36 weeks prego HELP PLEASE!

Hello I am 36 pregnant with twin boys they are in thier own sacks and A is head down and B is breech... I am Scheduled Aug 1st for and induction/or c section. I have been told since 14 weeks that as long as baby A is head down that they can flip B when its his turn to be delivered if need be. Well now that I am 36 weeks my same Dr. has changed the rules on me and says that they would like them both to be head down or eles they want to do a C section. I have two children prior to this and have never had a csection and am so so so scared I really dont want a c section and my dr knows this! She said to think really hard about my decision in not haveing one due to the complications with delivering baby b so I just wanted some info or feedback from others who have been in my shoes or others who can give me some sort of advice or ease my mind a bit on the c section idea or hopefully have advice as to me NOT getting a c section!! Plese help me!!

 

QUOTE(dbsilly23 @ Jul 18 2007, 08:42 PM) [snapback]336887[/snapback]
Hello I am 36 pregnant with twin boys they are in thier own sacks and A is head down and B is breech... I am Scheduled Aug 1st for and induction/or c section. I have been told since 14 weeks that as long as baby A is head down that they can flip B when its his turn to be delivered if need be. Well now that I am 36 weeks my same Dr. has changed the rules on me and says that they would like them both to be head down or eles they want to do a C section. I have two children prior to this and have never had a csection and am so so so scared I really dont want a c section and my dr knows this! She said to think really hard about my decision in not haveing one due to the complications with delivering baby b so I just wanted some info or feedback from others who have been in my shoes or others who can give me some sort of advice or ease my mind a bit on the c section idea or hopefully have advice as to me NOT getting a c section!! Plese help me!!




i had identical twin boys. I also had a c-section at 37 weeks. everyone said how horrible it could be. I had no problem I was up and around in a few days. I think it all depends on your pain tolerance. If you trust your docter then trust what he or she thinks is safest for the babies.

 

My twins got too big too fast, and I was too little to have any hope of turning them based on how they were, so I went for a scheduled c-section at 39 weeks. We live in Ohio State country, and all the medical staff were so excited the twins were stuck like a block O for OSU - and I am not a fan - but I digress. The delivery part was pretty easy. You get to lay there, kiss the babies, they go to the nursery, you get fixed up, and then it was over. I think I had a good OB and the anestesio... however you spell it - was great, too.

OK, not quite that simple, but that was pretty much my only option because of the size and position of my girls. I was really nervous because I had never had any kind of surgery before. Hospitals just kind of wig me out, and I married a doctors son. What was I thinking? I hate doctors and all things medical, so this surgery thing would have kept me up at night regardless of the being hugely PG thing.

The c-section itself was easier than the 28 hours of labor I had with my first. The recovery was a different story. With the first, I was so sick most of my pg that I felt so much better 30 minutes are she was born, and got better from there. I know that's not how a lot of people have it, and there can be complications with any delivery. As far as the c-section went, I was on serious pain pills for about 3 days, and then multiple motrins until about a week after, and then was pretty much done with drugs. BEcause I had to go back for a follow up 2 weeks after, I got to drive and lift more sooner with the C/S than with the first delivery. (I had some serious bleeding that would have happened probably no matter which way the babies came). There are definitely pros and cons with each method, and having done both, I'm not really sure which way I think is just "better" because it depends on so many other factors.

Since it was my only option, basically, I sucked it up and did it, and it really wasn't as bad as I had been told it could be, and was no where near as bad as I had worried it would be. The no "28 hours of labor" thing was definitely a bonus.

But the bottom line is, you need to do what is right for you and your babies. And whichever way you go, I wish you the best.

 

My doc just did the same thing to me...told me I could do a vaginal delivery if A was down, regardless of B. Then at my last appointment she said she'd rather do a C unless they are both vertex. It's almost as if some study or something was published in the last month to change all their minds. A gal on another board I'm on is having the same experience wiht her doc.

For me, I DO NOT want a c-section but I've heard a lot of really icky stories about emergency C's, cord accidents, baby not moving down etc. so I am going to do a C unless B flips.

