babies positions

So since 20ish weeks both babies have been head down. Baby A is the lowest and then Baby B stays kinda high. She was head down but liked to wrap her butt/legs over on A's side. Well then at 30ish weeks each were on their own side and head down. Perfect. Well the doctor told me yesterday that while I was at the hospital today getting my NST to have them peek to make sure both are still head down. Well now B is back to the old position. The nurse said she is hanging out a lot over on my right side really high. She's head down but could almost be considered sideways too. Yesterday at the office they just set up an induction for me on Monday. Now I am worried I will end up with a c-section after all. She told me that she thinks the baby will just slide down like she is supposed too. Especially since this is my fourth pregnancy in five years. My body/uterus knows what it's doing. She told me to just say they checked on Friday and both were head down but B was hanging out over to the right a lot and they want me re-checked. My doctor won't do a vaginal delivery is one is breech. So if she looks like she could flip and go breech after A comes out then I will automatically have a c/s. The look on the nurse's face made me think she thinks I will end up with a c-section. I told her I didn't want a vaginal for one and a c-section for the other and she said make sure they (meaning doctors/nurses on Monday) know that. So that also made me think I will end up with a section.

Has this happened to anyone else?

 

Is your OB not will to try external or internal version (flipping the baby around if it does in fact present breech after A is delivered?)? Most OBs will at least try that before going straight to a C-section. You could also end up with a transverse baby B which could also be turned head down if you OB is willing and experienced in that sort of thing.

Honestly though I think it's very important to listen to what your OB is saying not so much in terms of changing how you think, but in terms of really learning what THEY are comfortable and knowledgeable in doing. I would want to ask someone who is not skilled or comfortable with version to do it with me as it is something that takes some practice.

Doesn't it sound like your OB is basically telling you that even if you vaginally deliver baby A that she is anticipating a c-section of baby B? If it feels like this is what she's telling you then maybe you just want to go ahead and schedule a section, or maybe at even this late stage you want to see if there is another OB around maybe in the same practice who is more comfortable and willing to try version or even a breech delivery of baby B. BTW breech delivery of baby B is also not uncommon and there are OBs who are experienced in doing it if you can find one!

 

Yes it depends on your OB and what they are comfortable with. My OB only wants A to be head down and will deliver B breech. Both of mine were breech so I had no choice but I'm a fan of the c section anyway (had both vag and c's and prefer a c) but yeah I would NOT want both a vag and a c and yeah it happens. Happened to my friend. If your doc seems to already be favoring a c with baby b then most likely you will end up with a c because
She will probably not push for a version or attempt a breech delivery.

 

I had the u/s done at the hospital center (they do u/s, non-stress tests, and things like that) so my doctor didn't see the u/s results. The people who were telling me this Friday were the u/s tech and the nurse. The doctor always said if Baby B is sideways or breech they just do a c-section period. So if I go in Monday morning and he isn't comfortable with the way Baby B is laying they will just do a section instead of an induction. Which if he doesn't want to try to turn B because he isn't comfortable doing so then I will do the c-section. I don't want him attempting something he isn't comfortable with. He doesn't want me to end up with a vaginal and a section either. Fine by me. UGH I guess we'll see when we go in Monday. I was thinking last night and thought well the way it works out is the way it is supposed too.

 

hmmm i think your ob just doesn't feel comfortable.

my ob is willing to do vaginal delivery unless there is a cord prolapse or something emergent. baby b's position doesn't matter and baby a he will deliver breech IF she is small, but if she is larger he won't. the idea about asking some other drs at the practice (if there are any) is a good one.

 

I really wanted to deliever vaginally and both were head down from like 30 weeks on, thought we were great to go. Well both heads were so low that while one was slightly lower than the other, they ended up just blocking each other and neither could drop down into the birth canal. So with failure to progress, I had a c-section. So you never know what will happen.

No advice, just good luck with how everything works out.

 

Just wanted to add again that if you WANT a vaginal birth you CAN find an OB who will do everything possible to give you that. Don't get pressured into a c-section just because your OB wants one or is more comfortable with one.

And FYI I'm not saying that in a preachy way as I personally had a c-section schedule with babies both head down as I preferred that to an induction after 38 weeks.

The only reason I say it is that if your desire or your ideal birth was vaginal, then I think you should pursue any avenues available to you to get that birth You can switch OBs!

 

I strongly second this!! I switched OB's at 38 wks due to being absolutely forced to have a c/s by my OB, in which I refused to consent. I found a new, old school OB that believed just as strongly as I did that birth is a very natural thing and a woman's body can definitely perform the task at hand as long as everything looks good and the pregnancy has been uneventful. He saw no problem with delivering twins vaginally. A was born vertex and B was born breech....the positions they had been in for pretty much the entire pregnancy. I am forever grateful for him and what he did for us that day. It was a liberating experience to not feel forced and jammed into the cookie cutter mold the medical profession has going.

And this is not at all judgemental in any sense at all for those that have gone the c/s route. But I agree with the above. If a vaginal birth is your ideal birth you should definitely pursue it. Dr's who will do it are few and far between but they are out there. I later found out that it was due to sheer insurance policies and reasons that my 1st dr refused to even let me try for a vaginal birth. His insurance forbid him to deliver any "high risk" pregnancy by any other way than c/s and it was also against "hospital policy". It's insane what they force you to fit into.

Another thing to keep in mind is that once A is born it's not a guarantee that B will stay in the position he's maintained throughout the pregnancy. Even with 2 vertex babies it's not unheard of for B to flip or revel in the extra space for awhile after A's arrival. So to me it's important to find a dr that is just as commited as you are to delivering both babies vaginally. Obviously using common sense throughout it all and if either are in danger take whatever measures neccessary. I just wanted the opportunity to go into labor naturally and at least try for a natural birth. I was able to do both with an experienced, willing dr. It definitely took some hunting though to find one that would work with us on it! It was worth it though.