Originally Posted by SanDiegolady
I was wondering how many women were in the situation where twin A was head down and twin b was breech and how the delivery worked out. Did baby B turn once baby A was delivered vaginally, was Baby B delivered breech, or did you require a c-section for both or just baby b?
I am 36 weeks with baby A head down and baby B breech.
Our Twin B turned breech in the few weeks prior to the 28-week ultrasound. He stayed breech (most often double-footling, one ultrasound found him at complete breech).
I had a spontaneous, unmedicated, vaginal delivery 3 days before my due date. My twins were 7.5lb and 6lb15oz. Twin B was birthed double footling. He exited my body in two quick, smooth "fetal expulsion" contractions 17 minutes after his brother.
The doctor I had planned to birth with was basically at a stand-off with us because she advocated immediate total breech extraction of Twin B and we refused. She continued to see us only b/c she was so afraid that if she dumped us, we would be unable to find another doctor and end up with a unassisted birth/death.
The doctor at our delivery (at a smaller hospital enroute, due to fast labour) argued for external version once Twin A delivered. We also refused this. The arguments in the delivery room were straining at the time. I had agreed to let her check Twin B's position after Twin A delivered (vaginal exam, no ultrasound present). I allowed the exam b/c she was pushing for the version, but if he would be engaged, she wouldn't be able to pursue the version and the arguments would end. So she checked me soon after Twin A was out. Good baby! Well-engaged; she had to abandon her quest for the version.
Interestingly, my Twin B was born in the caul, which is said to help minimize some of the complications that can occur in breech deliveries (nuchal arms, cord prolapse, etc). Also interestingly, the doctor had such a bee in her bonnet that she hadn't "needed to facilitate" a breech delivery, that she lied
and recorded in my medical records that she'd delivered Twin B using the Mauriceau-Smellie-Viet maneover.