twins stillbirth stats?? - Mothering Forums

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#1 of 9 Old 06-27-2014, 12:31 PM - Thread Starter
 
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twins stillbirth stats??

So we are at 37+2 weeks with our breech girls. The OB said c-section if things start before 37 weeks, we looked into it, and agreed with the reasons. WE MADE IT! He is going to "let" us try a vag birth. Although something tells me that we just will not be able to get there in time, will have them at home with the ambulances on their way. Anyways, was in on the 26th for my check up, and he says to me that most women are not made to carry twins this long and he would like me to come in on Wednesday to be induced. He says that now that we are 37 weeks that chances of still birth are raised, and get worse every day that goes by. I told him I would talk to my husband about it, revisited the birthing possitions available to me, and went home. Talked to hubby and he wants me to find info about what the OB said. He figures it is just a scare tactic and figures we should finalise everything for having them at home.

Can anyone please post as much info as you can find for me to read on stillbirth and twins.

Lori
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#2 of 9 Old 06-27-2014, 03:30 PM
 
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My first thought is it is a scare tactic. Although with doing a quick search, it is believed that the stillbirth chance does increase.........however, I still think that those stats are probably skewed as most drs probably wont let their patients go past 37 weeks with twins, and perhaps maybe a few of the handful of women allowed to go to full term did have issues......but because the numbers of people allowed are much less...even if only one person has issues...it makes it look like it is a higher percent....you know what I mean?

I personally believe that our bodies know more than drs and they are going to do their best to do what is right for the baby. And if going into labor at 37 weeks is it, then our bodies will go into labor on its own.....if not it will be later. I personally don't know of any still birth incidences with twins.

http://www.biomedcentral.com/1471-2393/10/68

http://www.babycentre.co.uk/a3584/pr...-complications



"Is stillbirth more common in twins?

The rate of babies who are stillborn is higher for multiple births (Sands 2009). The stillbirth rate is 12 per 1,000 twin births and 31 per 1,000 triplet births. This compares with about five in 1,000 singleton pregnancies (NCCWCH 2011: 27). Loss in the first month of life is also more likely.

The risk of stillbirth in twins increases slightly after 38 weeks. This is why, if you haven't already had twins by the time you are 38 weeks pregnant, a caesarean or induction is often suggested (NCCWCH 2011: 138, 174, 188).

As identical twins who share a placenta are slightly more likely to experience complications, the risk of stillbirth increases. So it's often recommended that they are born earlier, by 37 weeks (MBF 2010, NCCWCH 2011: 28, RCOG 2008). "

http://www.babycentre.co.uk/a3584/pregnant-with-twins-potential-complications#ixzz35sSrPmPp
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#3 of 9 Old 06-27-2014, 04:34 PM
 
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As identical twins who share a placenta are slightly more likely to experience complications, the risk of stillbirth increases. So it's often recommended that they are born earlier, by 37 weeks (MBF 2010, NCCWCH 2011: 28, RCOG 2008). "
This is a very important point. That seems to be true across everything I've read. So, all of the studies that fail to consider di-di and mono-di twins in separate groups will get a false number of increased stillbirth in twins generally, where the risk is with one group particularly.

When I was carrying twins I hit the studies and read a lot. More and more docs are hesitant to induce twins prior to 38 weeks without indication. If yours are di-di, there are studies that recommend 40w. Twins do not develop faster, and they need all the time you can give them.

Good luck!

Mom to : Belle and Izzy
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#4 of 9 Old 06-28-2014, 07:38 PM
 
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The stillbirth rate increases during the Third Trimester and the stillbirth rate with twins is increased no matter what trimester you are in. My friend just delivered twins following a stillbirth. Twins are ready for delivery earlier than singleton babies; she delivered around 36 weeks. Breech deliveries can be difficult. I would seriously contemplate and discuss your options with your health care team in great detail. Remember, at the end of the day, the goal is to have two beautiful babies arriving Alive & Kicking...xo
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#5 of 9 Old 06-29-2014, 09:41 PM
 
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Twins are ready for delivery earlier than singleton babies; she delivered around 36 weeks.
I think there are valid reasons to choose to induce/have a c-section before 40 weeks in twin pregnancies, but it has nothing to do with twins being "ready for delivery earlier." There may be a risk/reward analysis that means having 36-week twins is safer than waiting for labor to start on its own, but they're going to be 36-weekers, twins or singleton. They don't cook any faster, for heaven's sake!


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Remember, at the end of the day, the goal is to have two beautiful babies arriving Alive & Kicking...xo
Huh, the dead baby card... how very helpful!

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#6 of 9 Old 06-30-2014, 11:48 PM
 
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I don't believe Babie beat was meaning anything bad by her last sentence. I think it is commonly understood and agreeable that we all aim to have healthy babies as the end result of pregnancy.


I personally wouldn't have issue ucing with twins.....but wouldn't feel comfortable ucing with known breech babies or even baby .......unless I knew for certain I could get them turned right before birth.
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#7 of 9 Old 07-01-2014, 10:00 PM
 
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in my thought on it is there is an increase risk with stillbirth with twins but that is at any stage of the pregnancy over the last 20 years in my family alone we have had 40 live twin births between 34 weeks and 42 weeks and 5 still births of twins and yes i did say 40 set of twins have been born not by me but other family members on my mom side of the family me my brother where both a set of twins but we lost are twin right after birth i think it was like in the first 24 hrs if i am not mistake my mom was a twin as well and hers is living we have alot of multiple births in are family and have for over 20 years

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#8 of 9 Old 07-03-2014, 12:02 AM
 
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just out of curiosity....where most of the twins conceived completely naturally or with help?
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#9 of 9 Old 07-09-2014, 08:52 AM
 
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Originally Posted by BlessedOne View Post
I don't believe Babie beat was meaning anything bad by her last sentence. I think it is commonly understood and agreeable that we all aim to have healthy babies as the end result of pregnancy.


I personally wouldn't have issue ucing with twins.....but wouldn't feel comfortable ucing with known breech babies or even baby .......unless I knew for certain I could get them turned right before birth.
It would make a difference to me (with breech babies) if my pelvis was 'proven,' i.e. it wasn't my first birth.
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