Would you UC with twins? - Mothering Forums
View Poll Results: Would you UC with twins.
No, but I wouldn't UC a singleton either. 51 36.96%
No, but I would consider UC if it were a singleton. 29 21.01%
Maybe, if I could have prenatal monitoring and a midwife on hand just in case. 25 18.12%
Maybe, if I could have prenatal monitoring (no midwife at birth). 5 3.62%
Maybe UP and UC if things seemed okay. 9 6.52%
Yes, definitely. 14 10.14%
Other (I tried to be comprehensive! Really I did!) 5 3.62%
Voters: 138. You may not vote on this poll

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#1 of 65 Old 09-06-2008, 11:45 AM - Thread Starter
 
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Knowing what you know about multiple pregnancy and birth as a MoM, would you personally UC with twins?

(Wait for the poll)

Keep it nice! I don't want this thread locked, I'm just curious.

ETA: If you haven't ever given birth to or been pregnant with twins, that's an "other"-- I'm really just looking for input from those who have definitely been in a position of needing to make this decision.

Wife of one and mom of five, including my HBAC twins!
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#2 of 65 Old 09-06-2008, 11:50 AM - Thread Starter
 
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HAHA, I'm a dork! I'm the first "other" vote on my own poll!

I would UC twins only if my other comfortable options were not available to me. So, if I had not been able to find a midwife to attend me, I would have gotten prenatal care from an OB and then UC'd.

Way to be comprehensive there, silly me!

Wife of one and mom of five, including my HBAC twins!
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#3 of 65 Old 09-06-2008, 11:53 AM
 
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no, i wouldn't.

Mama to Jet 6/05, Marvel 8/06 and Cash and Fox 2/09
Expecting Ada Marianne 11/14
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#4 of 65 Old 09-06-2008, 12:39 PM
 
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I voted 'Maybe, if I could have prenatal monitoring and a midwife on hand just in case.' I don't consider it a true UC but my ideal is to have a birth with a mw who is willing to wait in the wings, only stepping in if I need her. That's the way my twin birth was, actually, and it's my preference. In absence of finding the right mw I would consider a true UC, although prenatal monitoring would still be important to me.

Mama to four remarkable kiddos, all born at home.
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#5 of 65 Old 09-06-2008, 01:28 PM
 
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I voted 'Maybe, if I could have prenatal monitoring and a midwife on hand just in case.' I don't consider it a true UC but my ideal is to have a birth with a mw who is willing to wait in the wings, only stepping in if I need her. That's the way my twin birth was, actually, and it's my preference. In absence of finding the right mw I would consider a true UC, although prenatal monitoring would still be important to me.
Yeah this. I'm hoping I go to full term and have midwife on hand in background, but am preparing mentally to go UC if they don't send out midwife as has been the case twice in the past. Last two times I went into hospital when midwife refused to come out, so it's my aim to be ready for that scenario this time rather than having to try and adjust to it just before pushing. Have consultant appointment monday and scan to see what looks like is going on in there.

Skipped consultant so far and main scan to look for abnormalities, so slightly anxious about what we'll see, but happy I opted out of extra 'care' to this gestation because it's given me a better state of mind thus far. Here's hoping they don't ruin it for me monday

I am lurking at the UC board and have been intending to ask a question or two there this week. Your query is timely for me

edit: am 28 weeks now and hardly dare to hope will go full term, but wonders and miracles happen!

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#6 of 65 Old 09-06-2008, 02:19 PM
 
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I voted 'Maybe, if I could have prenatal monitoring and a midwife on hand just in case.' I don't consider it a true UC but my ideal is to have a birth with a mw who is willing to wait in the wings, only stepping in if I need her. That's the way my twin birth was, actually, and it's my preference. In absence of finding the right mw I would consider a true UC, although prenatal monitoring would still be important to me.
that's pretty much what i had for my first birth - good prenatal care with a great midwife who let me do my own thing during the birth and checked us all out afterwards (and cleaned up!).

Mama to Jet 6/05, Marvel 8/06 and Cash and Fox 2/09
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#7 of 65 Old 09-06-2008, 02:22 PM
 
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I don't consider UC to be a home birth with midwife in the other room just in case so I voted no but I WOULD do that. I UCed Isabella and was very happy with that birth. I would not UC twins now that I'm a MoM. Too many extra risk factors. I want someone there with pit, O2, and the skills to help with strange presentations.
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#8 of 65 Old 09-06-2008, 02:27 PM
 
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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.

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#9 of 65 Old 09-06-2008, 03:14 PM
 
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I said other. I would get prenatal care and if I could not find a mw to attend and if I had several supportive people willing to be there I may do it. I would not do it alone with just me and dh. That just does not leave anyone to take care of the babies if something were to go wrong with me (like pph which did happen with my twin hb) or if there was any issues with the seconds baby there would be no one to be with the 1st baby. If I had a few people that were very supportive of what we were doing then I probably would if the other option was hospital birth. I would not uc twins if a mw was available though.
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#10 of 65 Old 09-06-2008, 03:15 PM
 
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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 why I think that I'd not UC a singleton or multiples... so I don't think that they are mutually exclusive answers in the poll. So, yeah, my comfort level is to have someone around who knows the ins and outs of birth and can handle any sticky situations, b/c as a birthing mother, I would be too 'in my head' to be analytical if it were needed.

