Hi, may I have a vaginal birth for three please? :-) - Mothering Forums

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#1 of 30 Old 04-16-2009, 03:27 PM - Thread Starter
 
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Hi I am a BRAND new member and my friend suggested I visit here. I am a VERY crunchy girl who is 23 weeks pregnant with triplets (naturally in case anyone is wondering) It is our third pregnancy and I REALLY want to deliver naturally! Does anyone know if anyone who has done this? My Ob is open to the idea but is very cautious. He has been very hands off (as much as you can with a multiple pregnancy) and I have NO risk factors, no diabetes, I am far from overweight (about 98lbs pre-pregnancy) and my other two deliveries were completely drug free and natural and very short (less than 8 hours each time.) I am just wondering if anyone can direct me or give me some guidance. I am a realist and know with triplets things are a more higher risk, but I feel my babies (we don't know the sexes, wanna be surprised!!!!!!!!) should have the same beautiful opportunity to be born vaginal just like my other two girls were (they are 11 months apart.)
Thanks!
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#2 of 30 Old 04-16-2009, 03:33 PM
 
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I just wanted to say a big congratulations!! How exciting!!
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#3 of 30 Old 04-16-2009, 04:22 PM
 
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I don't know anything but - congrats and welcome to MDC!
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#4 of 30 Old 04-16-2009, 04:49 PM
 
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Welcome! Not a trip mom, but know of several MOMs of spontaneous triplets. Does that mean you had two fertilized eggs (on their way to be fraternal twins) and one split into identical twins? That's the pattern I've heard most - a pair and a spare as a friend calls her siblings.

So, that would affect your chances of a vaginal birth because of the identical babies. Might need to keep an eye on them especially, and know how their housing (mono amniotic?) could affect a vaginal birth. You might want to read up on that.

But I'd think the identical pair is your biggest hurdle. Moms birth premmie babes vaginally all the time, although I hope you go as close to term as possible. I'm of the opinion that there's no inherent reason to c/s all multiple moms. Glad you have an understanding OB.

You might try to contact the Farm and Ina Mae Gaskin about your question. Wish I knew her quote about twin births before I had mine: spoken to midwives she was training, "Stop sending me your twin births. They are just a variation of normal." That's what I felt mine were. With triplets, your body will be taxed quite a bit more, but I know vaginal births can be done. It would be good to know her perspective.

To save the added surgery recovery with three newborns, it might be worth trying for!

Good luck!

Mom to : Belle and Izzy
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#5 of 30 Old 04-16-2009, 04:49 PM
 
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WOW!:

Seems like I read somewhere about a vaginal delivery for triplets ... it may have been in the Dr Barbara Luke book.

Catholic homeschooling mom of 5 - a teenager, a kindergartener, twin boys and a tiny princess. Follow the Adventures! 

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#6 of 30 Old 04-16-2009, 04:57 PM
 
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If Kathryn (sp?) is still here, I believe she had her triplets at home. Haven't seen her around for a while, but I don't hang out on the multiples board (just saw this in new posts).

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#7 of 30 Old 04-16-2009, 07:05 PM
 
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Yeah, Kathryn had a homebirth with her trips. All three of hers were DZ. Do you know if any of yours are MZ? That would be my only concern. If you go to YouTube and look up "natural twin birth" you'll find the video that some people on this board made, and she's in there.

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#8 of 30 Old 04-16-2009, 09:59 PM
 
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Congratulations!

There have been vaginal births of triplets and even homebirths as mentioned by other pps, but they are not common, and for good reason. I was where you are, except that I only had one other child. My biggest advice is be open to things not going as planned. Shoot for a vaginal birth and do everything you can to help yourself get there, but don't beat yourself up if it doesn't happen. And, make sure your doctor is following things closely enough to advise you quickly if there are problems. The reality of triplets is unbelievable compared to having one baby at a time. The tough stuff is tougher and the great stuff is greater, and it starts during pregnancy. A triplet pregnancy is unbelievably stressful on the mother's body. Take care of yourself and line up whatever help you can to take care of your elder kids starting now. The 2 best things you can do for your babies right now are eat lots of protein and rest when your body suggests it.

