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Discussion Starter · #1 ·
Just out of sheer curiosity...<br><br>
So, I'm in the OB clinic and this conversation starts between patients. One of these patients happens to be having triplets, and says that the goal is to get to 30 weeks, but after that they will "get them out." <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/bigeyes.gif" style="border:0px solid;" title="bigeyes"> Then they called my name and I had to leave before I could ask any questions.<br><br>
So is that the standard of care when it comes to "more than 2"? I mean, I would imagine that as rare as that is, it was a naturally occurring pregnancy.<br>
I doubt seriously that our military insurance would cover the kind of infertility Tx that would cause a person to have triplets. And I'm pretty sure they were enlisted, and probably couldn't afford to pay for that on their own(besides I'm not even sure where you'd get that sort of Tx here, as an American.) My point being that, if there are extra risk factors you have have to take into account with IVF, I don't think they were here.<br><br>
Is it not possible to have triplets come to term safely for everyone involved? Will they just not go that long in utero? Do you have to have a c/s, and why?<br><br>
I tried to look online for some info on this, but "natural birth triplets" on a google search doesn't turn up as many useful hits as you'd think.
 

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I just homebirthed my twins 2 weeks ago (twin HBAC, actually!!), in large part with a midwife (never saw a backup OB) and homebirthed because I was terrified of getting caught up with the medical merry-go-round that is, sadly, the standard of care for multiples. The more babies, the more crazy the interventions they try to do. There are a few serious complications that can come up in multiple pregnancies and births (particularly with identicals-- google TTTS), but for the most part a lot of it is nonsense. With standard medical care, you get a TON of ultrasounds-- many more than with a singleton. They measure your cervix via transvaginal u/s at almost every visit to check for any changes in the cervix (and almost all multiple pregnancies will have earlier dilation and thinning at some point), admit you or put you on bedrest for any significant contractions (and almost all multiple pregnancies have more frequent and stronger contractions earlier on than singletons). And on top of it all, they rarely give you the information you so desperately need as a mom of a multiple about nutrition that could help prevent so many of the common complications with multiple pregnancies-- like gestational diabetes, PIH, pre-e, etc.<br><br>
Anyway, the short answer to your question is YES, that's pretty much the standard of care for multiples in medical circles-- act like the whole pregnancy is an emergency thus creating lots of problems via all the interventions, and then once you've made the mom crazy and created tons of complications rush in and "save the day" with an early cesarean or induction, thus "saving the babies' lives." It's nuts.
 

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An MDC member here, Kathryn, homebirthed healthy triplets at (I think) about 37 weeks.<br><br>
Doctors just like to do medical interventions, because that's what they are trained for. For the most part when nature is allowed to take it's course, everything is fine.
 

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If everyone tells you and you believe that there are going to be problems or early labor, etc...then there WILL be! But if you believe that you are having a healthy wonderful pregnancy then you WILL!!! You get what I'm saying?
 

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<div>Originally Posted by <strong>mimiharshe</strong> <a href="/community/forum/post/8195595"><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 everyone tells you and you believe that there are going to be problems or early labor, etc...then there WILL be! But if you believe that you are having a healthy wonderful pregnancy then you WILL!!! You get what I'm saying?</div>
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YES! they did a study, and it showed that women who DIN'T know they were having twins carried them several weeks longer than women who knew...because the women who knew were constantly told they wouldn't make it to term, etc.
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>bobandjess99</strong> <a href="/community/forum/post/8195728"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">YES! they did a study, and it showed that women who DIN'T know they were having twins carried them several weeks longer than women who knew...because the women who knew were constantly told they wouldn't make it to term, etc.</div>
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ok good! someone gets me! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> seriously though...our thoughts play a HUGE role in the outcomes of all things in our lives (more than most realize). if i were having twins, i wouldn't see an ob and maybe i'd see a very very laid back midwife! i would focus on a healthy normal (both babes head down) pregnancy, labor and full term birth. i might not even tell most ppl i'm having twins! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/duck.gif" style="border:0px solid;" title="Duck">:heehee!
 

