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Would you UC with twins? - Page 2

Poll Results: Would you UC with twins.

 
  • 36% (51)
    No, but I wouldn't UC a singleton either.
  • 21% (29)
    No, but I would consider UC if it were a singleton.
  • 18% (25)
    Maybe, if I could have prenatal monitoring and a midwife on hand just in case.
  • 3% (5)
    Maybe, if I could have prenatal monitoring (no midwife at birth).
  • 6% (9)
    Maybe UP and UC if things seemed okay.
  • 10% (14)
    Yes, definitely.
  • 3% (5)
    Other (I tried to be comprehensive! Really I did!)
138 Total Votes  
post #21 of 65
I voted yes, because I have

But as I stressed in the UC forum, every pregnancy is different and if I found myself expecting twins again, I couldn't say if I'd UC twins again. There are many factors that go into a twin UC decision.

I did most of my own prenatal care with some checkups with my OB who did nothing for me anyway. I was 37w5d, both babies vertex, both babies healthy and good sizes, good back up nearby, iron levels were high, etc. Now I thought they had their own placentas (thanks crappy OB who thought so) and it ended up they shared a placenta but we had already decided to clamp and cut the cord as soon as Baby A was breathing well and she came out screaming.

I guess the main reason I wanted to UC them was because it's pretty much C/S only for twins here and there are no midwives.
post #22 of 65
Quote:
Originally Posted by carycaj View Post
I am w/ Christy- if I could not get a midwife to help me then I would.

I like having my midwife at my births -- I am in total la la land during transition and pushing, I dont want to have to get into my brain and actually think about things (heartbeat, cords etc). I loved having all the midwives around after the babies were born, to take care of all of us and get us comfy in bed.
This is exactly how I feel.
post #23 of 65
I absolutely would given the right circumstances. I did not UP my twins but I did attempt a UC. Twin A was breech and Twin B was vertex and although I went into labor 2x on my own I couldn't progress (i think A was actually more transverse as she was cradled in my pelvis and just got stuck). If I were in the situation of KNOWING I was pregnant with twins, I'd want to know they were fraternal or Di/Di MZ first and then I'd go for an ultrasound late in the game for position checking (If I couldn't figure out position through palpating... I couldn't last time... too many parts!) but then assuming they are in ANY position but breech vertex I'd proceed with UC. If they were def mono di or mo/mo then I'd get prenatal care (TTTS is nothing to mess with nor is one amnion!) and then try an "OOPS" UC if everything is safe. Most likely if I carry twins again it will be unknown to me as I plan to UC next time and I didn't carry big with my twins so I doubt I'll know early.

OH and I voted other...
post #24 of 65
I voted maybe, with appropriate prenatal care and a midwife nearby (which I don't really consider a true UC). My birth was very straightforward, and my twins were completely healthy, but like many others on the board, I had a PPH. Without the midwives that would have been really scary.
post #25 of 65
I voted "maybe UP and UC if things seemed OK". And that means:

'OK' would include Twin B breech presentations. It would probably even include Twin A breech presentations (knowing what I know now about how doctors approach Twin A breech).

The caveat would be that my husband and I considered "OK" to mean we wanted one other adult around if help was needed (not a medical person). When our twins were near, we could not find anyone who wasn't freaked out about it and hence decided on the hospital route.

I know I put myself and my twins at risk by going to the hospital b/c so many doctors insist that they must control/manipulate a twin birth - especially with a breech presentation. These problems were evident in the first OB I worked with, the second OB (who was the planned delivery doc), and in the family doctor I ended up delivering with. Even considering our lack of help and our distance from hospital, it was pretty much a "51% hospital - 49% home" call for us, right down to the last couple of days.
post #26 of 65
^^^ I totally understand the "51% hospital - 49% home" thoughts. For weeks, I'd be like home or hospital, home or hospital? Just didn't know what the right answer was. Then I woke up in labor and felt a sense of peace that I was right where I needed to be, and that was home.
post #27 of 65
Quote:
Originally Posted by MamaRabbit View Post
^^^ I totally understand the "51% hospital - 49% home" thoughts. For weeks, I'd be like home or hospital, home or hospital? Just didn't know what the right answer was. Then I woke up in labor and felt a sense of peace that I was right where I needed to be, and that was home.
Maan, I love all you ladies here :

Thank you so, so much Christy for starting this thread
post #28 of 65
Thread Starter 
Quote:
Originally Posted by shukr View Post
Maan, I love all you ladies here :

Thank you so, so much Christy for starting this thread
You're welcome! I wondered how the responses might vary based on having moms who have had (or are pregnant with) twins answering...
post #29 of 65
Quote:
Originally Posted by christyc View Post
You're welcome! I wondered how the responses might vary based on having moms who have had (or are pregnant with) twins answering...
Right. The hypotheticals were not as satisfying.
post #30 of 65
Well, at the time I was pregnant with twins, I had never even considered homebirth, much less UC! I really thought homebirth was something for hippies on farms in Idaho or something . I never thought that I'd EVER homebirth. Now, I'd never give birth any other way (not that I plan on having any more!)

