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#1 of 19 Old 11-26-2009, 11:26 PM - Thread Starter
 
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hi... i'm about 16 weeks along now with twins... still trying to accept this fact! we found out pretty early... 9 weeks because i was having a lot of bleeding due to a large hematoma but on my last US the hematoma is almost gone. the babies are clearly in one sac on the US and we're going with mo-mo although my midwife tells me that it's very difficult to determine if they are in the same amniotic sac from the US and in fact when she did a quick US to take a look at the babies we both glimpsed what looked like a membrane around one of them. but the tech and the head doctor both say monoamniotic. anyway, that's just background...

my first question is how long do people usually carry identical twins? is it different from frats? i've been looking back through posts and have seen some stuff about twins being considered full term at 37 weeks and that problems can start to arise when they are carried longer, however i know lots of people go full term with twins.

now, i've accepted most of what having twins means for me... but i get really upset every time i think about what it means to dd. she turns 2 three weeks before my due date (will i even make it that long?!) and it makes me cry to think about how she'll go from being my baby, with all my attention, to being shoved aside because two other babies will eating up all my attention. i'm probably over-reacting and we do have a lot of family and friend support here so i know she won't be neglected... but how do you deal with other little ones? and how did they deal with it?

happily married mama to DD1 4/08, angel2.gif angel2.gif12/31/09, and DD2 5/11
 
 
 

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#2 of 19 Old 11-27-2009, 01:00 AM
 
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It's hard when the baby isn't the baby anymore!


You need to assume mo-mo twins, and they are the most dangerous kind to have. Most are by elective C/S no later than 36 weeks. A lot of risks involved with sharing the same sac. Not much difference between identical/fraternal for full term, but yours is a completely different situation and not very common.

Don't mean to scare you at all, it's just what it is.

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Mama to love.gif DD (9yr), DS luxlove.gif (3yr), & 2twins.gif UC twin DDs (5yr)

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#3 of 19 Old 11-27-2009, 01:03 AM
 
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Congrats on your pregnancy!

I believe that Oxbound is the most recent mama on here to carry and birth mono-mono twins. Hopefully she'll pop in with some good info. You could also search this forum for 'mono-mono' or 'mo-mo' and see what you can find in the backlog.

Mama to twin girls Adele and Nadia, born 5/2008
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#4 of 19 Old 11-27-2009, 12:16 PM
 
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I carried to 39 weeks but I had di/di twins which is a whole other ball of wax from mo-mo.

Congrats on your twins though!

My dd was 17 months old when my babies entered her life. It's been.....a ride. Although, I think ultimately a GOOD one for her. She's so high needs that had she been our baby she would have been quite....well. It's good that she had to learn to share her Mama. It's been hard on ME though! You guys will work it out.
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#5 of 19 Old 11-28-2009, 12:59 AM - Thread Starter
 
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thanks for the info...

it took me a while to figure out how to search the forum but i got a ton of great information from it. obxbound did have an amazing story and if these babies turn out to be mono-mono i will use her story as inspiration! however, i think that the doctor must realize that there's a high chance that they are mono-di since nobody has mentioned the need for a c-section... in fact, at my last appointment the midwife was very excited and positive about me delivering these babies vaginally. it doesn't sound like that is possible with momo twins.

after reading the momo posts and the twin birth stories, i am armed with questions for my next appt and at the US i am praying that we see a membrane on the US!!

happily married mama to DD1 4/08, angel2.gif angel2.gif12/31/09, and DD2 5/11
 
 
 

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#6 of 19 Old 11-28-2009, 01:24 AM
 
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CONGRATS on your twins! Mine were mono-di as they shared a placenta but we glimpsed a definite membrane twice during various ultrasounds - enough to say they definitely had their own sacs so mine wasn't as serious of a pregnancy as yours will be if yours ARE mono-mono.

As for your daughter - its hard but honestly I think she's young enough to adjust pretty easy as long as you're able to take that time each day to spend with her - have your partner take over care of babes - even if its rocking in a chair - so that you have time with her. If you make that time things go much better. My first three were all born in 3yrs and I found that it worked if I made that time. Now I'm having a harder time with my 4yr old and the twins then I did with the older three put together.

GOOD LUCK! It will work out and you'll have two more wonderfully beautiful children to show for it!

Tamika
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#7 of 19 Old 11-28-2009, 02:12 AM
 
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congratulations!!

