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When Baby A is vertex and Baby B is breech... - Page 2

post #21 of 31
Thread Starter 
Kangamom: I was told that at this point they will just do what they like in terms of position. I have heard of using webster technique or moxabustion much later, though I don't know exactly when. Presumably it would be earlier than in a singleton pg. Doing pelvic tilts probably wouldn't hurt at this point.

I am not very informed since my edd is just a day before yours! I don't even know what position these guys are in at this point. I feel kicks everywhere, though some are concentrated high and some low so I have a feeling one of them is breech. I have another u/s in 2 weeks and I am very curious.
post #22 of 31
I'm mostly guessing on their positions. I have u/s's at every visit (I have secondary complications and need close monitoring) and thats about where they were last week. They still move around quite a bit, especially the boy. (Every time I mention this to the OB I get the same speech about how moms can't tell which twin is which- but I swear I can tell at least a bit!) I wake up in the morning feeling kicks in all kinds of wierd places but then they setttle into the same spots. So I guess we will see what happens.
post #23 of 31
Unless you have a very very relaxed team delivering your babies, they won't let you rest between babies. I had expected to get a break between babies because my contractions stopped, Baby B was not stressed, and I had heard that it was possible to rest between babies. My country Dr was fine with that in our discussions. The high risk Drs- not so much. I am convinced that if Baby B had not come out as quickly as she did even though I had no contractions then they would have performed an emergency c-section. My babies were 10 minutes apart.

My experience was that once A was out, immediately they were doing an ultrasound to find what position B had moved to. As soon as it was confirmed she was vertex, they were yelling at me to push her out as fast as possible. Later, it was explained that with twins, the longer you have between delivering Baby B, the greater chance you have of an abruption. It may have been different if I had not been in the high risk hospital because of their prematurity. The high risk team was much more uptight than my normal Dr. and I had never met them before because I had to be life flighted to a hospital several hours from my home.

Unlike the other poster, they did not want me on my back. They wanted me semi-upright and several people were pushing on Baby B from the outside to ensure that she would not flip and was heading in the right direction.

Hopefully, you will be term and able to have the birth you want, but it is good to be prepared for what may happen if you deliver with a strange Dr in a strange hospital. The only thing I was able to insist on was no epidural but even that was a battle. I think Dr delivering in higher risk hospitals with higher level NICUs are much more likely to insist an emergency c-section is really necessary than OBs in more regional hospitals. Probably, of course, due to the fact that a full term baby can handle stress better than preemies.
post #24 of 31
baby a was vertex, baby b was transverse, I had a 32 minute break between babies, and the midwife externally was able to guide baby b into a vertex position. And since most ob's haven't been pregnant with twins they have no idea that you can tell the difference. I named mine based on who they were before they were even born, and their personalities have stayed true to my intuitions since,I have a very phsically active baby and a not so active one. One is way more dramatic, the other is shy. I told people all of this before they were ever born
post #25 of 31

birthing twins when one is breech~~

Dear mom with twins, my twins, now 14 were positioned as follows:
The presenting baby was footling breech, and the second twin was head-
down. I was working with a lay mid-wife during the pregnancy who helped
me with nutrition; thus I had big twins! But, my OB, though very open-
minded towards a single breech birth was beginning to feel concerned about
their position. After the end of my 9th month, with no signs of labor, we
agreed on a cesaerean because he felt that the birthing would be too
difficult --- difficult on me, should some true emergency develop, and
hard on the babies, because of a possibility of interlocking chins. No mother
wants to accept something this horrible! I so much wanted to deliver these
dear ones by myself. My husband was concerned for their safety.

But, in your situation, the second baby is breech; and, should be able to
turned without performing an extraction! I had a friend who birthed her
twins in still another way! The first was head down, and she birthed
her normally. Her 2nd twin was breech and the Dr. did a C-section.

I would say, consult with your mid-wife and Dr. and follow your heart.
Make sure that you and your husband feel safe and connected to your
decision. In my case I had to change course after months of joyful
anticipation. That is life, I guess. We can't always control everything.