Most OBs won't even contemplate a triplet birth other than by c/s because there are too many things that can go wrong and it is very hard to monitor triplets, especially during labour. I don't know of any OBs who would do an unmedicated, vaginal birth, because they want to be ready for a c-section if anything goes wrong. My OB was willing to consider it if I got to 36 weeks and Baby A was vertex, but only then, and she told me straight off that if anything went even slightly off, the c-section would be immediate.

You do want to make sure that even though your doctor is relatively hands off and you are very crunchy, that you are getting sufficient care. Every triplet pregnancy is different and things can go downhill very rapidly. There is good information in the Barbara Luke book and the Elizabeth Noble book about how to take care of yourself during the pregnancy to increase the chances of a long pregnancy with babes at good weights. It is worth knowing whether the babes share any of the support structures in utero because that does increase the risk.

FWIW, my story is that at 30 weeks, my OB was confident that I stood every chance to get to 36 weeks, but gave me the steroids anyway because she had lost babies in one triplet pregnancy that she hadn't managed proactively. By 33 weeks I had babies, having developed 2 different complications, each of which could have led to losing one or more babies. I now have amazing toddlers. The first year was not what I dreamed of for them, but I think it was harder for me than it was for them.

This is a great forum. glad you found us. The other place you might want to check out is the apmultiples yahoo group. I spent a lot of time there during my pregnancy - mostly lurking to get a sense of what was in store. I didn't have time for much else after the babes were born - except Karen Gromada used to hang out there and I got bfing support from her in that forum.

HTH

Kate
mother of Patrick (7/31/03), and Michael, William, and Jocelyn (4/27/07)
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#9 of 30 Old 04-17-2009, 10:18 AM - Thread Starter
 
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thank you for your responses mamas! My friend was right, MDC is great! I do have identical twins and a "spare" I guess you say. I don't know the sexes of any, but I know two are going to be of the same sex. I went to my doc yesterday and I know it is VERY early, but baby A is vertex! So that is great news for us and he said we will take each week as it comes. Surprisingly I am not as tired as I thought I would be, but my tummy is HUGE! (No stretchmarks yet, keeping my fingers crossed ) I did have some lady say to me the other day "You must be due any day now," I said actually no, I have three of them in there and she said "I have never met a triplet mom." It was funny. I will keep on reading and in touch with everyone. Thanks again ladies!
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#10 of 30 Old 04-17-2009, 10:19 AM
 
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Welcome! There are other vaginal-birthing triplet moms on here, and it is wonderful that you have an OB who is not immediately ruling you out for a vaginal just because of triplets. Like Gena said, if two or more of your babies are sharing a placenta, it might definitely require a little more monitoring for TTTS. Do you know anything about the chorionicity of your babies?

I've never had triplets before, only twins, but because I was carrying multiples AND a VBAC, I was in a situation where I knew what my ideals were and planned for them vigorously. I also knew that I was traveling in relatively uncharted territory for our modern obstetrical system, and was always aware of my need to remain flexible. I was committed to a vaginal birth if in any way possible, but regularly reminded myself that no matter what the outcome, I would have given it my all and the rest was out of my hands. You can't control every aspect of pregnancy and birth, but if you take good care of the things you can control (nutrition, rest, hydration, prenatal monitoring and care), you'll be much better able to forgive and heal if things out of your control lead to circumstances you hadn't hoped for. Does that make sense?

Anyway, definitely make contact with Kathryn on here-- she did a TON of research on vaginal triplet birth. Also, Elizabeth Noble's book has a great bit of information on pregnancy and birth, and Dr. Luke's has a lot of good nutritional advice. I hope you have a wonderful, uneventful pregnancy! Welcome!

Wife of one and mom of five, including my HBAC twins!
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#11 of 30 Old 04-17-2009, 12:30 PM
 
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I hope my post last night didn't come off as a downer. I really hope that you manage to have a vaginal birth, but even more than that, I want you and your babies to be healthy.

I read somewhere that two id and one fraternal is the most common form of triplets, but I only know sets that are all identical or all fraternal. One of the identical set didn't share anything with the other two in the womb, so my friends were really surprised when they realized they had three identical girls.

