[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...)