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Pregnant with Twins (or more!): Spring/Summer 2013 - Page 15post #281 of 3326/25/13 at 1:23amHello!! New to this site, thought I'd try it out Im pregnant with Di/Di twin boys due 9/27/13, planned c-section will be at 37-38 weeks. These are baby 3 and 4 for us, two DS's are 8 and 18 mos. Im 27 so is my DH. I'm a HHA In a skilled nursing facility, which is equal to a CNA Job but I also pass meds. Don't know how long I'll be able to work but we will see Past few night/days I have been quite uncomfortable with a lot of tightening and slight cramps, Did I mention I work 11pm-7am? I'm off tonight, but up bc of my schedule I live in Upstate NY so it's 430am....yawn.post #282 of 3326/28/13 at 11:53am
CamJaxMama, welcome. Exciting times for you. My mom works as a CNA. Tough work especially when you are carrying around 2 babies. You are close to the end though!
AFM, Well, my ob appointment was very underwhelming. The doctor answered all my questions but all that happened was they did a dipstick test to check for protein and sugar in my urine, took my blood pressure, weighed me (I only gained a pound from my last appointment a month ago), and did a heart beat check. Does that sound about right for a second ob visit? It lasted all of 15 minutes tops. She figured the bleeding I had earlier in the week was just from the stiff bowel movement and seemed unconcerned.
I have an appointment with a dietician. I want to make sure that I am eating the best for two babies. OB Dr. seems unconcerned that I am not gaining any weight but from what I have read I should be gaining a bit more
My appointment for the gender scan is July 26 at 9:15 a.m. I can't wait! I have been told not to urinate an hour before the exam. What good will that do?post #283 of 3326/28/13 at 8:57pm
Welcome CamJaxMama ! I am also carrying di/di boys. Our due date is Sept. 6, but I tell everyone we're expecting them in August because our OB really wants us to birth them before 38 weeks. I feel like that is kind of negotiable, but I am not going to argue about it until it becomes an issue. Are you planning a c-section because of your previous births or for a different reason? Your job sounds rough for a twin pregnancy! I am planning to work as long as I'm able, but I have a desk job so it is a totally different situation. I am excited to meet another mama with twin boys due so close to ours! You don't, by chance, live in the pacific northwest, do you?
lilacvioletiris, that appointment sounds fairly normal. some doctors are different than others. (mine does a quick heartbeat check with ultrasound at each appt, for example, since they believe you can't accurately pick up twins' heartbeats with a doppler, but they don't check for protein at every appt unless you have high BP). they tell you to hold your urine because the babies are so small at that point, it can be difficult to see them. A full bladder pushes up Baby A quite a bit, so it would be easier for them to measure everything they need to measure. What kind of diet are you following? How many meals/snacks are you eating per day? Are you tracking the calories/grams of protein you eat?post #284 of 3326/29/13 at 3:54pmI am following an ovo-lacto vegetarian diet. I am eating 6 or 7 meals snacks a day following the advice in doctor Luke's book. I tracked my eating on myfitnesspal for a week and was hitting the protein goals for a twin pregnancy but I need to start doing that again before I go see the dietician.post #285 of 3326/29/13 at 11:49pm
I'm also eating an ovo-lacto vegetarian diet & following Dr Luke's recommendations as closely as I can (although it was really challenging in the first trimester!). I was concerned my initial weight gain was a little slow, but now, at 30 weeks, I am exactly on track for where Dr Luke wants me and my midwife/OB team are thrilled with my weight gain, so I am feeling pretty good about things. (it does not hurt that my twins are growing really well, which just affirms that the other stuff I'm doing is right.) I think the more info you can take to the dietician, the better, but know that s/he might have different ideas of what's healthy for a twin pregnancy and you might have some decisions to make. Good luck!post #286 of 3326/30/13 at 7:55am
I guess I am more concerned that my ob only wants me to gain 20 pounds total over the pregnancy. Yes I was 250 pounds and five foot 9 inches before I got pregnant, but I don't want to stunt my babies growth. The fact that I am eating and eating and eating puts my mind at ease. I think I am giving my body and my babies what they need. I am not restricting what I eat. I am aiming for a bit more protein and fat than I would have eaten before I was pregnant, but I think it is all going to the babies since it isn't showing up on the scale at all.post #287 of 3327/10/13 at 3:50pmI went to talk to a dietitian today and my 3 meals with 3 snacks is right on with what she was recommending. She is going talk to another dietitian who deals with high risk mothers about the fact That my ob said to only gain 20 pounds with twins. Felt good that her recommendations matched what I have been doing.post #288 of 3327/11/13 at 1:03ampost #289 of 3327/11/13 at 2:46am
Yes, especially after being at my inlaws where my sister in law who doesn't have any children was complaining to my mother in law that I was eating in between meals. MIL is a carb loader with hardly any protein or fat. I had brought some individual containers of yogurt with me because I knew I was going to need something in between meals to get me to the next meal. DH stood up for me and my MIL was nonplussed by my needs since she has obviously been pregnant before. I just shake my head. The dietitian yesterday basically reinforced the idea that it is no one's business what I eat - especially if I am following a professional's recommendations but even if I am not. What I eat is my choice. Right now I am making choices to help my 2 babies grow as big as they can. DH was born premature - he only weighed 4 pounds 13 ounces when he was born - his mother has never told me why he was born premature but I know I want to do all in my power to help our babies be as big and mature as possible when they are born.post #290 of 3327/12/13 at 6:02am
