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38weeks with Twins - need some encouragement

post #1 of 30
Thread Starter 
Hi Lovely Mamas,

I'm 38 weeks pregnant with twins, which I know is great, but I must admit, I'm getting a little anxious. I'm planning a hospital birth, but am lucky enough to have a doctor that hasn't even mentioned induction yet. Unfortunately, I can't help but feeling a little anxious. Also I'm a believer that the babies will come when they are ready, but I keep having moments of doubt... are the 99% of NYC docs that say you must have twins by 38 weeks correct? Are my babies in danger after 38 weeks.

Anyway, I know so many of you mamas had your little ones after 38 weeks with no problems, so I thought you might have some calming words for a mom-to-be that aspires to just trust my body and my babies and know they will come when it's time.

BTW - I did have an internal recentely and I'm 3cms dilated and 85% effaced (but was 2cms dilated for about a month)

Thanks so much,
Stacy
post #2 of 30
Have you read Mothering Multiples? The author, Karen Gromada, mom of twins, nurse, LLL Leader, mentoring MoMs for 25 yrs, says, the longer the babies cook the better. Mults need to get to 40 weeks just like singletons.
post #3 of 30
Thread Starter 
Hi DaryLLL - Yes I have read Mothering Multiples. I'll have to re-read that part about 40 weeks being ideal. I also have read Having Twins by Elizabeth Noble. I'm really looking forward to breastfeeding these babies, and feel lucky that since I've come this far, there is a good chance they will breastfeed well from the beginning.
post #4 of 30
I don't know about NYC, my here in MI, my OB was willing to do a c-section at 38 weeks for me (a vaginal birth was not an option for several reasons and I was begging her b/c I was so huge and in real pain) but the hospital would not allow any inductions or scheduled c-sections before 39 weeks for singletons OR multiples.

If you have no problems (blood pressure, low fluic, etc), why not keep them in as long as possible? I waited till 39 weeks and was glad I held out - though it was one heck of a long week waiting! Your babies will know when it's time.

And the Mothering Multiples book is AWESOME!!! It got me through the first tough months of nursing twins (along with a lot of support from family)

Best luck to you!!
post #5 of 30
You're absolutely right about the BF part. Chances are the longer you stay pregnant, the better they will be at BFing.

That said, even for singletons, 38 weeks is considered full-term. If you're already starting to dialate and efface, you could try to move things along your self. (Sex, long walks, raspberry tea, etc.) I'm sure you've heard of all the different things women try to do to encourage labor.

Good Luck!
post #6 of 30
Thread Starter 
royaloak - I agree with keeping them in as long as possible - that's why I haven't even brought induction up with my OB.. But the last weeks are a little tough! I'm having problems walking and my belly is even bleeding from being stretched so much. Thanks for the encouragement. I think I'll watch MindyLeigh's video again.. it's very inspiring!
post #7 of 30
Quote:
Originally Posted by tracyhos
You're absolutely right about the BF part. Chances are the longer you stay pregnant, the better they will be at BFing.

That said, even for singletons, 38 weeks is considered full-term.
Yes, but only if you go into labor sponteneously. Some babies are meant to cook for 42 weeks and if you 2nd guess Mother Nature and take them out at 38, they would be premature. This happened to my nephew. he was so not ready. Barely 6 lbs and couldn't nurse.
post #8 of 30
Hang in there, you're doing great!!!

I remember being in shock when I "made it" to 36 weeks -- so much time of the pregnancy was spent worrying about preterm labor and preemie babes, and then I though... oh my god I could go another 4 weeks!!! It was mentally a very hard thing to switch gears like that... but I'll add my name to the longer the better (as long as you feel good and have no medical problems at the moment). Mine came at 37 weeks exactly and were pretty tiny (5.7 and 6.2) and probably would have enjoyed cooking longer if they could have.

YOu're amazing. Do everything and anything you can to relax, take care of yourself and indulge these last days...

Lisa
post #9 of 30
Hang in there, you're doing great!!!

I remember being in shock when I "made it" to 36 weeks -- so much time of the pregnancy was spent worrying about preterm labor and preemie babes, and then I though... oh my god I could go another 4 weeks!!! It was mentally a very hard thing to switch gears like that... but I'll add my name to the longer the better (as long as you feel good and have no medical problems at the moment).

YOu're amazing. Do everything and anything you can to relax, take care of yourself and indulge these last days...

Lisa
post #10 of 30
I had my g/g twins at Mt. Sinai on the UES. I had a scheduled c-section at 38 weeks (originally sched. for 39 weeks but OB didn't want me going past 38 weeks for same reasons as you). B/c of a previous uterine surgery my OB didn't want to risk having my uterus rupture if I went into labor. Eek...Anyway, I wasn't even dilated or effaced.

