giving birth to twins naturally
Even with medical advances, it's still usually safest. Here’s what you can expect. It's the most cooperative possible fetal position that twins can wind up in on delivery day, and it happens about 40 percent of the time. That is, pulling the baby out feet first. You'll more likely be able to try for a vaginal delivery if you don't have any health conditions that might put you or your babies at risk. If you'd like to avoid an epidural, talk to your practitioner ahead of time. You're having triplets (or more). But there are cases where he'll recommend a c-section: The first baby is breech. An evidence-based approach to determining route of delivery for twin gestations, Interval between birth of the first and the second twin and its impact on second twin perinatal mortality, Obstetric complications, neonatal morbidity, and indications for cesarean delivery by maternal age, Optimal management of umbilical cord prolapse, A Natural Twin Hospital Birth: My Birth Story. A soon-to-be singleton mom usually has one fetal monitor strapped to her abdomen or inserted internally. If your first baby takes this position, one of two things could happen: He or she may get in the proper position for vaginal birth as contractions progress or, more likely, your practitioner will recommend a c-section so that you're able to avoid a long, drawn-out labor that may or may not lead to a vaginal birth. Health care providers don’t recommend gaining weight in order to have twins. potential complications of carrying twins, Being Pregnant with Twins, Triplets and Other Multiples, Trends in Cesarean Delivery for Twin Births in the United States: 1995 to 2008, Labor and Delivery Procedures: Electronic Fetal Monitoring, reviewed by our medical review board and team of experts. All too often, mothers are led to believe that with a twin pregnancy, they must have an automatic cesarean section. In addition to your partner, your obstetrician or midwife, and the delivery team, each baby will have his own team of pediatricians and pediatric nurses to care for him after his arrival. Preterm birth. Talk to your practitioner about staying healthy and maintaining adequate hydration, rest, and nutrition to care for your growing babies and body. Good news! This positioning almost always results in a c-section. Studies have shown that vaginal birth is safe and can be successful if the babies are older than 34 weeks given that they are in good positions and do not have complications (umbilical cord knots for example). Consider yourself lucky if both babies end up in the head-down position when it's time to deliver. This is why the study urges everyone not to rule out vaginal delivery for twins. Why trust our product recommendations? Obstet Gynecol. A mixed birth (also referred to as a combined birth) occurs when the first baby is delivered vaginally but the second baby requires a c-section. In the later stages of labor, the first baby may be monitored internally while the second baby is still monitored externally. Entonox (also known as laughing gas) made of half oxygen and half nitrous oxide. 2013;122(6):1184-1195. doi:10.1097/AOG.0000000000000017, Alexander JM, Leveno KJ, Rouse D, et al. Fourth, if fetal distress, cord prolapse, or hemorrhage is experienced. During labor, the babies will be monitored with EFM (electronic fetal monitors) which are a standard in multiple births. There may be other concerns you have like rooming-in or breastfeeding two babies. In one of the studies, it was observed that people of the Yoruba tribe in Nigeria have a high … You'll likely be able to go into labor naturally and attempt a vaginal birth. There are actually many options to give birth naturally that a mother can choose to go through if she is expecting more than one baby. Home Birth Twins: Giving birth at home can be a wonderful experience. Once the placentas are out, an injection will be administered that helps the mother’s womb contract slowly. Pain relief will also be offered in the form of Entonox (gas and air) and pethidine. 1990;18(6):449-453. This head-down position happens 40% of the time ensuring that a mother will go into labor naturally. Women who are overweight also have a higher chance of conceiving twins naturally. Just so you know, What to Expect may earn commissions from shopping links. This can be done by either applying manual pressure to the mother’s abdomen, or by reaching into the uterus to turn the second baby. When it comes to twins these days, about half come into the world vaginally. 