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Help me think this through please.

post #1 of 23
Thread Starter 

We are pregnant for the tenth time. We have 6 children, the losses were early in the pregnancies. This time it is TWINS!!!! So excited! Twins are common in my family, with zero complications during birth. My babies are always almost 9-10 lbs, my family usually has 7 lb twins. In Alberta Midwives are not able to care for twin pregnancies. So I am stuck with an OB, though my midwife is going to try to do shared care and be at the hospital for the birth. We plan on continuing with the prenatal care with health pros. Here is the thing though. We are 1 hour away from the hospital. My labors are fast! 2 hours max, last baby was 1 and 1/2 hours start to finish. We waited 10 mins to know for sure, had to wait 20 mins for childcare to come, 40 mins driving, pulled over to push, was moved to the ambulance one push from crowning, and he was born on the way. I am always stuck laboring in the front seat of a vehicle! It sucks, hubby wont have it again. We were told that we will need to either get induced or move into town at 30 weeks. We will not do either. Hubby wants us to avoid the hospital, he says he is sick of watching me get pushed around and told what to do. We are considering an UC at home if it starts there, or getting a room if we are in town.

 

None of our family and only one of our friends (who we will call to help with the kids) will be ok with this. I will not have a support system. What do we tell the dr when they ask us to move again? If they get too pushy can we just stop going?? I just want care so that we can monitor the positions of babies, and our health. With how far we are from the hospital I want as few surprises as possible. 

 

I do not know what I am asking here. Just looking for some advice on getting ready, how to get support, and what ever else I might need. Any thoughts or words would be helpful. I know I can do this birth! 

post #2 of 23
Thread Starter 

I suppose we have decided to do UC at home already, but I now need to know what things I need to consider being that they are twins and we are an hour from hospital. Any thoughts on that??

post #3 of 23
I don't really have any advice but congrats on your babies! What a difficult decision to have to make...I'd be taking the uc route as well if it were me. I find it odd that your Dr is telling you to move...Although, I suppose, what other way would you get to him on time :-) good luck to you though!
post #4 of 23
Thread Starter 

We are super happy about the twins. I do not even want to think about how big i will get though!lol. the US shows that everthing is fine, and I plan to get another one or two US to check placenta posision and babies positions as well. though i know they can flip at any time. I have started to study Emergency Childbirth for help with bleeding and breech. Even if we choose later on to go to the hospital, I think it would be unwise for us NOT TO study for an UC. Unless we move, at least one baby will be born with us only. My brothers were born 5 mins apart, my sister and I 2 mins apart, and my neices 10 mins apart. 

 

 

If we were to call an ambulance if we notice lets say, feet first. If baby comes and we finish on our own, everything is fine, can we call off the EMS? if they do come, and it all works out fine, do we have to go with them?

post #5 of 23
I don't know if you can call an ambulance off, but you definitely do not have to go with them when they get there. I've actually met a lot of UCers that will call an ambulance while the baby is crowning, just in case baby needs resuscitation. If baby is fine, they just send the ambulance away. I think you might end up with a pretty expensive bill, though.
post #6 of 23
Thread Starter 

We have Blue Cross, so ambulance is covered, although I do not know what it would be if they ended up going away without us?? I wish I was closer, but we live on a farmstead. We can only afford to eat from our farm, so we have to stay at home. We could not afford to feed everyone, and pay for two homes to live in from 30 weeks, not to mention the loss of work. Too crazy!

post #7 of 23

I'd say keep going with prenatal care since you are feeling you need it.  If they're hounding you about moving or inductions or whatever, just smile and give your best answer, whether it's a flat out, "no, thanks," or "we've got it covered," or just be agreeable and say "okay."  It's really none of their business, and you could tell them that, too.  For me, I just went to all my appointments until I gave birth.  No biggie.

 

Anyway, my first birth was a wonderful twin UC.  I didn't really need anything special, just the obvious two of everything that's going to be for them.  If you're interested, I'd be happy to share their birth story. :)

 

(Btw, I have short labors too, twins was 4 hours and last baby was 1 hour!)

post #8 of 23

I would just add that I wish I would have had a doppler heart monitor last time. If it feels right, go for that UC!! Good luck :)

post #9 of 23
Hubby is tired of watching people tell you what to do, so he is telling you not to go to the hospital? That strikes me funny.