Anyway, best of luck, take care of yourself, and ask all the questions that you have.

Do you know any other families with triplets? If not, it is worth lookng around to see if you can find any locally. I found that even when my parenting style doesn't sync well with other families, it does help just to know that there are other families out there with triplets. My husband, in particular, feels like a freak show when we are out with the kids and has really benefited from the few times we have seen other families with triplets.

Another thing I have found is that crunchy moms of slighter older twins have been my best form of support. They get they crunchy stuff, they get the multiples are harder stuff, and they assume that twins are hard so triplets must be crazy. Moms of triplets tend to be so busy that even with the best of intentions it is hard for us to be good IRL support for each other.

Kate
mother of Patrick (7/31/03), and Michael, William, and Jocelyn (4/27/07)
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#12 of 30 Old 04-17-2009, 04:06 PM - Thread Starter
 
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Kate, oh I completely understand what you were saying, no problem. I know NO ONE who has twins, let alone triplets. We live on a large organic! farm without any nearby neighbors so we are pretty secluded anyway. I am the only one in the family to have breast fed (I am still nursing my youngest) let alone attempt a vaginal birth. I am not on speaking terms with my family (LONG STORY) and my husband's family is very supportive but they think I am a cooky because I want to try for a vaginal birth.
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#13 of 30 Old 04-17-2009, 04:55 PM
 
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Hi Farmer's Wife! We're organic farmers, too, in NY.

I just want to tell you an inspiring story: I wasn't there, but a good friend of mine was. We were both Peace Corps volunteers in Niger, West Africa, 1996-1999. Think cliche Peace Corps: mud hut, I had the only latrine for miles around, etc.

My friend worked in a village on a paved road with a fancy clinic (= cement walls and tin roof. Still no electricity, phone, or any of that.) She worked with a local male Nigerean doctor. One day a woman came in from a rural village, in labor. The woman delivered triplets, one breech, with the doctor's aid. The doc remained cool as a cucumber. The mama and all three babes were fine -- this in a country with one of the highest infant and maternal mortality rates in the world. The doctor acted like it was all in a day's work as my friend stood by flabbergasted with awe. This in a small, poor, dirty clinic on the edge of the Sahara desert.

It is possible! Wishing all seven of you health and many blessings!
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#14 of 30 Old 04-18-2009, 12:49 AM
 
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I just wanted to say welcome and congratulations, from one triplet mom to another! I had a c-section because my babies were transverse, but I know of a few sets of triplets who were born vaginally. It really depends on the positioning. Also, Kate had great advice to share. Good luck to you!
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#15 of 30 Old 04-18-2009, 03:18 AM
 
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Originally Posted by farmers_wife View Post
Kate, oh I completely understand what you were saying, no problem. I know NO ONE who has twins, let alone triplets. We live on a large organic! farm without any nearby neighbors so we are pretty secluded anyway. I am the only one in the family to have breast fed (I am still nursing my youngest) let alone attempt a vaginal birth. I am not on speaking terms with my family (LONG STORY) and my husband's family is very supportive but they think I am a cooky because I want to try for a vaginal birth.
Don't take this wrong (I am a double twins mama), but my organic eggs always have double and triple yolks. Eating that way must have made your yolks extra fertile too! LOL!
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#16 of 30 Old 04-18-2009, 03:23 AM
 
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Kate, oh I completely understand what you were saying, no problem. I know NO ONE who has twins, let alone triplets. We live on a large organic! farm without any nearby neighbors so we are pretty secluded anyway. I am the only one in the family to have breast fed (I am still nursing my youngest) let alone attempt a vaginal birth. I am not on speaking terms with my family (LONG STORY) and my husband's family is very supportive but they think I am a cooky because I want to try for a vaginal birth.
I am going to get flamed, but may I suggest you wean as quickly as possible. You could bring on pre-term labor and worse yet, have to trauma wean in one day as I did with my 19 months old little one when I went into preterm labor at 28 weeks with my second set of twins. Take a month and gently wean so that you can both control the way its done. It deeply pains me the way my singleton was ripped from the breast to keep the other two in (for just four more weeks as it turned out).
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#17 of 30 Old 04-18-2009, 10:11 AM
 
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I am not a multiples expert but weaning sounds like a wise idea in your particular case.

