pregnancy than i was.
the question that i would ask in your position is if the worse outcomes where due to some identifiable issue that was popping up for these Mo/di mothers, and if whiteout that particular issue if the still birth rate is still higher. (example, if they take out cases of TTTS and growth restriction and drastically different sizes for instance, does that then make the numbers just the same as for di/di twins?) they may not even know this because they may have not crunched the number like that. but i think it would be the most important thing to look at. also i like to see actually number and not talk in terms if "doubled, or "significant rise" but cause it may actually mean that normality it happens to 1 pregnancy in 1000 and doubled it is 2 in 1000. not if that 1 or 2 is you then it is 100% horrible, but if we applied that standard to everything we would be neurotic piles if fear and couldn't even stand pregnancy.
for instance if you look at twin pregnancies as a whole you see that they have a higher rate of plenty of complications hand bad outcomes. but if you take out the ones that had uncontrolled GD and pre E you drop the numbers to way way better! so if you dont have either of those things there is no point in using numbers that include them to make descisions.
so i liked to base things on what actual issues i had (very little) rather than what i could possible have by just having twins.
as for your question about my birth,
i had no BP issues before labor at all, my BP was 125-130 over 70-80 the whole time, actually went down a tad from my BP at conception and stayed low till like i mentioned many hours into labor. i felt fine, but did have some strange sense that something was up and that is what caused me to go to the hospital. it was 185/150 or something similar and my urine test showed massive dumping of kidney and liver stuff. i had clearly gotten a rapid onset of pre E or the like, they never actually called it that. (i had a moderate case of cholestasis the last few weeks which was actually my only "significant" health issue, and could have been causing the urine issues)
i was told not to eat and did not listen to them at all, i had protein drink and juice whenever my hubby would bring them to me and didn't care. if i truly needed up in a emergency c section i would probably be intubated anyway so aspiration is really not that bad of a concern as they make it out to be, my DH is a medic and has worked in ERs a lot and reminded me that millions of emergency surgeries happen every day when folks have full stomachs, and millions of ladies come in and have unplanned c sections within hours of eating and are fine. there was no way i was going 33 hours without food, it is the stupidest thing i have ever heard. i went into labor basically during christmas dinner and yes i picked it up and 4 in the morning, who cares. i never puked again, despite the snacks.
i was on a iv because i was on a drip of Magnesium Sulfate to protect against sessions and occasional doses of something to attempt to lower my BP (that did not go down till 4 days PP) i will say that was the most annoying thing, it was not the IV itself, though i didn't like it, but that most ladies feel unstable on MAg so thy dont let you stand up at all, and i felt totally fine and they didn't care, so i had to pee bedside (they want to cath me to told them off.) and i could not pace around.
i didn to labor or deliver in the OR it was the line i nthe sand i drew and stuck to, i have written about it in other threads, i gave them the burden of proof to explain why it was so much better and i held the position that they could get me down the hall way faster than they could get the ten in the OR to cut me open, so i was not the slowest fact being in a normal L&D room. they agreed to my points and left me be.
i did a lot of negotiating and held strong to the belief that getting one thing done did not been automatically letting the next thing happen, it was a great proactive in halting a cascade and making each choice separately and without default acceptance.
i hate terms like "make you" and let you" they get used all the time, we and our babies are the clients, not animals to be pushed around, remember that you and your birth have rights and deserve respect. this does not mean you have to fight them, but it does mean you get to be heard and feel free to pick you battles and put the burden on proof on them. default is a natural birth, they rest they need to prove is actually better, not the other way around. emergencies happen and medical care is there for a reason, but its not one size fits all, no matter what your babies are like.