Aa
c-section or not
So I was just wondering what you ladies thought: both of my twins are head down for now. My high risk OB says vaginal delivery can be attempted however there is always a chance the other twin will move after one is delivered and sometimes its not a position that can be delivered vaginally. My regular OB - well his assistant, has told me that he prefers to have scheduled c-sections for twins around week 39. Ultimatey I will end up doing whatever is in the best interest of the twins if there is anything that comes up between now and then but if I am given a choice I am not sure which way to go.
I didn't read thru many of the other ladies' posts, but I voted for vaginal delivery, if possible.
From what I remember seeing on shows, I do remember hearing that the second twin does have a good chance of rotating and becoming breech once the first twin is born because there's more room. But, your docs can try rotating him/her back to the right position if that does happen.
Also, you can request to deliver in an OR, just in case an emergency c-section needs to be performed. That way you're already in the right room, and the docs and nurses can be more prepared and have things nearly set up.
From what I remember seeing on shows, I do remember hearing that the second twin does have a good chance of rotating and becoming breech once the first twin is born because there's more room. But, your docs can try rotating him/her back to the right position if that does happen.
Also, you can request to deliver in an OR, just in case an emergency c-section needs to be performed. That way you're already in the right room, and the docs and nurses can be more prepared and have things nearly set up.
Thanks for all of your sincere input. I wish my high risk OB did deliveries because I know she would at least let me attempt a vaginal delivery. I am going to speak to my regular OB (the one who will be doing the delivering) about it the next time I see him, I only see his assitant this friday so I will have to wait a bit longer. I only needed one stich after my son was born so I am not worried about the episotomy stuff just more so having one vaginally and then being whisked away for a CS but I suppose I shouldn't bothering choosing at this point because I will ultimately do whatever is in the babies best interest with some solid evidence presented of course. And whatever it turns out to be, so be it but I will make it clear that I will be attempting a vaginal delivery not matter what. I know he will respect my wishes eventually I just need to be up front about it the next time we discuss it. Thanks again ladies.
Hi,
This isn't your first delivery. They say second and subsequent deliveries are much easier than the first one. Also twins are generally smaller than single babies. There is likely no reason in the world for you not to consider having a natural delivery. I've been researching on epistiotomy also and routine ones are not recommended any more.
Even if one of them is breach am sure you'd still manage. And if your high risk doctor can't handle a breach natural delivery again, he would quickly lose my respect.
Talk seriously to your doctor, including about your family at home and how you can't afford to take time off recovering. If he won't be supportive of you, again he'd quickly lose my respect.
Millions of twins have been born by natural delivery (including me). I am a twin and I was born 10 weeks early. Premature delivery is also not a good reason for CS. THe baby is still connected to the umbilical cord and would be perfectly fine in terms of doctors getting their hands on them until that is cut. So don't let them use that for an excuse either.
Am sure you're reseaching this. Stick by your guns!
I agree that CS is usually more convenient (and they get paid a hell of a lot more) for the doctor than for the mum. CS is actually higher risk for mum and babies than natural birth unless there are clear risks and complications.
No way in h*ell am I signing for a CS unless the doctor can present me a super-strong argument (and I am educated enough in medical things) that I would take some convincing, though of course if there was major risk to me or bubba I'll do it....
This isn't your first delivery. They say second and subsequent deliveries are much easier than the first one. Also twins are generally smaller than single babies. There is likely no reason in the world for you not to consider having a natural delivery. I've been researching on epistiotomy also and routine ones are not recommended any more.
Even if one of them is breach am sure you'd still manage. And if your high risk doctor can't handle a breach natural delivery again, he would quickly lose my respect.
Talk seriously to your doctor, including about your family at home and how you can't afford to take time off recovering. If he won't be supportive of you, again he'd quickly lose my respect.
Millions of twins have been born by natural delivery (including me). I am a twin and I was born 10 weeks early. Premature delivery is also not a good reason for CS. THe baby is still connected to the umbilical cord and would be perfectly fine in terms of doctors getting their hands on them until that is cut. So don't let them use that for an excuse either.
Am sure you're reseaching this. Stick by your guns!
I agree that CS is usually more convenient (and they get paid a hell of a lot more) for the doctor than for the mum. CS is actually higher risk for mum and babies than natural birth unless there are clear risks and complications.
No way in h*ell am I signing for a CS unless the doctor can present me a super-strong argument (and I am educated enough in medical things) that I would take some convincing, though of course if there was major risk to me or bubba I'll do it....
I understand what the comlpications may be but it seems that a C-Section is more convenient for the doctor than for the mom. I'd go for vaginal delivery, millions of women in this whole earth deliver twins vaginally and I am absolutely sure that delivering a twin in breech position is not unheard of without needing a c-section. I saw on discovery health a lady deliver her twins in her bathroom ALONE (while husband recorded with camera) and second baby came out feet first. I'm not recommending THAT BUT I don't think just because you are having twins that you need to have a c-section.
The doctor has to respect your wishes, and if you say the only way you'll do it is if...The baby gets stuck in the birth canal, or chord is wrapped around the neck or soemthing like that, they can't FORCE you to have a CS...