If I were immaculately pregnant with twins today, I'd definitely homebirth as long as there were 2 placentas.

The only reason I wouldn't UC is because of my last homebirth, I had a pph and a retained placenta, and so I'd want a professional around.
post #31 of 65
Nope. I am pregnant with twins, and wouldn't consider birthing outside the hosp with an OB. Having come through infertility and recurrent pregnancy loss, I am very risk averse. Plus I'm getting great care from a fantastic OB who is happy to support a vaginal birth if the conditions are right.

Do some research outside of these forums to find the stats on twin births. 10% of second twins require emergency c-sections after a successful vaginal birth of the presenting twin.
post #32 of 65
Thread Starter 
Quote:
Originally Posted by franciemack View Post
Do some research outside of these forums to find the stats on twin births. 10% of second twins require emergency c-sections after a successful vaginal birth of the presenting twin.
I see that you're a newbie, so I'm sure you haven't yet had the chance to get to know many of the other MoMs here yet, but this comment really rubs me the wrong way (even though I have not ever UC'd anyone, much less twins, and would never choose UC if I had options).

First off, it assumes that nobody here ever has done any research outside these forums, which is simply not true AT ALL. If you hang out here a little longer, you'll come to realize that VERY FEW women in this forum chose their birth location or provider by accident, and everyone is fairly well educated about birth, ESPECIALLY twin birth. You can say what is or isn't in your comfort zone, just as most of the people in this thread have, but to imply that anyone who has said what they would or wouldn't do has done so out of ignorance isn't accurate.

Secondly, research shows that the cesarean for second twins is overused. Check out pubmed, if you're one for doing your own research (which you seem to be). Sometimes OBs or perinatologists don't give you that information, and just tell you what they believe to be true, but if you are interested in doing your own research you'll find that it is very rarely a necessity, particularly if your provider has experience with breech (which basically dictates a hands-off approach, which is, I'm assuming, what happens in a breech birth).

Third, I chose to have a midwife-attended homebirth for my twins, even though it was a VBAC, specifically BECAUSE I am risk averse, after having experienced multiple complications, including SEVERE postpartum depression that impacted my family for almost two years, from a cesarean that could have been prevented with more proactive prenatal care. That was the reason I became a research hound during my twin pregnancy, and that was the reason I chose to do everything in my power to avoid a repeat cesarean if it wasn't absolutely necessary.

I guess my point is that you have every right and responsibility to make choices about your prenatal care and birthing options, and each of us has a different history, different medical pasts, and different priorities, but all of our priorities include a safe mama and safe babies. To suggest otherwise (and I'm not saying you did, certainly not intentionally) is silly. But after being a part of this particular forum for almost two years now, I can assure you that the women on this particular parenting multiples forum as a whole are some of the most educated, committed, inspiring, reasonable, thoughtful, and research-oriented MoMs I've ever encountered!

I am sorry for your pregnancy losses and fertility challenges-- congratulations on your twin pregnancy!! It sounds like you're really making the right choices for your maternity care and feel good about them. And welcome to MDC!
post #33 of 65
Quote:
Originally Posted by christyc View Post
I see that you're a newbie, so I'm sure you haven't yet had the chance to get to know many of the other MoMs here yet, but this comment really rubs me the wrong way (even though I have not ever UC'd anyone, much less twins, and would never choose UC if I had options).
This question has been floated earlier, and most responses are from people not pregnant with twins. So it's unlikely they've invested a whole lot of time into researching twin pregnancy and birth. I didn't until I found myself expecting twins. Now I'm devouring as much research and statistics as possible so I can be as comforable as possible, as I'm sure everyone else does too - certainly didn't mean to imply otherwise!