Congrats on natural triplets!

Mother to R- 2/09, & C- 5/11

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#18 of 30 Old 04-18-2009, 10:18 AM
 
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Originally Posted by Chamsia View Post
Hi Farmer's Wife! We're organic farmers, too, in NY.

I just want to tell you an inspiring story: I wasn't there, but a good friend of mine was. We were both Peace Corps volunteers in Niger, West Africa, 1996-1999. Think cliche Peace Corps: mud hut, I had the only latrine for miles around, etc.

My friend worked in a village on a paved road with a fancy clinic (= cement walls and tin roof. Still no electricity, phone, or any of that.) She worked with a local male Nigerean doctor. One day a woman came in from a rural village, in labor. The woman delivered triplets, one breech, with the doctor's aid. The doc remained cool as a cucumber. The mama and all three babes were fine -- this in a country with one of the highest infant and maternal mortality rates in the world. The doctor acted like it was all in a day's work as my friend stood by flabbergasted with awe. This in a small, poor, dirty clinic on the edge of the Sahara desert.

It is possible! Wishing all seven of you health and many blessings!
I love this story and it makes me mad all at the same time. The reason it makes me mad is it reminds me how much knowledge and experience the North American health care system has lost with regards to vaginal delivery of breech babies.

If I remember correctly, the Nigerians have one of the highest rates of spontaneous triplets in the world, so the doctor may have had more experience than most.

Kate
mother of Patrick (7/31/03), and Michael, William, and Jocelyn (4/27/07)
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#19 of 30 Old 04-18-2009, 10:29 AM
 
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Hi there, I know nothing about multiples, but I just wanted to tell you of one set of triplets I know. They are in their early-20's now - 23 I think? They are all fraternal, conceived without assistance.
The first two came out vaginally then I think the mother was having some trouble so the third came out by c/s. I don't have any more details than that, but the fact that the first two made it out vaginally seems encouraging!

Congrats and best wishes to you!

DS 12/22/05 and DD 5/24/09
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#20 of 30 Old 04-18-2009, 12:50 PM
 
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I didn't see the part about breastfeeding another child. My Maternal-Fetal Medicine specialist recommended no nipple stimulation after 18 weeks or so, as the larger your uterus gets, the higher the likelihood of stimulating contractions and bringing on preterm labor.

Also, my babies were conceived with some fertility assistance, but I feel compelled to say they are just as natural as anyone else's.

Anyway, you've received good advice - congrats again and take good care of yourself and those babies!
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#21 of 30 Old 04-18-2009, 08:12 PM
 
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Congratz! I know alot of triplet moms but none who birthed vaginally let alone drug free (except Kathryn). I know my local trip group they have some stuff on how to make it to 35 weeks because it's hard carrying that many for much longer. With twins we usually expect to cut back and start relaxing at 28 weeks, I suspect it will be quite a bit earlier for you. Remain open minded but optimistic. I managed to find a Dr who would attend a vag birth even though my twins were breech/vertex. You have the advantage of a proven pelvis so assuming there's no risk of twin lock, it's possible.

I agree, with trips you probably should think about weaning or at least cutting back if you haven't already. The risk of preterm twins is high but it's over 90% for trips and you need them to stay in as long as possible. You also will need every calorie and every gram of protein to go to the babies as it will be hard to eat at the end. Line up lots of help now, be prepared for the possibility of bedrest, and start stocking up on frozen meals as soon as possible because you will probably need to start slowing down around soon as you're almost there!!!

Yikes sorry for the novel! Good Luck and happy healthy, happy healthy, happy healthy pregnancy .