I told my doctor I am more than willing to push my kids out in the breech position! There is no way in He LL I'll get a CS unless i'm on the verge of dieing or something...Ahaha and he agrees!
A lot of doctors try to steer away from it unless there is a dang good reason! Because the rates of CS are higher because people simply want to choose the date their baby is born! So really it's up to you! I'd go for the vaginal then if it's your wishes! Just be prepared for a CS also! Not everyone needs the episiotomy, I've never had one, nor any ripping from babies! But it's a super speedy recovery that way!!! Good Luck!
I told my doctor I am more than willing to push my kids out in the breech position! There is no way in He LL I'll get a CS unless i'm on the verge of dieing or something...Ahaha and he agrees!
A lot of doctors try to steer away from it unless there is a dang good reason! Because the rates of CS are higher because people simply want to choose the date their baby is born! So really it's up to you! I'd go for the vaginal then if it's your wishes! Just be prepared for a CS also! Not everyone needs the episiotomy, I've never had one, nor any ripping from babies! But it's a super speedy recovery that way!!! Good Luck!
Being in the medical profession myself i'm a bit hesitant going vaginal birth with twins. By saying this i'm not at all encouraging C-section above vaginal delivery but only thinking of safety for the twins. Things can go wrong either way - but i cannot imagine anything worse than having delivered one vaginally - episiotomy and then been rushed to theatre for a c-section for the other one. Then you will have the c-section and episiotomy to deal with. Even worse dealing with vacuum or forceps delivery and causing fetal distress, lack of oxygen and even brain damage due to it.
I hope a medical profession will help you with the best possible answers. Personally i feel c-section will be more controlled and a safer environment for the twins.
All the best and good luck with the delivery.
I hope a medical profession will help you with the best possible answers. Personally i feel c-section will be more controlled and a safer environment for the twins.
All the best and good luck with the delivery.
i've had 4 c-sections.. and its not exactly "rest" you get in the hospital, lol!!! its rather uncomfortable and then once you get home its a good 2 weeks before your moving like normal again. i hope you get to successfully deliver your beautiful babies vaginally. best wishes!
That's how I feel pretty much, I don't want a CS unless it is a neccessity and like ashiepooh said even if the second one does move I can probably still delivery that one in breech - I think that is what stresshead did on this forum. I just worry that my OB won't be supportive and at this late in the game I really don't want to try and find another one. The only abdominal surgery I have had is an appendectomy and I remember well it took quite sometime for recovery. I was home from college for two weeks afterward and even after I went back I still wasn't walking completely upright so I can't imagine what it will be like after a CS and having three boys to look after, my family is going to help as much as they can but with it being winter and an hour+ drive to our house I really can't count on anything and to date we have had zero luck hiring anyone for that month or so!!
Hi,
go for natural delivery if at all possible. Better for you and also ok for the twins. They say natural delivery actually helps prime the babies for breathing etc. Also the exposure to bacteria etc in the birth cannal also primes the immune system.
CS is major abdominal surgery. You are going to have a busy enough time looking after the boys when you get home, let alone recovering from major surgery. The few extra days in the hospital resting (and drugged up on pain meds) are not worth it.
I had exploratory laparotomy 4 months ago. (that is like half a CS - without the uterus cut). I still have pain and not as good as new yet. Surgery takes months to recover.
Of course if CS is really medically needed then it is a blessing, but elective CS sounds pretty crazy to me.
My own opinion but I swear I will be doing everything I can to avoid CS in my case. Give me a few hours (or even many hours) of labor pain and I'll get through it. Nothing compared to weeks to months of recovery from CS. It was 2 weeks before I could even walk with any sort of comfort after the last surgery - and then caring for 2 babies!
In my case I'd also like to have my second baby as soon as possible. A CS would mean I'd have to wait 2 years before trying again.
go for natural delivery if at all possible. Better for you and also ok for the twins. They say natural delivery actually helps prime the babies for breathing etc. Also the exposure to bacteria etc in the birth cannal also primes the immune system.
CS is major abdominal surgery. You are going to have a busy enough time looking after the boys when you get home, let alone recovering from major surgery. The few extra days in the hospital resting (and drugged up on pain meds) are not worth it.
I had exploratory laparotomy 4 months ago. (that is like half a CS - without the uterus cut). I still have pain and not as good as new yet. Surgery takes months to recover.
Of course if CS is really medically needed then it is a blessing, but elective CS sounds pretty crazy to me.
My own opinion but I swear I will be doing everything I can to avoid CS in my case. Give me a few hours (or even many hours) of labor pain and I'll get through it. Nothing compared to weeks to months of recovery from CS. It was 2 weeks before I could even walk with any sort of comfort after the last surgery - and then caring for 2 babies!
In my case I'd also like to have my second baby as soon as possible. A CS would mean I'd have to wait 2 years before trying again.
I'd say shoot for the vaginal delivery first, well see if their still head down when you get to the day, and if not go for a c-section! Either way, you may end up in a c-section, but I know plenty of ladies who delivered twins vaginally! Plus one even had one baby turn after the first to the breech position and she still delivered vaginally!! Good Luck!
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