Mama to twin girls Adele and Nadia, born 5/2008
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#11 of 65 Old 09-06-2008, 04:34 PM - Thread Starter
 
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Great discussion! This is exactly what I was hoping for out of this.

Wife of one and mom of five, including my HBAC twins!
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#12 of 65 Old 09-06-2008, 06:00 PM
 
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If I'd already had a child vaginally with no complications, and the pregnancy went well with no complications (I can't imagine refusion prenatal care with multiples) then I'd consider it.

For the first run or if I'd had some birthing complications in the past or if there was something going on with the pregnancy, no. For first run, I might very well do a homebirth, with a midwife ready to assist if I wanted her, but a true UC, no.

However, I'm sure there are people who have done it in the presence of one or more of those conditions and done just fine. It's just a matter of what you're comfortable with.
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#13 of 65 Old 09-06-2008, 09:30 PM
 
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I would want prenatal monitoring and ultrasounds to know if they shared a sac, shared a placenta, monitor for TTTS, etc. If I had all the lowest risk factors I would consider it as long as a midwife was near (within a minute or two).

As it happens, I meet all these qualifications but DH is not comfortable with the idea at all. I found an OB that I like and we are going to do another hospital birth.

Joanna - wife to Mike, mamachicken to Cub(8/98), Kitten (4/07), Dew-man, and Woe-boy(twins, 10/08)
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#14 of 65 Old 09-07-2008, 12:44 AM
 
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nope ....
there's a similar thread in the UC board .....

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

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#15 of 65 Old 09-07-2008, 02:24 AM
 
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I guess I never thought that I would say that maybe I would UC with twins, but after birthing them at home, I have such a changed perspective on birth, particularly after a hospital birth with my singleton. I think for myself, it would take a lot to tap into that deep place inside me, instilled in my DNA, that knows exactly how to birth, without fear and with the same wisdom that generations of women who have birthed before me had.
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#16 of 65 Old 09-07-2008, 10:52 AM
 
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I voted no, but I would consider it for a singleton (easy to say for someone who isn't having any more kids!). My own birth experience colors my views too much to consider it for myself for twins, even if I try and mentally go back in time 3 years to before all this happened and do it over.

Betsy, mama to beautiful, strong MZ twins Lillian and Kate, born 11 weeks early on January 10, 2006.
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#17 of 65 Old 09-07-2008, 11:14 AM
 
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I had a great homebirth with midwives with my twins. If I were to have twins again, I would want it to be more hands-off but I wouldn't UC. I considered a UC with my most recent pregnancy but in the end I decided I just really love my midwife and her presence positively affects my birth experiece.

Blessed mama of four
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#18 of 65 Old 09-07-2008, 01:53 PM
 
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no, but so far I haven't had a kid that willingly came out LOL

The twins birth was the easist of the three experiences but the second was breech and there is no way I could have gotten her out on my own.

Sarah
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#19 of 65 Old 09-07-2008, 07:46 PM
 
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I voted "Maybe, if I could have prenatal monitoring and a midwife on hand just in case," but I'm not sure that best describes my thoughts now. I really liked having someone who knew how to look for unusual presentations and knew how to deal with them. I'd rather not have to cram all that knowledge into my own brain and then hope to remember it at that crucial moment. That said, my first twin was an unplanned UC (the midwife arrived a few minutes after her birth), but I'd never plan that way.
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#20 of 65 Old 09-07-2008, 11:17 PM
 
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-- I am in total la la land during transition
girl .... you sound like me ....
I have FINALLY figured out (after 4 babies) that when I cry and say, "I don't know what to do, I don't know what's going on", it's time to get down to business! My brain totally shuts down ....

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#21 of 65 Old 09-09-2008, 01:31 AM
 
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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.

Missionary, birth-worker, midwifery student
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#22 of 65 Old 09-09-2008, 02:19 AM
 
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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.

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#23 of 65 Old 09-10-2008, 12:05 AM
 
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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...

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#24 of 65 Old 09-10-2008, 12:15 AM
 
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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.

Trying to get my bearings...
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#25 of 65 Old 09-10-2008, 04:38 AM
 
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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.

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#26 of 65 Old 09-10-2008, 09:41 AM
 
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^^^ 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.

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#27 of 65 Old 09-10-2008, 01:11 PM
 
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^^^ 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

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#28 of 65 Old 09-10-2008, 07:57 PM - Thread Starter
 
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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...

Wife of one and mom of five, including my HBAC twins!
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#29 of 65 Old 09-10-2008, 08:04 PM
 
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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.
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#30 of 65 Old 09-10-2008, 08:33 PM
 
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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.

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