 

Here's my take on this... I was in your exact same shoes for weeks and weeks... baby A, head down, and baby B was transverse and sometimes breech. I had a prior successful vaginal delivery of an 8lb dd, accompanied by a 3rd degree tear. I had 4 doctors at the practice. 3 out of 4 of them indicated confidence that they were comfortable turning or doing a breech extraction on baby B. The fourth doctor was wishy washy... one minute saying "sure," the next saying he'd be more comfortable with a c/s. I didn't know what to do. What if I got that fourth doctor???. I would never, ever want a doctor to attempt doing something that he or she wasn't comfortable with...that something being breech extraction or rotation of Baby B... So I was terrified of an emergency c/s on baby B. Finally I just started praying that either my baby B would go vertex or my baby A would go breech and that one or the other would be a definite sign with which birth method to go with. My baby A went breech at 34 weeks! So it was c/s for me. The c/s recovery itself wasn't too bad...totally comparible to my 3rd degree tear. In fact in many ways it was easier..less messy...much more comfortable having a wound on my belly than "down there"... especially with all the post-partum mess to deal with. I'm very glad I never had to make the choice. I probably would have risked it...but I had 3 out 4 four doctors who displayed confidence in dealing with a breech baby B. If my only doctor showed signs of being uncomfortable I don't think I would have tried it. I would have been praying really hard not to get that fourth doctor. Bottom line... if your doctor isn't comfortable dealing with it, should you be comfortable trusting your doctor to deal with it???... I wouldn't. I'm not saying you shouldn't go for it... I'm saying that if you want to go for it, then maybe you need a different doctor. I know, not all that realistic this late in the game... it's kind of a shame that your doctor misled you for so long on his/her confidence in this situation, just to sing a different tune now. I would talk to your doctor again... discuss all the scenarios possible.. evaluate your own willingness to deal with a "double whammy." Nothing ventured, nothing gained... Talk to your doctor about precautions... for instance...maybe your doctor would attempt rotation, but refuse to try breech extraction... find out how much time he/she would allow before pushing for a c/s. If your doctor wants to be super conservative about it, then maybe you would have more confidence that even if things would go badly your baby B would be okay...so long as you are willing to accept a crash c/s. Going into it mentally prepared for that possibility does have it's psychological benefits. I would be more comfortable with a confident, yet conservative doctor... one who wouldn't blink at ordering the c/s if baby B seemed at risk... I wouldn't, for instance, want to be allowed to push for too long between babies... I know of one twin mommy who has dealt with CP for her baby B b/c the docs allowed her to have over an hour and a half gap between the births... I think her cervix closed back up... I would have preferred a crash c/s to get baby B out quickly. anyway, ultimately no one can make this decision but you...hope I gave you some angles to view it from.

 

i am not as far along as you, but i have asked my dr how she liked to deliver twins, she said if baby A is head down we can attempt a vaginal. She doesnt have a problem doing a breech extraction of baby B..ive had 5 previous vaginal births, she did say if this was my first pg she would NOT be willing to do that...If baby A isnt head down it will be an automatic section. Also if i go into labor before 36 weeks she wants to do a section...

I am scared of a section, not really the surgery itself, but the recovery and taking care of 7 children.

Im also scared that I will deliver baby A vaginally and baby B will get stuck or have a cord prolapse and have to have a section also..ugh who wants to recover from both?

I will attempt a vaginal if all the cards line up...I dont want to have to worry and wonder if i would have been able to have them vaginally if i just opt for the section..

GL with your decision..

hopefully some other ladies have some expirences to post

 

I was in your shoes but my doc did not change his mind, if Baby A was vertex then all systems were go for vaginal delivery. he was so we did, if given the same situation again I would do things exactly the same and attempt a vaginal delivery.

 

I cannot comment on a vaginal birth, since I have had all 7 of my babies by c-section (6 c-sections total, the last was twins).
I just wanted to wish you peace with whatever decision that you decide to go with.

 

I had my first two singeltons natural, no drugs & vaginal.

