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Discussion Starter · #1 ·
Sometimes I just come up with questions around birth and don't know who to ask, so here I am, asking you.<br><br>
Why is it that having twins necessitates a c-section? Is it because the one of the twins is "dangerously" in breech position? Is it because moms carrying twins go into pre-term labor more often that mamas to singletons?<br><br>
If you're curious how I came up with this question...<br>
We were buying a Christmas tree today, and a dad nearby explained how his daughters were born one minute apart. And the other day, Julia Roberts (was on Oprah and) talked about how her twins were born one minute apart.<br><br>
Thanks,<br>
Lydia
 

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Well, plenty of twins are born naturally, vaginally and *even* at home even today. That said- the current OB system has a section as default for anything out of the norm. Certainly a breech (either baby) is an automatic section with many OBs.<br><br>
-Angela
 

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<div>Originally Posted by <strong>UrbanCrunchyMama</strong> <a href="/community/forum/post/9827808"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Why is it that having twins necessitates a c-section?</div>
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It doesn't. Have you looked into finding a midwife? Most OB's will push a section & if they don't they may have a "change of heart" near the end of the pregnancy.<br>
Good luck with it! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Like any birth, in a very very small percentage of cases a c/s is going to be warranted. Booking surgery for everything from low blood pressure (yes, I heard that one recently) to twins, to VBAC, to breech, to postdates, to... well, everything really, is just normal because the birth world is now run by surgeons for whom surgery is normal and desirable. I know mamas of twins who've birthed at home, at term, babies in all combinations of positions. It's still just a birth. You just do some parts of it twice <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Surgeons love deciding something is High Risk because they can book surgery for it for ever afterwards without most people batting an eyelid.
 

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I think the vast majority of twins can be delivered safely vaginally. That said, it sounds like you're asking for the "establishment's" reasoning for doing a c/s. I'm no expert, but I'm willing to speculate <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">. One is the positioning of the babies. Even if both are head down, I think OBs think there is a risk of baby B turning transverse or breech after the first baby is born. There will suddenly be a lot of room after baby A vacates the womb, so what baby B decides to do is an unknown. And OBs don't like unknowns!<br><br>
Again speculating, I also wonder if they worry about cord prolapse for baby B once baby A is born. But I have <i>no idea</i> if that is a realistic concern or not. I'm just thinking out loud ...
 

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There is always a problem with the second twin. Sometimes the placenta becomes unattached after the birth of the first twin, or the uterus has problems starting up again with the contractions; this can malposition the second twin or cause the placental problems.<br><br>
There is also the danger of twin to twin transfusion. I think this is over diagnosed, but who am I?<br><br>
My own maternal grandmother was a fraternal twin who was born at home in 1905 and named for the midwife who delivered her and her twin sister. I have cousins who were twin boys born vaginally in a teaching hospital in the mid-1970s, the first one died, and the second lived. His brother, my other cousin, just became the father of twin fraternal girls born by elective caesarean section, her second pregnancy.<br><br>
I really think it is all a matter of control. Doctors like to be in control. They do not care to let nature take its course. It does not look good in court.
 

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My cousins wife birthed twins vaginally a few months before I had my daughter. Her doctor had recommended a c-section, but she asked him if he would recommend that for his wife (she is a nurse and she had also known him professionally). He answered that he would not recommend a c-section for his wife, so she delivered her twins vaginally, in a hospital.
 

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My twin girls were born vaginally...47 minutes apart. My OB said he would "allow" me to "attempt" a vaginal birth as long as Baby A stayed head down. She did stay head down even though her sister was breech. I was told that if they were not able to turn Baby B after Baby A was out that she would be a c-section. Luckily, after two attempts she did turn and I did deliver her vaginally as well.<br><br>
I teach a bf'ing class for the practice that delivered my twins. I have heard from several twin moms that they will be induced by 37-weeks (they told me 38'ish - I delivered at 38w3d and was induced but my BP was sky-high) and that if EITHER twin is breech it's an automatic c-section. Makes me so sad...and to add yet another reason to the list of things to be happy about that this baby will be born in the safety of our home!<br><br>
On the flip side, a closely timed vaginal birth doesn't necessarily mean a c-section. I have heard of women having twins vaginally and them being very close together in time.
 