But, I feel I still gave birth to my twins! It was the crowning moment of
my life. (No pun intended)!

I heard Ina May Gaskin speak at the University of Ct. years ago when my
4 year old twins were still nursing! She, of course, delivered all sorts of
twins in all sorts of positions. Had I known this, I may have tracvelled to
Tenn. to have her assist my birthing.

Well, I hope you find the answers you are looking for. Be brave and trust
yourself and God. She knows your every need.

~ spirit dove
post #26 of 31
Our baby A was vertex, baby B was breech. Baby A's water broke at 34w6d and off to the OR we went. While we delivered in the OR, with, oh, maybe 150 people in there, my OB was VERY cool with the idea of delivering baby B breech. So Baby A was delivered, handed off to the NICU team and then my OB broke Baby B's water, and pulled her out by her feet. They were 3 minutes apart. No ultrasound to check position, he just reached up in there and pulled her out. And not any more painful than delivering the 1st, but I did have an epidural. And of both babes, baby B is the one I CLEARLY remember birthing. Meaning, I CLEARLY felt her slide out of my body. And watched my stomach go down. As opposed to Baby A, who I didn't realize I'd even pushed out until I heard a cry. (first words out of my mouth? oh my god! did I just give birth?) Not quite the birth I'd wanted, but I'd take an episiotomy and epidural any day over a c section. Due to "hospital policy" because they were born prior to 36 weeks, they went straight to the NICU. Where due to the cascade of interventions, they stayed for 15 L-O-N-G days. I had a lot of anger for a long time about the whole thing. But ultimately, I've come to a peace that the birth we had is the birth we had. I can't change it, so I focus not on the birth itself but on the "ever after" - the parenting of these two amazing little ones.

When interviewing OBs, mine was very skilled in the art of delivering a breech baby, and respected my desire to have as close to a natural birth as is possible in a large teaching hospital setting. His take all along was that as long as baby A is vertex, and larger, he would deliver baby B breech. And we were fortunate that he wasn't on vacation, I wasn't handed off to a different team, he himself delivered 98% of all babies born to his practice, AND his partner had a similar birth philosophy (she would have delivered a breech also). Good luck. I know we all focus on the birth process when pregnant, but try to accept that it's the first of many times that you can't control what your little ones do. Be prepared as much as possible, and just make the best of it.

peace to you and your wee ones!

mom to the Wonder Twins (b 8/28/01) and my Sugar Plum Fairy (b 4/22/04)
post #27 of 31
Thanks for this thread. I've been worried about a lot of these issues!
post #28 of 31
My baby A was vertex and baby B was breech. I wound up with an emergency c-section over baby B being breech. They were both vertex 3 days before the birth but my dd managed to flip. I was fully dialated and the hospital couldn't get ahold of my doc so I got stuck with a staff doctor at the hospital. Plus the nurses scared my dh telling him that baby B could die going through the birth canal breech so he pushed for the section too. He felt bad about it later.
post #29 of 31
Thread Starter 
I've been offline for a month (just moved) and I am amazed at the number of responses this thread has generated! During the last 6 weeks my guys have gone from both breech to A vertex and B breech, and as of last week they were both vertex. I am planning a homebirth, and having parallel care with an OB and they both seem comfortable with a vaginal birth in a variety of situations. I'm 31 weeks, so there is still plenty of time for position changes! We'll see!

Thanks again for sharing your experiences.
post #30 of 31
Mine keep changing positions also. They were both vertex for a month or so and then last week Baby B flipped to breech again and if he stays in the position he is in now he will probably be a footling breech. I am not getting any more u/s so we will just have to see when they come out! I am also planning a hb now and still being seen by a doc and both are fine with the 2nd baby being breech. It just doesn't seem like there is room in there to flip around like that, but they manage to do it!
post #31 of 31
I haven't read this entire thread just your first and last posts...

and congrats.

My first was a frank breech and second was a footling breech and they were born at home.

Glad you found a supportive birth team.

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