Successful and Uncomplicated Twin HBAC! - Mothering Forums
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#1 of 42 Old 05-10-2007, 01:20 PM - Thread Starter
 
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The births of my sweet little babies...

The background (skip it if you just want the birth details):


I guess it really begins with the birth of their older brother, my third child, born in 2001. I had planned a homebirth, as I had really hoped to avoid unnecessary hospital interventions. As things would turn out, I ended up transporting to the hospital and having an emergency cesarean due to transverse lie. Before his birth, we had wanted a large family one day. Afterwards, I was so devastated by the loss of the birth I had planned, and so overwhelmed by fear that I would never again experience natural childbirth due to a prior cesarean, that my husband and I decided we didn’t want any more children.

Just last year, things shifted in our thinking a bit. I had researched vaginal birth after cesarean (VBAC) enough to know that it is a safe option in situations where induction, augmentation, and other interventions could be avoided, and we decided to try to conceive our fourth child. After I was pregnant, I began my search for a provider, and found that several local hospitals no longer allowed planned VBACs, and that none of the local doctors would be fully supportive of a VBAC. I looked into homebirth with a direct entry midwife, only to learn that the midwife licensing board made it illegal for direct entry midwives to deliver VBACs in my state as of 2004, even though they had successfully been attending VBAC homebirths for many years before then. Only a CNM could deliver a VBAC at home, and no CNMs in my state could find a backup OB to support them in a VBAC homebirth.

Through referrals from our many friends who had given birth at home near us, we found a very naturally-minded midwife in a nearby state. While she was not willing to drive all the way to SC while I was in labor, she was willing to take me on as a client provided we were willing to meet closer to her for appointments and for the birth. We agreed, and began our search for somewhere to stay for two weeks before and two weeks after our due date, so that we would already have a temporary home to have our homebirth VBAC (HBAC).

A month after securing our midwife’s services (but just before our first appointment with her) and feeling confident with our course of action, we went in for a non-medical ultrasound to find out gender, and were SHOCKED to learn that we would be having both a little girl AND a little boy. The sonographer took several extra pictures for us (including several showing that we had two placentas, which later proved valuable information), and later that day we panicked, calling our midwife and letting her know we would be finding an OB and switching providers. We were just too scared to go through with a twin HBAC.

We did a little more research, though, and found that twin VBAC moms are no more likely to suffer uterine rupture than singletons, learned that twins with two placentas have minimal complications (if any) compared to singletons, and began to wonder if we should resign ourselves to a mandatory cesarean at the hands of a surgeon. I called my midwife back and asked her what her experience had been with twins. It turned out she has delivered almost 20 sets of twins (including many twin VBACs) since switching to a primarily home-based practice several years ago. All twin births were successful, none required transport. We switched back to the original plan, and began preparations for a twin HBAC.

Labor Begins:

For WEEKS I had been having strong and uncomfortable contractions-- so many so that I was terrified of preterm labor. Somehow I made it to 36 weeks (the earliest my midwife would attend a twin homebirth) and we relocated. My husband stayed with me and the kids Fridays through Mondays, and went home every Monday to work a full week. In spite of regularly growing contractions, I made it past 38 weeks, and when I was 38 weeks and 1 day (measuring 50 cm), my husband went back home to work his week. That night, I tossed and turned, having contractions in my sleep. Tuesday morning, May 8, around 3:30 am, I was awakened with painful contractions coming every 2 minutes. This had happened before, so I tried all my usual tricks to make the “false labor” go away. I had a glass of diluted wine, drank lots of water and lied down, and around 4:15 am I gave up and got into the bathtub to see if that calmed them. At 4:45 am, still unsure if I was in real labor or not, I called my husband and asked him to come be with me just in case it was time. At 5:00 am, I called my midwife and let her know what was going on. She told me to call my other labor assistants and get everyone on their way.

