Originally Posted by Leslie in Chicago
all great advice above...if you're pregnancy with a singleton. If you do conceive multiples, well, welcome to the big bad world of mainstream obstetrics. It's not as bad as it sounds, actually, and we managed to find high-risk perinatologists that are very respectful and not u/s happy.
Which is not to say that all IVF multiples pregnancies are high-risk. Mine was because I'm 39, it's my first pregnancy, I bled and passed clots the entire first trimester and needed an emergency cerclage at 22 weeks. But here I am, ready and waiting to birth two babies within a few weeks. It's ALL worth it!
(Then again, maybe I have crossed over...if we need a c/s, I'm open to it. At this point it's about having healthy babies, not carrying through on my ideal birth plan.)
That's not necessarily true. Even if you got pregnant with twins, it would still be up to you whether or not you wanted to go the mainstream ob route (barring any complications, of course). This is my first pregnancy and i'm having twins and a homebirth.
Dh and i did IVF in October. After the embryo transfer, they did a beta to confirm pregnancy. Then they did 2 ultrasounds (they confirmed twins during the first ultrasound) and we "graduated". They asked what ob i was seeing and i told them i was seeing a midwife and they never even batted an eye. After i "graduated" from the RE, i started seeing a homebirth midwife and a CNM for dual care. Our homebirth midwife doesn't require dual care, but we wanted to have it at first because we had "new pregnancy jitters" and i had hyperesis gravidarum and needed zofran (our homebirth midwife can't write scripts). The CNM knew from the beginning that we were planning a homebirth. While i was seeing the CNM (who works with an ob and only delivers in a hospital), i declined all testing except for ultrasounds/doppler. We didn't do the triple screen, the amnio, the gestational diabetes test, or ANY of the blood tests. We have seen a high-risk specialist one time, and that was simply for the big ultrasound (our CNM didn't have an ultrasound machine there). We're not doing dual care anymore, and we're simply seeing our homebirth midwife. Our twins have two sacs and two placentas and they're growing right on target for a singleton, so we're not really any higher risk than a singleton pregnancy.
For us the choice to have a homebirth with our twins was pretty easy. We were planning a hospital waterbirth until we found out we were having twins. The hospital we were going to have a waterbirth at doesn't allow it with twins or vbacs. I actually called every hospital in our network, and they ALL told me they would give me a "trial of labor" (read labor on a short time clock), and that i would have to labor AND deliver in the OR, regardless of it they "ended up" being born vaginally. And i would have to do all of this with IV access and epidural access in place (no meds, just the catheter in "in case" i needed a c-section). I wasn't too keen on laboring/delivering on a hard metal table under bright lights (and after learning about how just stepping foot in a hospital raises your risk of a c-section, not to mention all the interventions also raise your risk of a c-section), i wasn't too keen on being in the hospital at all. So for us it was easy. It all depends on your comfort level though. Lots of people don't feel comfortable having a homebirth with a singleton, much less twins, and that's perfectly fine. Just pointing out that you DO still have a choice of how/where/with whom you give birth, even if you get pregnant with twins. It's all up to you and your comfort level and what you feel like doing.