Lucia , Poly )O( Lactation Counseling mama lady.gifvbac.gifto 5 yo Goobersuperhero.gif and 3 1/2 yo MZ twins twins.gif Peanut and Sweetpea and 1yo Pumpkinbabyf.gif mmm placenta.gif
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#22 of 30 Old 04-20-2009, 08:20 AM
 
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congratulations - i wish we had more trip moms posting more often here. i love to hear your wisdom mamas but yeah, i guess there are a few more time restraints for you

i also have a friend who made the point that trips come vaginally all the time in nigeria. it's one of those wait and see things. i would try for it if i was carrying three but probably try and get my head around having canulas placed and so on 'just in case' (which i refused with twins)
i was pondering last night though, that if it's a really quick labour, often the babes are lined up and ready to come without difficulty (as opposed to looong labour occasionally indicating a more complicated position). it's so much easier to theorize the other side of births though - you'll listen to your gut too, i'm sure

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#23 of 30 Old 04-20-2009, 04:43 PM - Thread Starter
 
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I am just now responding back to you all. I got violently ill to the point I got dehydrated from vomiting so I was admitted to the hospital. (I hated EVERY second of being there, by the way!) I had two IVs and a constant monitor placed on me to "keep track" of the babes. All of us are fine now and I am home, very tired but everyone is fine. I do have good news to share. My Ob gave me the go ahead to "plan" for a vaginal birth, BUT he said to be prepared to deliver in the OR just in case a section is needed. He is well versed in breech births and does allow them depending on a case by case basis so I am really relieved by that. Now I do is sit and wait for things to happen (hopefully not a while though)
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#24 of 30 Old 04-20-2009, 05:16 PM
 
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I don't post much here, but I just wanted to say, "congrats."

I had twins and my OB insisted on the OR just in case (I had some medical issues too). I delivered Baby A vaginally, no problems, but Baby B went breech. We tried to deliver him breech, but he wouldn't cooperate and went butt first, so I had an emergency C-section.

I wish you luck. I think it is great you are going for it, but just be prepared for the twists and turns that can sometimes happen.

As much as having two types of delivery wrecked havoc on my body, I wouldn't change my vaginal birth. I think I would do it all over again.

Also, be prepared that YOU may need a transfusion. Multiple births can lead to that fun consequence too.
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#25 of 30 Old 04-22-2009, 12:36 PM
 
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How exciting, mama!!! I will be anxiously awaiting the updates on your pregnancy. I did wean my three year old after learning I was carrying twins, and I thought it would be the hardest thing EVER as she was a really sensitive kid who seemed to need nursing. It went FINE, so I hope that whatever you choose can go well for you all too!
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#26 of 30 Old 04-22-2009, 07:07 PM
 
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How exciting! My OB was okay w/ my boys being born breech, too. Twin A was head down, twin B butt first. THen twin A came out and twin B turned sideways and stuck his arm out (TMI, sorry). He ended up being manually turned,a nd I didn't have a c-section, but my Dr. did allow me to deliver in the regular deliver room, but it was right across the hall from the OR. The OR was also left open incase I needed it (SIL used it as soon as I was done w/ baby #2! Our babies were all born with in ahour and 15 minutes! Me twin boys, her a little girl via c-sec). The delivery was not what I was planning and frankly it freaked me out. It was not like my other births. I also lost more blood and took a lot longer to recover than w/ my single births. Take it easy and listen to your body! Best of luck!
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#27 of 30 Old 04-23-2009, 08:30 PM
 
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I didnt do triplets, but I did do twins at home. Everyone except my inner voice and my partner and my midwife told me not to do it, but we did very good monitoring and made sure that they were both okay, up until week 35 when my midwife felt ok about delivering at home. My only concern would be if they were early...which could be a risk factor, but if you take good care of yourself and get LOTS of protein, I say you go girl!
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#28 of 30 Old 04-24-2009, 03:42 PM - Thread Starter
 
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Back from my Ob appointment, he laughed at me when he saw me today, he jokingly said I look like I am incubating a baby elephant All babies are doing ok, I am just finding it harder to get around. No bedrest, yet and keeping my fingers crossed. I have to say this place rocks! I love MDC, I have been doing a lot of searching on this site and it is just fab! I will try to post a pic of me later, just so all of you can see just how "tiny" I am (my pre-pregnancy weight is 98lbs....FAR from that right! But I don't care one little M&M bit! )
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#29 of 30 Old 04-24-2009, 03:48 PM
 
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Wow!! I hope you have a wonderful pregnancy and just the birth you want.
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#30 of 30 Old 04-24-2009, 04:08 PM
 
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I'm NMY and followed this from the front page... just wanted to add my congrats!



Jenne

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