Around 5:30 am, as I was making the bed and getting my birth pool ready (I really wanted a water birth), my water broke and things intensified. Around 7:00 am, the midwife arrived and allowed me to get into the birth pool to take the edge off the contractions, and the water was SO soothing! By 7:15, the midwife’s assistant arrived, and by 7:30 my husband was there. Things get a little blurry after that point, since I was in a good bit of pain. At first, I did really well, breathing through the contractions, relaxing, staying calm. By around 9:30 am, I was thrashing about so badly during the worse contractions that it took four people holding my arms to keep me from drowning myself! At that point (in transition, obviously), I was exhausted already, and begged to move to the bed so I could lay down.

The births:

Soon, I told my midwife I though I might be feeling the urge to push with contractions, and that it actually made me feel a little better to push a tiny bit. So, with the next contraction, I began pushing. As things would turn out, I pushed a LONG time for a little baby who had spent the last two weeks at a +1 station. It didn’t take long for him to crown, but then he couldn’t make it any farther. It turns out that the OB who did my episiotomy with my second child has stitched me up more tightly than necessary, so I was having to stretch really slowly like a first time birth. For over 15 minutes, I would have a contraction and his head would bulge, but not come out, and then I would spend the short break between the contractions in excruciating pain. I was crying, worried about how this was affecting the baby, but my midwife checked his heart tones after each contraction and reassured me that as long as his heart rate was good, we were okay. Finally, with me lying on my side and screaming things like “get it out-- get this baby out of me!!” in a very non-relaxed and un-peaceful way, my sweet boy was born at 10:49 am. He was crying as soon as his head was out, and was nursing like a little barracuda 20 seconds after he was born! He pinked up right away, and they delayed clamping and cutting the cord until it had stopped pulsing.

We left him at the breast, since the nursing might stimulate contractions to get baby B into position, and from the time my boy was born until the time his sister’s head was firmly engaged in the birth canal, my midwife’s assistant held her in place from the outside so she wouldn’t flip. After a few minutes, contractions started up again but they shortly became a little painful and I asked someone to take him so that he would be safer than I felt he was in my arms, with all the pain I was in. I switched to using a breast pump between contractions to keep things going, and soon enough I knew it was time to push her out. I was exhausted, and not very enthusiastic about it at first, and couldn’t bring myself to push that hard. Plus, I was expecting that after just birthing one baby, the second one would be easier, so I don’t think I was expecting the challenge she became. At some point they moved me into a squatting position to push for a few contractions. It was so hard to support myself, that once the baby’s head was down into the canal, I was begging to lay back on the bed again. So, I pushed for the next several contractions propped up in a half-sitting position. She wasn’t moving down very much, and I was getting discouraged, so I forced myself to get a little more energetic about the pushing (since that’s what my body was telling me to do anyway). After several contractions, there wasn’t a lot of progress, and I was in pain and begged to get back on my side again. At that point, things started to move along, and after a VERY long pushing stage, my sweet little girl was born, posterior and forehead-first, with her cord wrapped around her shoulders, at 12:46 pm. Her posterior position had contributed to my extended pushing phase and slow descent with her, and after her head was out I had to pant instead of push while they untangled her from her cord. She was a little slower to pink up, and took a little longer to figure out how to nurse, but soon enough was alert at my breast like her brother had been!

I birthed the placentas at 1:09 pm, and although there were clearly two separate placentas, they had fused together in the middle and came out in one giant piece that likely weighed between 5 and 6 pounds-- almost like delivering a third baby, but without the giant head! I needed one stitch to fix a small tear from my daughter’s difficult birth, and opted to get it without the painkillers, since painkiller would take 2 pokes to numb me, which didn’t seem any easier that the two pokes it would take to just stitch me up. I was bleeding heavily, and over the little while after the birth had one intravenous shot of pitocin and two shots in the hip. I was also given my first dose of methergine (which I will still be taking until 2 days postpartum), and given a lot of blood-building and iron supplements to help replace what was being lost. After a while (I’m not sure how long) of still bleeding heavily, my midwife told me that she believed I had several clots just above my cervix that were preventing things from closing down properly. She said, “Well, you aren’t going to like me very much for this, but I think the best course of action is for me to reach up in and pull them out, otherwise you may end up transporting for blood loss.” I turned to my husband and asked him to come stand with me so I could squeeze his hand, and my midwife manually went in after the clots. OW!!! Anyway, it was over soon enough, and my bleeding lessened. Apparently, excessive bleeding is a bit more common with twin pregnancies since my uterus had two raw areas from two placentas instead of just one.