I was in great shape and took the subway to my last OB appt. 3 days before delivery. I wasn't even not even that uncomfortable (it helped that I'm 5'10" I guess). So my girls were born at exactly 38 weeks. No NICU no latching probs (altho Baby A was stronger than Baby B at nursing). They were 19 and 20 inches and weighed 7# 5 and 5# 10. To this day they are still the same sizeand weight difference.

I think the 38 weeks stems from the fear of placental deterioration after 38 weeks and the possibility of babies going into distress. I never read up on it personally though. I do know that Baby B was not ready to be born, but Baby A was. Baby B was screaming bloody murder the minute her head was out--even before her shoulders or body! And, hasn't stopped since.

Not sure what I'd do in your situation, but probably I'd plan to have the babies in the next week--especially if you are in pain and bleeding (ouch). At 38 weeks your babies should be more than fine. Good Luck!!!
post #11 of 30
Thread Starter 
Thanks everyone - We've tried sex. Am also drinking Rasberry leaf tea and trying to get out for a walk a day. I also had an acupuncture treatment yesterday. I don't really want to do anything more drastic.

I asked my doctor about the placental detioration and she said she can tell from the NST (if babies are doing ok) in combo with the ultrasound whether the placenta was ok. If the fluid is sufficient and there isn't calcium deposits floating around, there isn't a problem

They'll be here soon I know, but these last weeks are a little rough.


Stacy
post #12 of 30


Those last weeks are so hard. I remember wanting to have my babies so bad once I got past 36 weeks because I was so uncomfortable. I really wanted to keep them in as long as possible, but also wanted so bad to not be pregnant. I had mine at 40 weeks 3 days and am soooo glad I kept them in there that long. They were 7lb 15oz and 8lb 2oz and nursed great! I had mine at home but was also seeing a doc who asked me at every appt if I wanted to be induced (even though he knew I would say no) and said if I got too 42 weeks we would talk more seriously about induction. I am also a big beleiver that babies come when they are ready, but that does not make the wait any easier. Oh and I was dialated to 5 cm for weeks before I had them and I think about 90% effaced for weeks also. That probably contributed to my super fast 1.5 hour labor

Hang in there and let us know when you have them!
post #13 of 30
Thread Starter 
Thanks Sarah - That is very impressive - 40w3d - though I really hope the babies are ready before then. Not sure I can be that patient. Another thing on my mind is that every day I don't have them means another day towards my maternity leave that I won't have with them.


Stacy
post #14 of 30
I had my guys at 37.3 weeks after a failed induction and really wish I could have had them later. theyt had a short NICU stay but massive feeding and jaundice issues.
post #15 of 30
[QUOTE=stacyann_1]Hi Lovely Mamas,

I'm 38 weeks pregnant with twins, which I know is great, but I must admit, I'm getting a little anxious. I'm planning a hospital birth, but am lucky enough to have a doctor that hasn't even mentioned induction yet. Unfortunately, I can't help but feeling a little anxious. Also I'm a believer that the babies will come when they are ready, but I keep having moments of doubt... are the 99% of NYC docs that say you must have twins by 38 weeks correct? Are my babies in danger after 38 weeks.

Anyway, I know so many of you mamas had your little ones after 38 weeks with no problems, so I thought you might have some calming words for a mom-to-be that aspires to just trust my body and my babies and know they will come when it's time.

BTW - I did have an internal recentely and I'm 3cms dilated and 85% effaced (but was 2cms dilated for about a month)



Stacy, the evidence re: "all twins by 37-38 weeks" is not based on the best science. For instance, researchers didn't carefully pick through variables, such as obvious growth restriction for one or both infants or for maternal factors, such as signs of pre-eclampsia, gestational diabetes, etc. There is a database called the Cochrane library that analyzes numerous studies on particular topics. Two reviewers named Dodd and Crowther looked at "Elective delivery of women with a twin pregnancy from 37 weeks' gestation" and reported, "...there are insufficient data available to support a practice of elective delivery from 37 weeks gestation for women with an otherwise uncomplicated twin pregnancy at term." (This review was conducted a few years ago and must have been recently repeated, as I found an abstract for it again when doing a lit search the other day.)

There can be VERY good reasons for helping twins arrive early, including biophysical profile ultrasound results that show one or more is no longer growing appropriately, one or more placentas or cords is not working as it needs to, a mother develops pre-eclampsia, etc. Therefore, I am in favor of taking advantage of technology that allows us to better monitor pregnancies at somewhat more risk for developing complications vs. a blanket "get 'em all out early." Considering the risk the also somewhat increased risk that goes with borderline preterm births, I don't get the rush to get all twins out without distinguishing uncomplicated twin pregnancies from those that are.

