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I have a question...<br><br>
I was talking to my sister the other day and one of her daycare mom's is almost due with her twins. She was planning a homebirth but her doctor said no, its too dangerous to deliver twins at home. My sister said that its also because the mama is 38, which further increases the risk of complications.<br><br>
I didn't think that 38 was too old to safely homebirth twins... is this true? Does her age have anything to do with it?
 

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What did her midwife say about HBing twins? I would think that it would also have to do with the skills/comfort levels of the midwife. Or do the doctors in BC do the homebirths?
 

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I think someone on here HB'd triplets. I'm pretty sure I watched the video at some point. Personally I'd find a midwife who was comfortable with it and proceed. My understanding is that OB's prefer twin births to be CS or at least a vaginal birth in the operating room so they can "intervene" if "necessary". No thank you!
 

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it can depend upon state laws, office policies (for mws or docs) as well as what the midwife/doctor is comfortable with at the individual level.<br><br>
many twins are homebirthed, and it's perfectly safe in most cases. age wouldn't necessarily be a huge risk factor, but there may be other factors that we don't know about that might play in. if it is just age, i'd say it was "just an excuse" at a certain level, but that mother has to do what she has to do.<br><br>
and if that means going with the doc, then that's what it means.
 

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<div>Originally Posted by <strong>dogmom327</strong> <a href="/community/forum/post/10803789"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I think someone on here HB'd triplets. I'm pretty sure I watched the video at some point. Personally I'd find a midwife who was comfortable with it and proceed. My understanding is that OB's prefer twin births to be CS or at least a vaginal birth in the operating room so they can "intervene" if "necessary". No thank you!</div>
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Yes, an MDC mom did HB triplets. That was Kathryn.
 

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from what I understand BC MW regs are similar to Ontario's. I wouldn't be able to HB twins here either, and it's not an age thing. I think it has to do w/ their hospital priveleges and MDs/hospitals can place restrictions on when a MW is "required" to transfer care. Twins is one of those cases, here. From my limited understanding, however (not having birthed twins), if I flat out refused to go to hospital, my MWs would have some obligation to attend me at home.<br><br>
I'm not sure that's what is operating in this case, but it could be.
 

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From what I have been told it can be done but many MWs are hesitant to do it. Usually due to skills or liability. There are usually additional mws or birth attendants at a twin HB. In my area there needs to be one trained provider per mom/baby so this would necesitate 3 attendants. There are additional issues like making sure you are hearing both heartbeats during labors, etc. Not all mws are trained or want to take these clients.
 

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In my state it is illegal (WA) and you would have a *really* hard time finding a midwife that would do it. I actually jokingly told DH and my MW at this beginining of this pregnancy that if it were twins I wouldn't want to know until they were born. That way I could still have a homebirth <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/redface.gif" style="border:0px solid;" title="Embarrassment"> I don't think its a big deal safety wise IMO, its just a big deal legally here if you plan it.
 

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Omg What Happened
 

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it depends on the state and the midwife.<br>
my midwife does it but not many do.
 

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Many midwives can not get liability insurance if they offer twin births (or VBAC's for that matter) so if they want to carry insurance, they aren't allowed to. It's unfortunet <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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<div>Originally Posted by <strong>firespiritmelody</strong> <a href="/community/forum/post/10816863"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Many midwives can not get liability insurance if they offer twin births (or VBAC's for that matter) so if they want to carry insurance, they aren't allowed to. It's unfortunet <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"></div>
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it definately is, my midwife i know doesnt have it as do most midwives in houston i think... i am not uncomfortable with this at all but i can see how some might be.
 

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It is illegal for midwives to attend homebirths in certain states. I homebirthed my twins in MI and currently that is legal. Age alone would not risk out a mama for a homebirth but there could be other health issues that would risk her out. But if her doctor told her it is too dangerous, then it doesn't sound like this mama was seeing a midwife anyway. Of course a doctor is going to tell her it is too dangerous! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll">
 

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<div>Originally Posted by <strong>gemelos</strong> <a href="/community/forum/post/10818140"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Of course a doctor is going to tell her it is too dangerous! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll"></div>
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oooh yeah, I didn't even realize that part! This isn't a midwifery issue at all then. (although I think my previous post would still apply if it were.) Many, many doctors believe that homebirth is not safe, period. nevermind for multiples. Where I am it's difficult to get an OB to "let you" birth twins vaginally, nevermind at home.
 