Thoughts the next day:


So, I have now had my first completely unmedicated, natural birth, my first home birth, my first VBAC, and my first twin birth. What an experience! I feel so good about how it all happened, and am so thankful that we chose the path we did because I KNOW that I otherwise would have been forced into an unwanted, and completely unnecessary, cesarean. Although I worried a bit before the birth about the toll that being so big was going to take on my uterine scar, during labor I never once questioned how my scar was holding up. I have no regrets about my birth experience, for the first time ever, and feel only positive about how it all went down-- not exactly easy, but definitely uncomplicated.

My babies were at the breast within minutes of being born, and my precious husband was able to be more involved in this birth than any other-- what a wonderful support he was! My other children were able to come in shortly after each birth to see their new little siblings, and the babies’ first night was spent bonding with their parents and siblings, rather than being poked, prodded, weighed, and messed with all night long. I’ve been able to rest when I need to, recover in a way that feels best, and avoid being poked, prodded, and beeped to death during an already exhausting and physically challenging time. I am SO THANKFUL for these beautiful little babies, their curious little eyes, and their sweet little cries. They are beautiful, precious, sweet, and fun to watch and be with. What a blessing!

The pictures:

http://farm1.static.flickr.com/208/4...3d2edd.jpg?v=0
http://farm1.static.flickr.com/231/4...a91f34.jpg?v=0

Wife of one and mom of five, including my HBAC twins!
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#2 of 42 Old 05-10-2007, 01:30 PM
 
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OMG they are so cute Christy!

Megan Davidson, Labor & Postpartum Doula, Breastfeeding Counselor, Anthropologist, Mom to August (9) and Clay (4), Partner to Shawn.

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#3 of 42 Old 05-10-2007, 01:54 PM
 
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What a beautiful birth story. Way to go Mama!! They are the picture of health with those chubby cheeks- two little cherubs.
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#4 of 42 Old 05-10-2007, 02:08 PM
 
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Thankyou for sharing a wonderful twin birth!!! Babies are beautiful!

Missionary, birth-worker, midwifery student
Mama to love.gif DD (9yr), DS luxlove.gif (3yr), & 2twins.gif UC twin DDs (5yr)

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#5 of 42 Old 05-10-2007, 03:13 PM
 
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CONGRATZ MAMA! What beautiful babies!

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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#6 of 42 Old 05-10-2007, 03:51 PM
 
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Congratulations! I'm so glad you got to have your HBAC!!!

They are so adorable!
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#7 of 42 Old 05-10-2007, 04:27 PM
 
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what an amazing birth! they are absolutely adorable & i'm glad you're feeling well. congratulations to your whole family!!

stephanie asl.gif

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#8 of 42 Old 05-10-2007, 04:45 PM
 
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: :

I am so happy for you! What beautiful babies. Funny how similar they look!

~laura
and planning to eat it again
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#9 of 42 Old 05-10-2007, 05:10 PM
 
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Beautiful babies and what an excellent and inspiring story!
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#10 of 42 Old 05-10-2007, 06:54 PM
 
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Oh Christy, they are beautiful! You did so great! I totally thrashed around like that in my pool too and spilled about 1/2 the water out of it
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#11 of 42 Old 05-10-2007, 09:49 PM
 
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Congratulations and thank you so much for sharing your amazing story!