With your history, an induction with a favorable cervix would probably have a good chance of being a normal vaginal delivery. That situation of being pulled from house to car to ambulance and frantically trying to avoid birthing on the side of the road does sound totally wretched. I would want to avoid it too. But planning to stay near the hospital or having an induction would be the most likely to avoid the ambulance mess. Transferring with two newborns, 6 other children, while you're hemorrhaging is not going to be easier than moving to town while pregnant- why not closer to term than 30 weeks? Maybe it's not your OB's ideal plan but it's not about his ideal, it's about what is possible for your family.
post #10 of 23
Thread Starter 

thank you for the help. i will no matter what continue with care during pregnancy, I will have less fears if I do, thanks for the advice about responding too. How do I get a doppler??

post #11 of 23
Thread Starter 

Oh yes! Birth story please! I would love lots of twin birth stories, and even stories "when things went wrong" I do need to see how when things come up, others act and deal with it, even if it is a transfer! So happy to have found somewhere to get advice and support, for what our family may need.

post #12 of 23
I read the entire Gregory white childbirth manual and found it to be very helpful. Maybe your husband could take infant CPR classes too? Your plan makes sense to me, you have a ton of time to educate yourselves. That you're both on the same page will be hugely helpful.
post #13 of 23
Thread Starter 

To be more clear, my husband is not the kind of man to insist on what I do or do not do when it comes to labor and birth. He is not telling me to do anything, only letting me know that this crazy idea of doing a home birth on my own is not crazy at all. I had a hard time getting him to like me going to a midwife last time. But he came around with time while I did what I needed to. I understand that a transfer and so on would be a lot to do as well. But we are a single income home with a farm to run, leaving is not an option for any longer than a few days. I also feel very strongly that I need to make sure that this time I do not get rushed at all. I feel these babies need all the time that they will take. I have done a induction by breaking the waters, it ended well, but was terrable to do. Also worried that as soon as things get messed with they will put me on the clock. As it is they only give you 30 mins- 1 hour to birth the second baby. 

I am going to be very greatefull though if I need to go in to have the MW there to help out.

Lori

post #14 of 23
I think it's great that your husband is so supportive of you and wants what's best. It sounds as if you're comfortable with your body and I wish you all the best in whatever you decide to do. smile.gif
post #15 of 23

I had my twins unassisted. They were born at 38 weeks 3 days. It was by far my easiest birth. both babies were born in the caul baby B was breech. Baby A was 6 lbs 4 oz (same as his older brother) and baby B was just 5 lbs. I stayed with my OB (midwives also could not continue my care) until the end just in case I changed my mind.

 

I would be happy to answer any questions best I can. Do you know what kind of twins you are having? do they share a placenta? 

post #16 of 23
Quote:
Originally Posted by ElektraofMars View Post
 

 

 

I would be happy to answer any questions best I can. Do you know what kind of twins you are having? do they share a placenta? 

That would be my question too.  I personally think it's too early in the game to be totally set on a UC for twins.  Mine were identical, but they didn't share a sac.  Both babies were vertex and whatnot.  I pretty much just said that as long as the pregnancy went well, and then labor went well, we'd be having two babies at home.  Lol.

 

Here's my twin UC story:

 

http://www.thebirthingsite.com/birth-stories/item/331-my-unassisted-birth-of-my-twins.html

post #17 of 23
Thread Starter 

Fraternal twins are what runs in the family. The US says they both have their own sac and placenta.

post #18 of 23
Quote:
Originally Posted by matlori View Post
 

Fraternal twins are what runs in the family. The US says they both have their own sac and placenta.

That is great news if you want to UC !  I would be a bit wary if mine had shared a sac. Our Twins were identical they shared a placenta but had separate sacs. 

post #19 of 23
Quote:
Originally Posted by ElektraofMars View Post
 

That is great news if you want to UC !  I would be a bit wary if mine had shared a sac. Our Twins were identical they shared a placenta but had separate sacs. 

 

This, exactly.  There is quite a bit of increased risk with a mo-mo birth, the babies would also be at higher risk for complications in utero.  Very good news that they are fraternal!

post #20 of 23
Hi Matlori, congratulations on your twin pregnancy. I had di/di twin girls in July. I did a mostly unassisted pregnancy. I found out it was twins at almost 33 weeks. I had been considering an UC but decided to have a midwife. She dumped me when we found out at 36 weeks the girls were breech and transverse. Only 1 ob would touch me. I had to be sectioned as neither baby was able to turn. Had they both been vertex or vertex and breech, I would have tried it at home with a midwife. I think it would be a great idea for you to have an ultrasound towards the end of your pregnancy just to see what positions they are in, as you'd mentioned doing. I read Gregory White's guide to emergency childbirth, and my husband bought me a used Doppler on craigslist.com. I bet Ebay would have used ones for decent prices. It might not be bad to find an ob you like just in case you would have any issues come up. I have read that with twins, generally the first is vertex 80% of the time. But you never know. The ob I went to was nice but unable to perform my section. I had her associate, who I did not particularly care for, but anyway, best of luck! Twins are incredible in so many ways. redface.gif
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