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homebirthing twin mamas- midwife questions - Page 3

post #41 of 84
Quote:
I have to say thumbs-up to the EMTs who stayed to give fluids and O2!
I've attended and delivered at both mw-assisted and unassisted homebirths that have taken an unexpected turn. I think you can expect -- in most jurisdictions -- that if you call 911 in a medical emergency where children are involved (especially multiple infants!), you might have to have a plan for if the EMTs call CPS and/or the cops to enforce transport. Most EMTs freak out at the thought of homebirths, being that we end up assisting at spontaneous ones where the parents wanted an institutional birth or even CS. As well, in my region, I would be disciplined, if not stripped of my license, if I violated my protocol, which demands that I transport if certain risk factors are present.
I don't want to be alarmist ... on the contrary, I'm just suggesting that all families birthing at home would do well to have a good solid plan (in writing) and an articulate advocate on hand or available who is not directly involved in the birthing process (... other AP folk? Sister-in-law?)
And part of that plan would hopefully include your own, self-identified signals that it's time for transport.

That all said, blessings on you all for your homebirth choice! If I attended, I'd put on my pom-poms and be your cheerleader! Rah-rah, sisboombah, gooOOOoo mamas!
See, that is EXACTLY what I am talking about! Your post scared the crap out of me.
post #42 of 84
Quote:
Originally Posted by gemelos View Post
Kathryn, how did EMS react to you homebirthing triplets? Were they concerned or did they try to convince you to transfer? I would be so scared to let any medical team into my house during a multiple birth. But if I wanted to have triplets at home and that was my midwife's condition, I would allow it!
They weren't bothered at all and never said anything bad. Well, this one guy made a comment about 'too many women' because there were 4 midwives, a photographer, and my friend, several who were nursing the babies. I recently spoke to an EMS person from the same county and she was like "YOU'RE the triplet homebirth! Wow, your story has been passed around since last year" She didn't act like it was in a bad way, but I'll never know.

Quote:
Originally Posted by sarahloughmiller View Post
Yeah, I would not want to call them either! I can't beleive you actually got them to leave without any of you!
They would've preferred I had gone in for a blood transfusion, but I refused AMA and they were fine with that.

Quote:
Originally Posted by starling&diesel View Post
I have to say thumbs-up to the EMTs who stayed to give fluids and O2!
I've attended and delivered at both mw-assisted and unassisted homebirths that have taken an unexpected turn. I think you can expect -- in most jurisdictions -- that if you call 911 in a medical emergency where children are involved (especially multiple infants!), you might have to have a plan for if the EMTs call CPS and/or the cops to enforce transport. Most EMTs freak out at the thought of homebirths, being that we end up assisting at spontaneous ones where the parents wanted an institutional birth or even CS. As well, in my region, I would be disciplined, if not stripped of my license, if I violated my protocol, which demands that I transport if certain risk factors are present.
I don't want to be alarmist ... on the contrary, I'm just suggesting that all families birthing at home would do well to have a good solid plan (in writing) and an articulate advocate on hand or available who is not directly involved in the birthing process (... other AP folk? Sister-in-law?)
And part of that plan would hopefully include your own, self-identified signals that it's time for transport.

That all said, blessings on you all for your homebirth choice! If I attended, I'd put on my pom-poms and be your cheerleader! Rah-rah, sisboombah, gooOOOoo mamas!

If this had been an emergency that we called them for, I could understand that. However, it wasn't. When they were called, they were specifically called to be on stand by. They came and sat in the living room and just talked to each other until they were needed. Several of the male EMT's snuggled the first baby and talked about playing baseball with him.
If there had been something going wrong in the birth and we called them, I could see them forcing transport, but not when we called them specifically for stand by only. They really came with the understanding that if we were to need them, we wanted them there already.
post #43 of 84
Quote:
Originally Posted by alegna View Post
Eh, I'm not going to stress about fluid overload or an abnormality.



Just not my nature.

What will be, will be.

-Angela
Stressing about it isn't my concern. Assessing it is.
For optimal chance of a homebirth and also one with a possitive outcome it seems fruitless to fantacize about a twin homebirth without the reality of knowing what you are dealing with. I'm looking at the odds.

The odds of identical twins is .4%

The odds of natural fraternals is 1.7%.

Odds on Polyhydramnios is 2% of pregnancies
of those 4:1000 are stillbirths (twice a normal pregnancy)
26% have pre term labor
and higher odds for occurances of; skeletal deformities, premature rupture of membranes, and placental abruption.