I have mono-di twins, born just shy of 38 weeks. My youngest daughter turned 2 right before the boys were born. I was very lucky -- she loves the boys, and my husband works from home, so she had lots of time with us. My best friend also spent a lot of time with her as well.

It's ROUGH having 3 so close together, but so beautiful to watch them laugh together.

Good luck, and keep us posted!

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

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#8 of 19 Old 11-28-2009, 02:31 AM
 
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congrats on the twin pregnancy i don't know how other children would react, but i do know that you'll be veryvery busy. i would definitely make special time for her and try to include her as much as you can. have her be your "special helper" and grab diapers and whatnot. it'll be hard but i'm sure you'll be able to get through it!!
i'm in almost an opposite situation. i'm expecting and have four year old identical twin girls. they shared a placenta in utero but they were in their own amniotic sacs. went into ptl at 25 weeks with them and went on bedrest from then on. (ugh) but, i kept positive as best i could and we made it to 32 weeks + 1 day. (i randomly dilated to 8cm on that day!) they were both born at 4lbs each and only stayed in the nicu for 14 days til they gained weight. had no other problems whatsoever. no delays either, found that a bit unusual, but truly grateful!! we breastfed for almost 40 months! i hope your pregnancy goes well and the little one adjusts easily. as always, there are bumps here and there, but keeping positive will get you through it. reach out to family and friends for as much support as you can, it helps!

single mama of very intelligent & spirited 4yr old twins and another little girl born 02/04/10, 8lbs8oz *successful* all natural VBAC, 2.5 hour labor!!
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#9 of 19 Old 11-28-2009, 12:30 PM
 
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Oh - forgot to say that I carried my mono-di twins to 38w3d - and likely would have gone longer if not for one being a footling breech with his other leg transverse across the exit....I had NO signs of labor but I can honestly say I was 'done'.

Tamika
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#10 of 19 Old 11-30-2009, 04:58 AM
 
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Hi - congrats on your twins!

I'm the other mom on here besides obxbound who's had momo's. I haven't posted in quite awhile ('cause, um, toddler twins! ), but I saw your post and had to reply.

If there's a possibility that you've got monoamniotic twins, your care providers really should refer you to a maternal-fetal medicine specialist. Having momo's is high-risk, there's just no way around it. It's very different than most other twin pregnancies, which can be handled without tons of interventions.

The best place I found information when I found out I was expecting monoamniotic twins was monoamniotic.org. They were down for awhile, but it looks like the site's back up. They're really helpful, because if you do have momo's, you're a 1 in 50,000 case, and it can be hard to find people who've been there.

The other thing you might notice on that site is that lots of people get misdiagnosed with mo-mo's, and it's totally possible that your twins are actually mono-di (which is still high-risk, but not quite as high).

Anyway, I guess I'd say: read up, get a high-resolution ultrasound done by an expert (and maybe two: second opinions are good in this case, because if you don't have momo's, you really want to know: you don't want all of the interventions unless they're necessary), and know that you can get through this. It's a tough road, but it's worth it (I've got two cute-as-a-button toddlers to prove it.) Feel free to pm me if you want.

But, seriously, you should get a solid diagnosis. If they are momo, you can significantly increase their odds of getting here safely by getting proper treatment. It's scary, but without treatment, mo-mo mortality is about 50%. With proper treatment, almost all of them make it (thank God). It's really important to get a solid diagnosis and good treatment.
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#11 of 19 Old 12-01-2009, 01:11 AM - Thread Starter
 
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my plan is to go to my US and appointment next week and hopefully see a membrane. i read that some people feel that there are windows of time that it is easier seen and 10-20 weeks is one of those windows. i'll be 18weeks so if nothing is seen, then i will ask for a referral to a specialist with a high resolution US. i really want to know what is going on in there!

i'm assuming that these docs and midwives must suspect that this is not really a momo case since they are not addressing the situation... even though i can clearly read in the notes that they are calling the twins monoamniotic! i hope that they are not that unaware!!! i agree that we need to figure this out since the presence or absence of a membrane makes a HUGE difference in how the pregnancy is handled! so hopefully i will find out a week from today... i'll update everyone then.

it is great to know that if they are mono-di, then there is no reason i can't carry them until term or close to it! my dd turns 2 when i'm 37 weeks and i really want to make it to that point for her sake and the twins sake!

happily married mama to DD1 4/08, angel2.gif angel2.gif12/31/09, and DD2 5/11
 
 
 

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#12 of 19 Old 12-02-2009, 06:03 PM
 
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My son turned 2 just a few weeks before my twins were born. Now the babies are five weeks old and my son hasn't had any jealousy or drama or anything (at least, nothing more than usual 2yo stuff). I think this is because we had a LOT of help when I was pregnant (I was on bed rest) so he got used to other people taking care of him, especially his grandparents. When the babies arrived, he didn't associate that with seeing less of me. I do really miss spending all day with just my son, but I think that's common for all familes that are expecting another child. You'll totally get through this--it's so fun to see my son with "his" babies.