There's lots of conflicting evidence about whether second twin emergency c-sections are necessary or not - obviously many of them are necessary - and I can agree that some of them may not be necessary, although it might be hard to tell which ones are necessary and which ones aren't. Which reminds me of those danged caffeine and miscarriage studies. So for me, I err on the conservative side. Maybe I'm overly cautious, but it's what's right for me.
post #34 of 65
Thread Starter 
Quote:
Originally Posted by franciemack View Post
This question has been floated earlier, and most responses are from people not pregnant with twins.
Actually, every post in this thread is from a MoM unless I'm missing something. So we've all been there, done that! Over in the UC forum, there were some hypotheticals going on, but this thread is chock full of differing, but respectful, opinions from other moms who have had, or are having, twins. That's what I love about MDC's Parenting Multiples forum-- we don't always do the exact same things, but there is SUCH a spirit of inquiry and research here that I don't typically find on other twin boards, it is refreshing!

Anyway, maybe I read something into your post that wasn't there, but this is the Parenting Multiples forum, and I specifically asked in my post for opinions from folks who have been, or currently are, pregnant with multiples, so you can rest assured that most of the responses preceding, and including, yours are from some women who have invested a LOT of time researching multiple pregnancy and birth!
post #35 of 65
Quote:
Originally Posted by franciemack View Post
Do some research outside of these forums to find the stats on twin births. 10% of second twins require emergency c-sections after a successful vaginal birth of the presenting twin.
Where on God's green earth did you find that statistic? And also, the blatant assumption that people here WOULDN'T research outside of this forum is offensive, imo.

Quote:
Originally Posted by franciemack View Post
This question has been floated earlier, and most responses are from people not pregnant with twins. So it's unlikely they've invested a whole lot of time into researching twin pregnancy and birth.
The OP specifically asks for people who are either or have been pregnant with twins, and she's posting in the Mults forum. We do have some hangers on here, who don't have twins/aren't pregnant with twins, but most of us on this board had or are having twins.
post #36 of 65
While it is true that many twins born in the U.S. in a hospital setting result in a c-sec for one or both baies this is not true every where. I was told by hospital staff in my area that if baby B was breech there would be no trial of labor because the docs were not trained in breech delivery. To me that is unacceptable. We deserve a better quality of care in our country. Period. It is a testament to that lack of quality that women are going it alone rather than go to a hospital, because the basic lack of trust in doctors, and respect for patients is so low .
post #37 of 65
Quote:
Originally Posted by franciemack View Post
Do some research outside of these forums to find the stats on twin births. 10% of second twins require emergency c-sections after a successful vaginal birth of the presenting twin.
I don't know where you got that stat from (but please post the link here if you still have it or can find it) but even if someone did come to that conclusion it really depends on what you define as an "emergency". Some docs would define a breach baby as an emergency. I think most everyone here, me included, would not. I have a very, very hard time believing that 10% have a true emergency.

As was already stated, this is the wrong place to come tell women they have not done their research. The women in this forum, for the most part, are very well educated and we all came to our decisions for our own reasons. Just because your comfort level is different than someone else does not mean that we are have not done our research.

It is sad and unaceptable that women are put in a position that they have to choose to go it alone because the way they are treated at the hospital is the way it is. I feel like the hospital pushed me out of a hospital birth. I had at one time planned on going in until I talked extensively to docs and the head of the maternity ward and found out what their standard was for twins. I really felt much safer at home.
post #38 of 65
Quote:
Originally Posted by sarahloughmiller View Post
I don't know where you got that stat from (but please post the link here if you still have it or can find it) but even if someone did come to that conclusion it really depends on what you define as an "emergency". Some docs would define a breach baby as an emergency. I think most everyone here, me included, would not. I have a very, very hard time believing that 10% have a true emergency.

As was already stated, this is the wrong place to come tell women they have not done their research. The women in this forum, for the most part, are very well educated and we all came to our decisions for our own reasons. Just because your comfort level is different than someone else does not mean that we are have not done our research.

It is sad and unaceptable that women are put in a position that they have to choose to go it alone because the way they are treated at the hospital is the way it is. I feel like the hospital pushed me out of a hospital birth. I had at one time planned on going in until I talked extensively to docs and the head of the maternity ward and found out what their standard was for twins. I really felt much safer at home.
post #39 of 65
I, too, chose home birth because of twin protocol in the hospital. Well, that and I'd already had two home births and could not IMAGINE repeating my hospital birth experiences.

And thank goodness! I had a complete breech Baby A who converted to footling during labor. She was born without problems. No doubt she would have been an "emergency" section and the medical staff would have proclaimed how they 'saved' us from certain doom. We were very careful and cautious with how we proceeded once we recognized she was footling (7cm and dilating QUICKLY) and were prepared to transport if a true emergency emerged. But it did not and after she was born safely, her breech brother flipped vertex and came out posterior, on Mama's steam, 35 minutes later. I didn't even hemorrhage!
post #40 of 65
two OT questions:

1). what does npt mean? I keep seeing it in peoples signatures

2). what does UP mean?
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