Sounds like you are doing the right things! Key is to focus on what foods you are eating not how much...and keep in mind that fat doesn't make you fat, carbs do. You should up your protein to at least 100 grams a day and minimize your carbs (especially processed/white carbs). Healthy fats are wonderful for both you and the babies...these include coconut oil (wonderful for cooking/frying), olive oil in salads, nuts, seeds, grass fed butter, grass fed beef (note that eating grain fed beef / dairy products is the equivalent of eating a second generation carb....and not natural/healthy), eggs (yolk as runny as possible), wild caught fish, etc....throw out all vegetable oils (high in Omega 6 and overall horrible for your body), stay away from soy (lots of reasons), etc. Not pregnancy related....but check out the Mark's Daily Apple Blog...he has wonderful advise on what foods we should be eating that are probably even more important in pregnancy than everyday life http://www.marksdailyapple.com/#axzz2YmyZ0zYd.post #291 of 3327/15/13 at 10:24am
Question -with twins that share a placenta (monochorionic), does the cord stop pulsating for the first one born? I would like to for Baby A to have delayed clamping, but am unsure about how long, until I feel the urge to push again? I have tried to research on Google, but haven't found much info. Thanks!post #292 of 3327/15/13 at 12:40pm
Esenbee2....My twins are identical and sharing a placenta. I have discussed the delayed clamping with my doctor and she hasn't said anything about it not being possible. Her only concern is that once the first baby is born, attention needs to be turned to getting the second one out relatively quickly (checking position, etc) so the doctor may need you to focus on what he/she needs to do rather than baby...but a few minutes which is more than enough for delayed clamping shouldn't be a problem. My boys are hopefully coming in the next two weeks so I will let you know how it goes!!!post #293 of 3327/17/13 at 11:55am
Met my new OB on Monday. She was super flexible and wanted to make sure we had all the information we needed to make the decisions ourselves. This is quite a relief and something I was so scared of by needing to go to an OB. Now, the only thing I worry about is how DSp will feel about the information. He has always been like, "Oh, the doctor says this could happen, or we should probably do this? Then absolutely we should do this." Nothing about weighing this risk with this benefit.. So frustrating and has been quite the source of arguements (but that's a whole 'nother thread right there..) The OB talked about needing an epidural because of all the things that could happen if Baby B was in distress and wasn't coming on his own. So of course, DSp basically said that I would be getting an epidural (like it was his decision!) And the OB mentioned the new recommendation that 1 placenta twins be delivered by 36 weeks because of the shift in fetal death. Which I had read and have seen the graph. The difference between 36 & 37 & 38 are so small, like .7 in every 1000 births (supposedly in healthy, normal monochorionic pregnancies). So the difference between 36 and 38 would be about 1.5, which I feel comfortable with? Especially if it meant that both babies will still make it, NICU time is reduced, and neonatal complications are reduced. But DSp hears 36 weeks, and that is all that is needed. The OB said she has an awfully hard time going with 36 weeks as the new recommendation because of how beneficial time in the womb is for the last bits of development. Of course DSp doesn't hear that part and no specifics were given about what that would look like. I guess It's just that it's so commonly accepted that twins are small, twins are early, twins most likely will be C-Section, twins have NICU time, twins need help breathing, twins need to be supplemented with formula, etc.............. I don't know how many times that I have said, "Why do you think that is going to be case?" or "Why are you acting like that is 100% for sure going to happen?" especially when it comes to C-Section or gestational age at birth. I am seen as selfish, and also as an uneducated (and stupid) regular laymen person who doesn't know anything because I didn't go through years of medical school (don't know how many times I've heard that one!) This whole ordeal has been completely uphill and I've had to fight everyone around me. It has been completely exhausting. Ugh.
Sorry to vent so much! I just really have noone in my life that understands how I feel about birth. This MDC board has felt so much like finally coming home to me.post #294 of 3327/17/13 at 3:24pm
esenbee, is the new OB giving you the birth by 36 weeks, tiny twins, probable C-section or is that your old OB? I hope you and your DSp can get as much on the same page about birth as you can be. Definitely tough. My DH is also ones that feels whatever the doctor says is gospel truth. I am more questioning in what my doctor says.post #295 of 3327/17/13 at 7:41pmpost #296 of 3327/26/13 at 9:27ampost #297 of 3327/26/13 at 3:06pmEsenbee...hang in there!!! And know that at the end of the day it's your body your choice...period! Save your energy arguing until you actually need to. Chances are babies will come on their own in good time...if not...you can worry about it then no need to stress now.
I will be 38 weeks on Monday with my mono/di boys!!! Trying everything possible to get labor going naturally. Will likely agree to induction end of next week or following Monday at the latest...but hopefully won't need to go there. I monitor their movements religiously and listen to my body for any signs of change. I quickly came to the conclusion that 36 weeks is too early to evict them, 37 is likely ok but will increase c-section likelihood...38 is my comfort zone. You will find yours!
Watch your diet...make sure you get enough protein, healthy fats, veggies, fruits, water, etc....there is nothing more important you could do for your babies!!!post #298 of 3327/26/13 at 6:52pmpost #299 of 3327/27/13 at 9:04amGreat news at the OB yesterday! After both passed their biophysical profiles with 8 out of 8, and their growth scans showed that they are within 3 oz. of each other now, 6% rather than 15% as before, my OB said she found literature to back up that 38 weeks was recommended for mono/di concordant twins! I am so happy. It was the best news ever! I am just hoping they continue to growth with each other!
yelena -You're getting so close! Exciting!post #300 of 3327/27/13 at 9:36am
esenbee, that is excellent about the doctor recognizing that 38 weeks is the goal for you and your babies! Yesterday I saw a new ob at the practice I go to and she said that 38 weeks was the goal that she has for twin births. The other ob I have seen had said 36 weeks so I was much happier to hear the 38 week number as well.
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