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Discussion Starter · #7 ·
This is fascinating to me...<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lurk.gif" style="border:0px solid;" title="lurk">:
 

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My homebirth MW said you can deliver triplets at home - as Kathryn did (I didn't know hers were at home at the time). Natural triplets are obviously very uncommon, but not unheard of (MW new of a case recently). I also think it's just insane to think that these babies should come at some preselected early date just "in case." In case what? In case mom goes into labor and might actually give birth naturally?!<br><br>
I have had wistful thoughts of having twins (very unlikely for us), in part because I'd love to actually birth twins naturally, at home, unlike any of the twin moms I know in this area! Just to prove it can be done!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"> Now triplets, that'd be even more exciting! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br><br>
(My DH is very very relieved to find that we're just having ONE!)
 

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I guess there's a lot of "cultural" and "medical" implied in multiples. Here in Quebec, finding a midwife that will birth twins at home is like, nearly impossible (don't know any). As soon as you're "diagnosed" with twins, they start the **high risk** thing and freak you out.<br><br>
I personnally ended up having a quite natural birth compared to most parents of multiples I know around here, and it was a hospital birth, birthed by my family doctor (with the OB clapping and jumping behind her!) in the OR, with no epidural, bla bla bla. I did have to fight to have that, and I'm very stubborn and knew what I wanted.<br><br>
I know 1 mom who had her triplets at 36 weeks, by CS in hospital, but hey, she's the furthest I've ever heard of...<br><br>
37 weeks and homebirthed triplets, WOW... what a dream!!!
 

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Yon don't need to spend the big buck on IVF to end up with triplets. Clomid can do the same thing for a fraction of the cost for some women...
 

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A lot depends on underlying problems. Healthy, naturally conceived twins are a world apart from IVF triplets in a woman with multiple miscarriages. I have a friend in the latter situation (OK, IUI rather than IVF) and she's been told flat out that in her condition (there's a lot of other things going on, including placenta praevia), she will be delivering via CS, she won't make it full term and she's going to be on bed rest.<br><br>
As much as we need to remember that most pregnancies are normal and healthy and we shouldn't overmedicalise, we also need to keep some perspective and remember that there are complex cases out there.
 

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I've got a couple of issues and I'm expecting twins. My doc said his goal was to get me as close to 38 weeks as possible and then we'd take it from there. It all depends on the babies. He's a very laid back high risk OB. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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I think with triplets havin a c-section is pretty standard, I know in Europe they have places that do natural births but honestly the time from birthing the first to the last baby can cause a lot of complications with triplets (from what I've seen on television -TLC), lack of oxygen doesn't have to be very long to cause long term brain damage. Not sure about the 30 weeks though, I would think they would try for longer than that. It would also depend if either one of the babies share a same sack, I know cord entanglement can be very high risk with one placenta and multiple babies.<br>
I'm having twins and 38 weeks is when they said they would induce, I have no problem with that as at 29 weeks my uterus is measuring 41 weeks and as far as development that is full term for multiples. Of course I am a little different than some that post here in that I actually prefer medical intervention to a more natural approach and have found it a comfort throughout my pregnancy. I suppose that could come from going through fertility treatments in the first place to get pregnant-after all without medical intervention I would not be pregnant. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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My SIL is pg with triplets (conceived on clomid, a fairly lose dose, too, not through IVF) and, yes, she's having a fairly medicalized pregnancy. She has had an u/s every 2 weeks throughout the pregnancy and will be having a c/s. But she is very informed about her options and is ok with the amount of intervention-- the main concern, as far as I can tell, is that they want to make sure all 3 babies are growing at the same rate, and without the u/s they could not check heartbeats on all 3 (though I'm not sure if every 2 wks is necessary, she does definitely find it reassuring). She was told that they hope to get to 32-33 wks (30 wks sounds really early for triplets!) but that they won't schedule a c/s to get them out unless one of the 3 babies is having trouble. She's hoping to make it to 34 or 35 wks, though, which would be early August. She's already the size of a full term pregnancy at 24 wks, so I really can't imagine what it would be like for your body to go through carrying 3 (or more!) babies so long! (I'm at 33 wks with one and already feel huge! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">).
 
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