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most homebirth midwives do not carry malpractice. I don't want it when I practice, it just sets you up to be sued IMO. Malpractice insurance has done nothing for birthing in hospitals/birthing centers and is in fact making doctors more jumpy- and it's caused the closure of many a birthing center because they can't afford to stay open with the (unjustifiably) high malpractice premiums.
 

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I'm in Ca. My mw has delivered hb twins and triplets before. Officially, she doesn't do it. However, I asked her and she said that as long as she doesn't "know," she'll help birth twins. Of course, she would "know" by feeling the uterus. It's more like plausible deniability. So, I wouldn't send her the u/s pics. When talking to her about the babies say, "We're not having triplets." <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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HBing twins *just* became illegal in Utah. There was a nasty bill that got a compromise instead of being passed. So we lost twins and breech deliveries but if the bill had passed there would have been a huge list of "complications" that would make a homebirth illegal. Stuff like VBACs, GBS +, etc.
 

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I thin the real answer is "It depends" HB'ing twins can be safe - it can also be unsafe. I think it depends ont he babies, the mother, and the care options she has. I HB'd my twins. CNM's are legal here but CPM's and DE are not recognized and are considered "a-legal" I could not find a CNM HB'ing MW to take me on. I did find a CPM/DE team that would take me on as the 2nd and 3rd person but wouldn't do it as "lead MW" I kept the philosophy that with the right mamma, right pregnancy,a nd right team it could be done safely. I flew in a traveling MW with twin experience and regional Mw's compelted my team. We had a list of "no-go's" and a well detailed transfer of care plan for preterm, pre labor, and labor in progress senarios. I had my twins at home at 39 weeks - double waterbirth 7lbs 4 and 7lbs 6. It was great.<br><br>
I think there are many reason to NOT have twins at home. But I also think there are circusmtances where it is a safe option.<br><br>
Also, ITA with the OB comment of "of course he's not going to support HB" duh!!! Even Mw's are divided on this! There are many people even adimant HB'ers who feel twins should not be done at home. I woul say to your friend. If she is passionate and still wanting more info to get out the notepad and start hunting down choices. I found out about the twins at 19 weeks and didn't have a non-OB option till 29 weeks. and then the real decesion wasn't made until I had babies safely in my arms. I have always thought that you hope and plan for a homebirth but you mentally and stratigically plan for all possibilities. But that you are never really "having" a HB, your planning one. You "have" a HB when baby (ies) are safely in your arms.<br><br>
i believe that no pregnancy is "high risk" until it IS high risk. i ahte the sentiment that just because you are carrying twins you are high risk.
 

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I think the real answer is "It depends" HB'ing twins can be safe - it can also be unsafe. I think it depends ont he babies, the mother, and the care options she has. I HB'd my twins. CNM's are legal here but CPM's and DE are not recognized and are considered "a-legal" I could not find a CNM HB'ing MW to take me on. I did find a CPM/DE team that would take me on as the 2nd and 3rd person but wouldn't do it as "lead MW" I kept the philosophy that with the right mamma, right pregnancy,a nd right team it could be done safely. I flew in a traveling MW with twin experience and regional Mw's compelted my team. We had a list of "no-go's" and a well detailed transfer of care plan for preterm, pre labor, and labor in progress senarios. I had my twins at home at 39 weeks - double waterbirth 7lbs 4 and 7lbs 6. It was great.<br><br>
I think there are many reason to NOT have twins at home. But I also think there are circusmtances where it is a safe option.<br><br>
Also, ITA with the OB comment of "of course he's not going to support HB" duh!!! Even Mw's are divided on this! There are many people even adimant HB'ers who feel twins should not be done at home. I woul say to your friend. If she is passionate and still wanting more info to get out the notepad and start hunting down choices. I found out about the twins at 19 weeks and didn't have a non-OB option till 29 weeks. and then the real decesion wasn't made until I had babies safely in my arms. I have always thought that you hope and plan for a homebirth but you mentally and stratigically plan for all possibilities. But that you are never really "having" a HB, your planning one. You "have" a HB when baby (ies) are safely in your arms.<br><br>
i believe that no pregnancy is "high risk" until it IS high risk. i ahte the sentiment that just because you are carrying twins you are high risk.
 
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