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My twins were born vaginally, about 9 minutes apart. Also, baby B was 2lbs heavier and a feet-first breech. They were born at a hospital, with a high risk Ob due to Twin to Twin Transfusion Syndrome.<br><br>
In my situation, my ignorance of the birth climate (at the time) was my bliss. I had no idea how high the c-s rate or induction rate was, or anything like that. I was a single mom and I absolutely <i>insisted</i> that I had to have a vaginal birth, because I couldn't deal with recovering from surgery and newborn twins by myself. I'm sure my doc probably found me really obnoxious, and I'm fine with that.<br><br>
I think unless a mom insists that she wants a vag birth of twins (finds a mw, has a hb, whatever) they're going to be delivered by c-s.<br><br>
*by the way, I have noticed many people here on mdc are constantly recommending homebirth for twins. That's not always feasible. Personally I wouldn't feel comfortable unless I knew that both babies had their own sac and their own placenta.*
 

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Two of my step-cousins have had twins vaginally, they have singletons also... they have "easy" fast labors and deliveries... I don't think they would bat an eyelash if a cesarean were suggested but given their situations (easy labors, vertex/vertex) it was not considered.<br><br>
It is rare though... OB's do seem to look at any other than perfect situation as a reason to cut.<br><br>
-Iris
 

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<div>Originally Posted by <strong>JanetF</strong> <a href="/community/forum/post/9828635"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Booking surgery for everything from <b>low blood pressure</b> (yes, I heard that one recently) to twins, to VBAC, to breech, to postdates, to...</div>
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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">: I have "low BP!" It is natural for your BP to dip during pregnancy, very natural. Foregoing the epidural to avert the risk of passing out, but it would be a sin against humanity for an OB to tell a woman she may be better off w/o the anesthesia.
 

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My twins were born vaginally at 35w 6d.<br><br>
Both babies were head down although baby B decided he liked the room after his sister was born and wanted to try coming out with both his hands up over his head.<br><br>
My doc reached up inside (what I would have done for an epi at that point hahaha!) and moved my sons arms down as I pushed him down and out.<br><br>
They were born 7 minutes apart.<br><br>
My peri was very supportive of a vaginal birth. His partner told me that if he was on call when I delivered I would have a c-section no matter what. Needless to say, I don't like the partner at all. I love my peri. He was awesome!
 

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My sisters were born in 1972, 7 minutes apart. Twins were suspected, but not confirmed and the second birth was breech. The story that I've been told is that the doc reached in an pulled the second out (this was done at a hospital, but the doc was an old country doc).<br><br>
In a way, I wish he could attend my birth.
 

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<div>Originally Posted by <strong>turtlewomyn</strong> <a href="/community/forum/post/9829874"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My cousins wife birthed twins vaginally a few months before I had my daughter. Her doctor had recommended a c-section, but she asked him if he would recommend that for his wife (she is a nurse and she had also known him professionally). He answered that he would not recommend a c-section for his wife, so she delivered her twins vaginally, in a hospital.</div>
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What a smart Mama. Don't you LOVE how she stood up for herself. VERY resourceful.
 

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FWIW my dh is an identical twin and they were born vaginally. He was twin A and breech, his brother vertex.<br><br>
-Angela
 

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<div>Originally Posted by <strong>1Plus2</strong> <a href="/community/forum/post/9830457"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">...if EITHER twin is breech it's an automatic c-section. Makes me so sad...and to add yet another reason to the list of things to be happy about that this baby will be born in the safety of our home!</div>
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i remeber asking my hb mw about this and she said that with twins you always have one breech, there just isn't enough room for two heads to fit facing down. she said that you can easily vaginally birth twins this way cause you are all stretched out from the first birth so the second isn't a problem. she told me she wouldn't hesitate to attend twins at home.
 

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<div>Originally Posted by <strong>rachel_eva</strong> <a href="/community/forum/post/9834604"><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 remeber asking my hb mw about this and she said that with twins you always have one breech, there just isn't enough room for two heads to fit facing down. she said that you can easily vaginally birth twins this way cause you are all stretched out from the first birth so the second isn't a problem. she told me she wouldn't hesitate to attend twins at home.</div>
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My twins were both head down.
 

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Discussion Starter · #18 ·
This conversation has been very enlightening. Thank you for sharing your experiences and input with me and the group.<br><br>
Oh, and just in case you missed it, I am not pregnant with twins. It was just one of those "WHY?" questions that I didn't know who to ask.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

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It doesn't necessitate it. Like all other births, some require a c-section, most don't. Fwiw, my twins were born safely at home 2 hours & 32 minutes apart, vaginally of course.
 

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My SIL is due with twins in January. Her doc is 'letting' her 'attempt' to deliver them vaginally. There is also a doc in my area that will deliver twin B breech if twin A is vertex.<br><br>
Jen
 
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