While I'd disagree slightly with how others have paraphrased re: Mothering Multiples, I do say cooked is cooked and term is term. And borderline preterm infants can do well or have increased problems breastfeeding, keeping temperature stable, developing jaundice, etc. Since we are fortunate to live in a time in which higer level ultrasound can virtually look into the womb and nonstress tests can give us a fairly decent idea as to how well each twin reacts to a contraction, why the rush to get those "uncomplicated" twin pregnancies to birth before they seem ready? If testing shows a potential problem developing, then it may be time to "hurry" them a bit -- but only after honest, non-biased discussion with one's obstetric care provider.

BTW, considering the current data on your cervix, this post may be moot by now. But have you considered a bit of nipple stim to "encourage" contractions?

Be sure to get photos of your profile. I didn't want anyone to photograph me that last month and I can't tell you how much I regret not having those photos...

Karen (who cried on her due date when her twins hadn't arrived; they decided to come out at 40 weeks 5 days...)
post #16 of 30
I understand completely how you feel!

I had my boys at 38w5d via scheduled c/section. They didnt want me going any longer. I had no chance of vbac.

I had a 7 lb 13 oz boy who ended up in NICU for 5 days b/c of breathing probs/too much fluid (he was fine- never in danger or anything) and a 6 lb 1 oz boy.

At fitrst I wanted to carry them longer but late u/s's showed the bigger twin growing at a much faster rate- he was hogging all the food- so my little twin wasn't going to grow much more.

My little twin was a champion nurser from the start, my big/nicu twin took a bit onger b/c he was on a feeimng tube for 4 days...

I just want to say hang in there. I have scary big belly pics from the night before I gave birth an I cant believe I was so big! I was sooooo ready. I never bled on my belly, but man, i couldn't move i was soooo huge!

Danielle
post #17 of 30
forgot to add- as a mom of 3 month old twins- they are much much quieter in your belly than out
danielle
post #18 of 30
re: your bleeding belly --- I feel for you! Mine was horrendous during the last weeks. I saw a dermatologist about 4 or 6 weeks postpartum and he gave me something fabulous that really helped the skin feel better. Sorry I can't remember what it was, but it was worth lugging the babies to his office to get the script!
post #19 of 30
Thread Starter 
Thanks so much everyone - I'm still here at 38w2d. I had an appt today but managed to avoid the internal exam, so I don't know if I've progressed.

Karen - Thanks for all that information. I love your book and I'm sure I will be referencing it often when they are finally here. I was lucky to have it given to me by another mom of multiples (that I met on a different board). The only thing that concerns me about my OB is that she does the NST, checks fluid, breathing movements and position, but doesn't do growth predictions often. My last one was about a month ago and they showed that both babies were growing fine in 40-60%.. I guess she figures that wouldn't change since they each have their own placenta? I'm not sure.

Danielle - I'm sorry your baby ended up in the NICU, but I'm glad they are doing well now (even if they aren't as quiet as they were in the belly )

RoyalOak. thanks for the tip.. I need to see a dermatologist after this pregnancy.. My belly is a mess unfortunately, not to mention the skin tags and moles that grown during this pregnancy. It'll all be worth it I know.

I might end up with a c-section anyway unfortunately. I've had recurrent herpes for a long time and unfortunately even with suppression have been getting some tingling lately, not sure if I want to risk a vaginal birth. Probably the longest the dr will 'let me go' is until next wednesday since she considers that my due date (based on LMP) I'll be 39w3d if I make it until then.

Thanks,
Stacy
post #20 of 30
Thread Starter 
Well .. I thought I was in bad shape at 38 weeks, I'm actually losing my mind at 39w1d. I had the worst weekend ever. A thrombosed hemrroid basically limited me to a very still side lying position all weekend.. I couldn't walk, sit or stand. I'm feeling a little better today, but still pretty bad. I feel like a freak at all other multiples boards besides this one. Everyone thinks my doctor must be bad to let me go past the 'full-term' 37-38 weeks for twins. My doctor would still be fine letting nature takes its course (with monitoring of course) for at least another 1-1.5 weeks, but I'm actually going crazy.

I guess all those months of being told that twins come early, made me start preparing for their entrance a month ago. Now here I am eating into my maternity leave, at almost 40 weeks. Anyway - this is the only board where I can see reassuring stories from people that delivered healthy twins at 39 weeks+. I thank you all for your support. And if I get one more email or phone call saying.. are they here yet? Any updates? What's going on? Does you doctor know what she is doing? I'm going to go ballistic.

Sincerely,
A very emotional Stacy
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