Vaginal w/verison or C-section

Hey Ladies,

I had my a ultrasound at 28 weeks and Baby A is head down and Baby B is super breeched according to the MFS docs. The docs there told me that Baby B can still move but they are running out of room. Went to my midwife a couple of days later and she told me that I can deliver Baby A vaginally and after Baby A is delivery they can turn(version) Baby B so he will be head down and I can push again. But she said if the verson does not work or if Baby B is in distress than I they will do a c-section. What should I do? I am so nerrvous about this. I will be at 32 weeks when I go see my midwife and MFS again. I wonder will they ask me have I decided?

 

It sounds like your doc is not comfortable doing a breech delivery, if i read your post correclty. On other words, if they can't get B head down, it's going to be a c-section. Given this, I personally would definitely do a c-section. An awful lot of B's don't turn after A is delivered, so the chances of a c-section are pretty high when your doctor is not willing (and able to comfortably) deliver a foot or butt first baby (but most high risk docs are experienced with such breech deliveries). And a vaginal plus a c-section is something you really, really, really don't want.

 

Mine turned around 29/30 week mark so its still time to turn. I never had to make a decision. The dr was all for vaginal when my water broke and I delievered at 34 weeks. Luckily both were head down after beeing breech or vertex for 28+ weeks

 

Both my girls were head up at the 28 week appt, but no one seemed concerned yet, as long as A is head down they're going to plan to deliver both vaginally. BUT my docs are totally comfortable with a breech extraction of baby B if necessary.

 

My B has remained Breech also and still is. I discussed this with my Dr. a couple weeks ago. I asked her what HER preference was based on my situation, and her response was "I have experience delivering twins vaginally, and I have experience delivering the second baby breech, but...." she went on to talk about the issues of B being breech. She said if B is bigger, sometimes A hasn't made enough room in the birth canal for B or just the normal breech issues if the version doesn't work once A is out. With her words, I just said...you know...can we just do a C Section? and she jumped on that, so I feel like she is more comfortable with that. Just ask your doctor for what HIS/HER preference is and then make YOUR decision. That's my opinion. I didn't really care either way since I had my daughter vaginally so I was not worried about missing out on anything. Good luck!

 

There's still plenty of time for B to turn! We were going to have a c/s since B was breech, but during labor at 35 weeks he turned (right before we went in for the c/s). So we went ahead and had a VBAC and it was great! While I wouldn't plan on B turning, there's still plenty of time for him to do so! We had a c/s with the girls since B was breech that time too but she never turned.

 

The version isn't terribly pleasant. But I would think it's a lot less of a deal than recovering from a c-section. My baby b turned transverse after baby a was born and wouldn't budge, no matter what they did (turned out her umbilical cord was only about 7 inches long). So I was getting prepped for a c-section when her water broke, and she dropped breech. The Dr. grabbed her feet and in 1 pull/push she was out.

 

Don't put the 'vaginal birth experience' before the safety of your babies. Babies can and do die - every day. i lost my baby at full term to unexplained stillbirth and since then have met many babyloss mamas who lost their child due to choosing vaginal birth instead of c-section, when the c-section was the safer option. I don't wish this grief on anyone. Too many women think that a live baby is a 'given' but it's not. Be sure to make your choice carefully.

 

There is still time for your baby B to turn-lets just keep fingers crossed that happens-if not, we are lucky to live in a day in age where there are many different options out there!! Everything is going to be great!!

My baby A was transverse and baby B was kind of sideways-my doc was comfortable doing a breech extraction if needed-but it wasnt needed-baby B fell right in to place and delivered easily.

It is a little different for everyone-Good luck to you!!!

 

I had this situation and wrote a blog post about my experiences and some very helpful research articles (which I got from another MoM on this board!) that helped me make my decision:
http://rootbeertwins.blogspot.com/2010/04/what-if-baby-b-is-breech.html