Irregardless of choices on treatment. By ignoring the statistics there is denial of the odds. It's a risk to the welfare of yourself, child and potentially your MW, other MW's in the area, and future opportunities for changes in maternity care in the US and birthing options for women in general.

Informed decesions can't take place without information.
post #44 of 84
Quote:
Informed decesions can't take place without information.
Exactly!
post #45 of 84
Thread Starter 
I am not ignoring anything. I am aware of the risks. I have researched the conditions. I will make choices that I am comfortable making. They simply may not be the same choices that you might make. That does not make them wrong or irresponsible or evil.

I will discuss with my midwife her comfort zone and concerns.

-Angela
post #46 of 84
Quote:
Originally Posted by alegna View Post
Cool. I'm wondering how far along to palpate and have a feeling one way or the other about twins....
Not a midwife yet but have done lots of prep for my twin UC. If I had not suspected by fundal height that I was having twins (and an U/S at 12 wk to confirm), I doubt palpation would have discovered twins until far into the pregnancy. Both babies were posterior most of the time and it was rare to find more than one head and one rump and a variety of limbs.

Quote:
Originally Posted by gemelos View Post
Is she comfortable letting Baby A's cord pulse or does she want to clamp it immediately? We were sure my babies had 2 placentas, but just in case they happened to fuse, my midwife didn't want A's cord to pulse too long because it could potentionally be harmful to Baby B if the placentas were fused or if there was only one. What does she plan to do in case of hemmorage? We didn't discuss this and I was surprised when my midwife whipped out a shot of pitocin when I let out a huge gush of blood. Hemmorage is very common with twins.
We saw at 12wk that the babies had their own sacs but the placentas looked fused. Still we decided to go ahead and clamp/cut as soon as baby A was breathing well on her own. Maybe a 4 minute wait?

As for hemorrhage, I bled less with my twin birth than my singletons, which I personally attribute to having great iron levels and no interventions. We did have Shepherd's Purse on hand just in case.

Quote:
Originally Posted by LoisLane View Post
How many weeks along are you? If you are thinking of one U/S (to either rule in or rule out twins), you might want to consider sooner as I think there is an optimal time to see if they are monochorianic or di. I had mine at 18 weeks and it was too "late" to see the lamba (or was it delta?) that is evident at 12 weeks or so that indicates mono-di. The membrane between my girls was really hard to see though (some techs couldn't see it and panicked about mo-mo) so they presumed it mono-di and had more regular U/S to check for TTTS. Pathology of the placenta after birth showed it was, in fact, one big one. But... I imagine there are people who have later U/S and they aren't sure so do tons of U/S followups to track for TTTS who turn out to be di-di.
I had U/S at 12 and 20wk. 12 showed own sacs and possibly own placentas. But at birth, it looked like 1 plancenta. Subsequent DNA testing showed identical, so it probably was just one placenta. No TTTS, but that was one reason why I opted for that U/S at 20 and again at I think 34wk.

Quote:
Originally Posted by hotmamacita View Post
Eat wisely for twins, alegna.
Quote:
Originally Posted by alegna View Post
Thanks! Already working on plenty of water and protein.
I'd add more iron too. Floradix worked amazingly well for me.

Quote:
Originally Posted by OGirlieMama View Post
Well they wouldn't drive me batty in any other situation, but I want to know if you're having twins now!
Same here!
post #47 of 84
Quote:
I am not ignoring anything. I am aware of the risks. I have researched the conditions. I will make choices that I am comfortable making. They simply may not be the same choices that you might make. That does not make them wrong or irresponsible or evil.
Almost word for word when I get accosted for choosing to UC twins... you decide what is right for you in your situation.
post #48 of 84
Thread Starter 
Quote:
Originally Posted by MamaRabbit View Post
I'd add more iron too. Floradix worked amazingly well for me.
Thanks, I had been working on increasing iron- thought it seemed prudent. I need to make a trip to WF and get some floradix.

-Angela
post #49 of 84
Thread Starter 
Quote:
Originally Posted by MamaRabbit View Post
Almost word for word when I get accosted for choosing to UC twins... you decide what is right for you in your situation.
Thank you :

I fully accept that my decisions would not match *most* people's decisions.

They are educated decisions. I am a (VERY) educated consumer.

My deeply held beliefs guide my choices. I would hope that posters would not attack a woman who was making choices based on her religious beliefs. Just assume that my choices are for (personal) religious reasons and respond appropriately.

I'm not asking anyone to agree. Not asking anyone to cheer me on. Simply asking posters to accept and not attack me.

If there is a subject where you feel I am actually ignorant, please, feel free to post links

For the record I have researched TTTS fairly extensively and discussed the information with my dh. We are on the same page.