Midwife and mama in the Valley of the Sun
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#12 of 42 Old 05-10-2007, 10:14 PM
 
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Wowzers! Congratulations!
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#13 of 42 Old 05-10-2007, 10:47 PM
 
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Congratulations! That first picture made me "Awwww!" out loud!!!
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#14 of 42 Old 05-10-2007, 10:58 PM
 
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The first picture is absolutely adorable! They are beautiful!
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#15 of 42 Old 05-10-2007, 11:22 PM
 
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oh!!!!! they are so cute! congratulations christy! you did good mama.

Chrissy, lucky mama to Noah (9), Lilah (6), Rowan (3) and Laney (1).
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#16 of 42 Old 05-10-2007, 11:32 PM
 
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Congratulations! They are beautiful! The first picture is precious. I am teary.

teapot2.GIF jog.gif

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#17 of 42 Old 05-11-2007, 12:43 AM
 
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that was an amazing and inspirational story, and i need it since i'm hbacing this month
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#18 of 42 Old 05-11-2007, 01:02 AM
 
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They are beautiful!!! Thank you for sharing your story and pictures. They look so sweet and pink and healthy!

DH & Me + DS(7)  DD(6)  DD(4)  DS(3)  DD(1)  
 
Baby #6: 20****25****30****35**heartbeat.gif** - EDD December 17, 2010
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#19 of 42 Old 05-11-2007, 04:13 AM
 
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Oh those babes are just gorgeous! that first picture is so sweet!

I am a twin myself, and on my way to being an HBAC mama as well.

Congratulations to you!

Mama to my spirited J, and L, my homebirth: baby especially DTaP, MMR (family vax injuries)
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#20 of 42 Old 05-11-2007, 10:40 AM
 
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Beautiful story!!! It gives me encouragement! So great to hear about uncomplicated twin pregnancies and births...
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#21 of 42 Old 05-11-2007, 04:08 PM
 
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Congrats, Christy! You did an amazing job! You have such beautiful babies too. That first picture is just too precious!

Mama to four remarkable kiddos, all born at home.
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#22 of 42 Old 05-11-2007, 04:54 PM
 
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I just wanted to say CONGRATULATIONS! that's wonderful! and your LO's are beautiful! your story gives me hope that someday I can do the same.
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#23 of 42 Old 05-11-2007, 10:59 PM
 
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Amazing story! Congrats on your little ones!

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#24 of 42 Old 05-12-2007, 02:11 AM
 
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Congrats mama on those two beautiful babies :

Memz, with mylove.gif and mommy  of babygirl.gif born 01/17/10 and 3 cat.gif familybed1.gifsaynovax.giffly-by-nursing1.gif

***4** *8***12***16***20***24***28***32***36**stork-boy.gif40

 

 

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#25 of 42 Old 05-12-2007, 11:26 AM
 
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What an amazing experience. Thank you for taking the time to share. You are awesome and your babies are too precious!
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#26 of 42 Old 05-12-2007, 02:23 PM
 
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awesome birth and such cute babies!
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#27 of 42 Old 05-12-2007, 06:48 PM
 
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Congratulations. They are so precious and what a wonderful story.
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#28 of 42 Old 05-12-2007, 06:51 PM
 
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THOSE BABIES ARE ADORABLE! CONGRATS! And those are some terrific pics you got! They will be priceless! Happy babymooning!!

~Marie : Mom to DS(11), DS(10), DD(8), DD(4), DD(2), & Happily Married to DH 12 yrs.!
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#29 of 42 Old 05-13-2007, 01:25 AM
 
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Congratulations! Well begun is half done.
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#30 of 42 Old 05-13-2007, 01:38 AM
 
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Congrats!! They are precious and look so healthy!

7yo: "Mom,I know which man is on a quarter and which on is on a nickel. They both have ponytails, but one man has a collar and the other man is naked. The naked man was our first president."
 
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