Karen, mama to one toddler (9/07) and twin babies (10/09)
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#13 of 19 Old 12-09-2009, 06:40 PM - Thread Starter
 
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monday we had an US and after 1 1/2 hours there was no sign of a membrane. the techs are sure they are monoamniotic and the doctor has obviously thought so the whole time. i had to bring up with the midwife the fact that these babies have to be delivered prematurely by c/s and had to ask for a referral to mfm. so i have an appointment next wednesday.

i'm still holding onto a thread of hope because it really looked like there was a membrane when the midwife did a quicky US a few weeks ago. however, i don't have much experience with US but i know that in radiology in general all kinds of things can cause strange shadows.

the good news is that the US showed to healthy BOYS! we're excited about that since we already have dd (although i would have also been thrilled to have 3 healthy girls!). dh is especially excited since he's a sports freak and because his family has had a weird alternating sexes in each generation. (mil has only sisters, dh only brothers and so far all dd's cousins are girls) he didn't believe he would get a son. i feel like everything will turn out right for these babes, i just hope that i can spend the rest of the pregnancy at home with my family and have full term babies and no need for the nicu!

anyway, i just wanted to updated everyone. thanks for the support and wish us luck on wednesday!

happily married mama to DD1 4/08, angel2.gif angel2.gif12/31/09, and DD2 5/11
 
 
 

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#14 of 19 Old 12-09-2009, 08:14 PM
 
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Good luck! Thinking "membrane" thoughts for you! Hopefully the high res U/S will show a thin membrane!!!
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#15 of 19 Old 12-09-2009, 08:25 PM
 
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Congrats and welcome!

Funny about the alternating sexes in your DH's family. Since my DH has three brothers, I was sure I would have a boy. I didn't even consider girl's names, but did say that the only way I'd have two girls is if they were identical. And that's what happened!

Sending healthy pregnancy vibes - keep us posted!


Mom to : Belle and Izzy
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#16 of 19 Old 12-12-2009, 02:14 AM
 
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Oh hun! Congrats on your boys! Identical little faces soon to be looking at you!

I hope there is a membrane hanging out there just being too thin and wispish to be seen, but if not I will pray that your little ones are stubborn enough to fight!

Tamika
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#17 of 19 Old 12-15-2009, 02:04 PM
 
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Glad to hear your boys are healthy, and I hope that your next ultrasound does indeed reveal a membrane!

But, not to bring you down too much, but just because I think it's good to know what to expect, if they are monoamniotic, you probably are looking at at least a little bit of NICU time, because it's not safe to deliver momos any later than 34 weeks, and most 34-weekers need a bit of help.

They also almost all do well at that gestational age, so I'm not preaching doom and gloom! Just that it helps to prepare for the worst, even while you're hoping for the best, so that when the hard stuff comes, you're ready to deal with it.

Best wishes for a good pregnancy and birth - and hoping you find that elusive membrane!
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#18 of 19 Old 12-16-2009, 12:32 AM - Thread Starter
 
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Quote:
Originally Posted by vanauken View Post
They also almost all do well at that gestational age, so I'm not preaching doom and gloom!
no doom and gloom! i've read enough momo birth stories now to see that inpatient, premie and nicu gets the best outcome for these babies. it's just such a hard road!!! i feel like everything will be ok for my boys (i hope that's not just because i can't imagine anything actually happening to one or both) but i would like to avoid all that if possible. i realize that the only possibility is if they are not monoamniotic. that stinking membrane makes all the difference! hopefully i will find out tomorrow and i think that just knowing what we're in for will make me feel better. i'm so nervous though... i want to see that membrane sooooo badly!!

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#19 of 19 Old 12-16-2009, 02:16 PM
 
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I'm thinking about you today PAgreenmama. I hope they are able to find a membrane on the high res u/s!!!!
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