-Angela
post #50 of 84
Quote:
Originally Posted by earcher View Post
I'm more concerned that it's fluid overload or an abnormality.
Polyhydramnios is a real concern actually and it can cause "high" measurements in a pregnancy. It will also rule out a homebirth in the end which could result in a late transfer to a doctor and/or an emergency c-birth.

It also makes palpation difficult.
post #51 of 84
Thread Starter 
Quote:
Originally Posted by hotmamacita View Post
Polyhydramnios is a real concern actually and it can cause "high" measurements in a pregnancy. It will also rule out a homebirth in the end which could result in a late transfer to a doctor and/or an emergency c-birth.

It also makes palpation difficult.
And if it appears to be a concern at any point, then I will pursue it. However, at this point, it is not something I am currently concerned with.

-Angela
post #52 of 84
Alegna. You seem to have it all figured out. I suppose I don't understand what you want from this thread then. No disrespect, I just am not getting what you want here.

Congrats on your pregnancy regardless. Rest, relax and enjoy!
post #53 of 84
Thread Starter 
I just started the thread to gather ideas of questions I might want to ask my midwife about attending a twin homebirth

I wasn't looking for a list of 1000 reasons twins are dangerous and I should freak out

-Angela
post #54 of 84
Quote:
I just started the thread to gather ideas of questions I might want to ask my midwife about attending a twin homebirth

I wasn't looking for a list of 1000 reasons twins are dangerous and I should freak out

-Angela
I'm sorry that is the vibe you are getting from this thread. We all homebirthed our twins and we are huge proponents of natural birth and trusting our bodies. No one here is suggesting you freak out, we are just trying to point out that in planning a twin homebirth, you need to make certain preparations that would be unnecessary for a singleton birth. It is much more likely to risk out of a twin homebirth, than a singleton birth. I know you only wanted questions answered regarding the actual birth, but I think what people are trying to point out is that decisions leading up to the birth are just as important. You can't just plan for the birth and ignore warning signs in a pregnancy because abnormalities will risk you out anyway.
post #55 of 84
Thread Starter 
Quote:
Originally Posted by gemelos View Post
I'm sorry that is the vibe you are getting from this thread. We all homebirthed our twins and we are huge proponents of natural birth and trusting our bodies. No one here is suggesting you freak out, we are just trying to point out that in planning a twin homebirth, you need to make certain preparations that would be unnecessary for a singleton birth. It is much more likely to risk out of a twin homebirth, than a singleton birth. I know you only wanted questions answered regarding the actual birth, but I think what people are trying to point out is that decisions leading up to the birth are just as important. You can't just plan for the birth and ignore warning signs in a pregnancy because abnormalities will risk you out anyway.


It was only a couple of particularly hostile posts that set me off. Most of the discussion has been exactly what I was looking for

One post was edited.

I am not *ignoring* anything. I do not feel that there are currently any "warning signs" that I am not paying attention to. I'm really having a pleasant and uneventful pregnancy- no matter how many little buggers are swimming in there

thanks to everyone for their thoughts and input.

-Angela
post #56 of 84
Measuring 8-10 weeks ahead if you are having twins is not a warning sign. Measuring that far ahead with one baby is.
post #57 of 84
Thread Starter 
Quote:
Originally Posted by gemelos View Post
Measuring 8-10 weeks ahead if you are having twins is not a warning sign. Measuring that far ahead with one baby is.
Sure. And it could have been one off measurement

It comes down to there is nothing to be *done* about it at this point that I would be comfortable doing. Therefore there is no reason to do any testing *at this point*.

We all have different comfort levels and feelings about intervention. I know that my views on intervention are not *normal* even in these circles. All I am asking is that posters be respectful of my comfort levels and personal deep beliefs.

-Angela
post #58 of 84
I can understand not wanting to stress and fear over a twin birth. I tried to surround myself with as much positivity as possible. I see that you're not wanting to worry about complications. With that in mind, I would gently suggest applying that same philosophy for the birth. Why not? Just catch them. They'll come out.
post #59 of 84
Defenitely people should treat you with respect. But it's ok for us to offer our opinions, even if you don't like them. I see you do it all the time.
post #60 of 84
Thread Starter 
Quote:
Originally Posted by SlingWearin'Mama View Post
I can understand not wanting to stress and fear over a twin birth. I tried to surround myself with as much positivity as possible. I see that you're not wanting to worry about complications. With that in mind, I would gently suggest applying that same philosophy for the birth. Why not? Just catch them. They'll come out.
That is *exactly* my feeling. Luckily my midwife is on the same page. I guess we're pretty unusual.

-Angela
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