My twins were C-sec b/c my pelvis seperated. (ouch)
I found the c-sec much harder to recover form but remember, my pelvis was seperated too.

I wonder, is your baby B bigger than A? My doc said he would turn B as long as he wasn't much bigger than A (My a was head down and b was breech too).

Good luck! So close now. What ever happens, you will have your treasures in your arms soon!

 

I was in your same situation...Baby A head down, Baby B Breech/transverse.

I had a successful vaginal delivery after my water broke at 36 weeks.

My dr. was very comfortable with it and I trusted him. He had the ultrasound machine on me and he guided Baby B head down and she came out head first 7 minutes after Baby A.

You need to do what you and your doctor are comfortable with, but I would push for vaginal if it were me.

Hang in there!

 

My peri said they'd attempt a vaginal delivery if baby A was head down and baby B was not substantially larger than A, regardless of B's position. So possibly your baby B is larger than A?

The c-section really is not that bad.

 

I do'nt have any advice, but I'm wishing you the best of luck!

 

Thanks to all of you for your advice!! To anwser your questions my baby A is 4lbs 12oz and B is 5lbs 1oz so there is a tiny difference what do you think?? I am just so affraid of surgery I am not sure what to do??? I am also affraid of the recovery part....

 

I had a c-section at 37 weeks...I too was really nervous but it was fine. I agree that it also depends on your pain tolerance...I was up and about that day and felt pretty good after just a day or so. If you do end up with c/s, keep on top of the pain meds, though!! Good luck!

 

are these your first babies? a lot of won't allow a "possible breech" extraction for a woman who's not given birth before. My drs always said vag if baby A was in position regardless of B UNLESS B was significantly bigger.

In my case Bell weighed 2 pounds more than Lily and flipped frank breech (butt first) after lily popped out. So I ended up with a double whammy delivery.

Both girls had been vertex for MONTHS. Bell flipped during delivery.

I wouldn't change a thing! Vaginal is easier recouperation in my opion, but even knowing what I know now, I wouldn't change a thing!

Best of luck to you!

 

My baby A was head down, baby B breech. My doctors and hospital are very experienced with breech extractions (they won't even try to turn them, it's often unsuccessful and puts a lot of stress on the baby; breech extractions are faster and safer). However, I've noticed that a lot of doctors these days won't even go there, IMO, simply because very few are trained to do so. I personally think that's a shame in a country where c/s rates are already through the roof. Breech extractions are safe if performed by a experienced doctor. Having said that, a doctor who isn't comfortable with one, shouldn't do one.

Anyway, my oldest was born at 41w2d without induction. Labor 28 hours, 2 1/2 hours of pushing, forceps and 4th degree ... in short: she made the way.

I pushed 5 times for my girls, 7lbs11oz, piece of cake. Then they checked the position of baby B (in case he turned), still breech. They grabbed in (they required an epidural also in case of emergency c/s) and he was born 4 minutes later, 7lbs10oz. The birth was a little stressful on him. He wasn't breathing really well, scored Apgar 5/9 (but recovered quickly). No issues whatsoever, both came home with me 2 days later.

I would do it again in a heart beat. I would do anything to avoid c/s, but I've been very lucky with my hospital and doctors (one of the largest in the Midwest).

Good luck!

 

I have friends with singletons who say that a c is the way to go. Their first was an emergency c, and then with subsequent babies they were scheduled.

My singleton was born vaginally, relatively quick and easy. (Ha! Well, I did say relatively.) I am trying really, really hard not to get attached to either option. I've discussed it with 2 of the 3 docs in the practice. One is pro-vag, the other is more on the fence. I am going to wait and see what happens. Baby A is head down now (I'm 27 weeks) and B is breech. Anything can happen between now and when it's time to deliver. People do keep asking me, though, and I tell them I'm just going to wait and see and trust that no matter how they come into the world, it'll work out. I am a super-hyper, panicy, non-medical person, so this attitude is not my norm! But I've just made this decision that it's one day (of delivery) and a few weeks of recovery either way, and in the scheme of my life it's not worth worrying myself.

Good luck! Try to have a mantra "It'll all work out..."