I have 10 years of L&D nursing under my belt. I have seen many 40 week twins. She may go early, she may not, that is up to her body to decide, not a bag of pitocin. Not all twins go early. Also, the "placenta breaking down" at 38 weeks is total bunk. The placenta is designed to be a 40+ week organ, regardless of how many babies are attached to it. If the doc is worried about placental function, the answer to that is to perform non stress tests, not induce. Geez.
Bottom line, twin pregnancy alone is not a valid medical reason for induction. Period. It sounds to me like her doctor is inexperienced with multiples and is nervous. JMHO. If I were her I'd switch OBs if I could.
Eating well is crucial in maintaining healthy organs. If there is some concern, NSTs and biophysicals can help determine the status.
For what it's worth, my twins were born 40w2d.
Missionary, birth-worker, midwifery student
Mama to DD (9yr), DS (3yr), & UC twin DDs (5yr)
As another pp mentioned (esp if she is stuck with her providers and can't convince them otherwise), she can also decline to show up for an induction.
Unless there is a reason for it, let the babies come when they are ready.
Me. With 1 spouse, 4 kids, 16 chickens, 74 matchbox cars, 968,562+ legos, a dishwasher waiting to be emptied, a washing machine waiting to be filled and a lost cup of tea in the house.
Face the rear for MORE than a year! Toddlers' necks are safest in a rear facing carseat
I ended up having my babies at 29 weeks, which obviously was in nobody's plan.
Could you mamas let me know if most of you were early with your twins and if you know of folks who got to 38 weeks and chose not to induce? Thanks!!
The OB I finally settled on did not advocate induction at any "magic stage" in the pregnancy. I was +40wks with our older kids and 39wks4days with our twins.
The placenta looked perfect. Noteable only for being much larger than a singleton's placenta, and for having a small (dime-sized) cyst within it - that obviously hadn't caused any sort of issues.
I don't really know how much say your friend will have in the final stages, I guess that depends on her OB and MW, and also on how both she and babies are doing.
Clairesoula, congratulations to your friend! This is a pretty good "problem" to have in a twin pregnancy!
Not sure that I'm crunchy, but definitely a "tough chew".
But times are a-changing. I heard that even in my relatively progressive area now the "latest" recommendation is that ALL MZ twins that share a placenta be delivered by c-section because they might develop TTTS during delivery!
My god, that's like 75 percent of all MZ twins that are advised to have a c-section now. I call BS. :/ It makes me livid that people are being told that. It's like being told that all babies everywhere should be delivered via c-section because of the possibility of a cord accident during birth or the placenta prematurely separating from the uterine wall--both of which happen more often than TTTS happening during delivery with no signs or symptoms or markers up unto that point. :P
My OB wouldn't do anything to stop delivery after 36 weeks, but said she wouldn't induce till 40 weeks, or even 41 depending how things were looking.
As it was, I had a c-section at 39 weeks to to the risk of cord prolapse if my water broke (both were breech, with all the cord dangling at the bottom).
Thanks in general for the advice. This is what I suspected and the track my friend is on as well. It's good even to hear from the other thread that folks have skipped appointments and other things to get the care they want. We're all very smart Mamas and we need each other to trust ourselves and our bodies...especially with first time pregnancies in our crazy country. BTW does anyone have a link or something to the one bad study about how risky it is to carry twins past 38 weeks? It would be great just to know what it says etc.
Don't let your friend listen to that "calcified/old/worn/bad placenta" nonsense. I was told that my placenta was all kinds of %@#%#'ed up at 33w, and when mine were born (at 34w due to IUGR from TTTS) I had a beautiful healthy red placenta.
OTOH, I just had a singleton at 40w and my placenta looked like shredded beef.
mom of (8) (5) (3) and born at home on Christmas day!
here is info about how LMP is a horrid predictor for term, might help her with prep for talking with doc:
and here is an article that i found to be interesting about how babies born by elective c are much more likely to develop breathing issues -- being that so many twins are born w/o mothers ever laboring at all these days...
best wishes to your friend.