2018;10:459-465. doi:10.2147/IJWH.S130879. It's usually done only if there's an emergency with the second baby. An evidence-based approach to determining route of delivery for twin gestations. Your labor and delivery team will do what's best for you and your babies as things progress. It's better for you to be in a hospital where the staff and medical equipment are readily available and prepared to handle an emergency, such as a necessary c-section, should one arise. When you're choosing a hospital for delivery, it's a good idea to ask where you will be during the labor and delivery. The position of the babies in the uterus will largely determine how the twins are born—vaginally or by cesarean. Finally, this may be an option if the mom wants to enjoy the comfort of her own home during delivery. When it comes asking how to give birth to twins naturally, another option is homebirth. Here are some ways your multiple-birth experience may differ: You'll probably deliver in a hospital operating room. However, twins can change positions late in the game, even into labor. This is necessarily not the case. Over the years, it has grown substantially and evolved into the ultimate resource and engaged community for twins, multiples and parents of twin & multiples. National Institutes of Health, U.S. National Library of Medicine, MedlinePlus. The post-cesarean recovery period with twins is generally the same as with a singleton birth. Will you have to wait double the time to end up with double the cuddles? If you're delivering vaginally, that means you'll get to work on the pushing part faster. However, this is not necessarily the case. Take note though that there are some instances when a mother is transferred to the hospital. However it ends up playing out — whether your new arrivals come vaginally or by c-section — you'll soon arrive at the best part: peering into those adorable little faces. If the baby doesn’t turn, the practitioner may go through a breech extraction. Here's a Full Overview of Pregnancy, Discussing With Your Provider About a VBAC, Physical and Emotional Recovery After a Cesarean Section, 7 People Who Are Typically in the Delivery Room During a Birth. J Perinat Med. It also helps protect the mom from heavy bleeding. Pregnancy Due Date Calculator: How Many Weeks Pregnant Are You? If you want to give birth vaginally, your practitioner will do what he can to help you. Another is that in home births, the mom and babies are surrounded by people who love them throughout the birth process. It is colorless and odorless and can take the edge off labor pain. Not surprisingly, labor and delivery can get a little more complicated when you've got multiple babies looking forward to their debuts. There are scenarios where a cesarean is advisable in a twin birth, such as when both babies are breech. Some hospitals require that all twin mothers give birth in the operating room, even if they have a vaginal birth. You might also ask about the use of epidural anesthesia, as it is also sometimes a requirement, even if there are no medications placed inside the tubing. When all systems are a go to start pushing, the OB-GYN would usually move the mom to the operating theater, just in case assisted birth is needed. If, for example, the baby nearest the exit is head down, but the second baby is breech in position (feet first), it is still possible to give birth vaginally. The good news is that even though you have two babies you only have to labor once. Therefore, if you're pregnant with three or more babies, a c-section will likely be scheduled. If your second baby still won't flip, your practitioner may pull the baby out feet first. This educational content is not medical or diagnostic advice. Because labor and delivery for multiples tends to have a higher possibility of complications, your practitioner will likely recommend that you give birth in a hospital. Cesarean Delivery for the Second Twin. Mueller JL. Health information on this site is based on peer-reviewed medical journals and highly respected health organizations and institutions including ACOG (American College of Obstetricians and Gynecologists), CDC (Centers for Disease Control and Prevention) and AAP (American Academy of Pediatrics), as well as the What to Expect books by Heidi Murkoff. Sometimes during this phase of waiting, you will have an ultrasound to confirm the position of the second twin and your practitioner will decide how it is best to deliver him or her. If your first baby (the one nearest the exit) is head down but your second baby is breech (baby's buttocks or feet are positioned to be delivered first), you may still be able to give birth vaginally. 2016;25(2):73-74. doi:10.1891/1058-1243.25.2.73, What to Expect During the Labor and Birth of Twins, Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved. © 2020 Everyday Health, Inc. The first video is a montage that challenges common misperceptions about vaginal birth and multiples, including breech babies, prior c-sections, … Keep in mind, however, that even perfectly positioned singletons sometimes need to be delivered by c-section. That isn't always true. Every labor and delivery experience is unique — even for moms of singletons. Case in point, vaginal birth has a high success rate when done by experienced practitioners. Timofeev J, Reddy UM, Huang CC, Driggers RW, Landy HJ, Laughon SK. A recent research done by a physician (Dr. Gary Steinman) at Jewish … So remember that no matter what route they take from your snug womb to your even snugger embrace, the best way is the one that's healthiest and safest for them — and for you. A Natural Twin Hospital Birth: My Birth Story. Twinstuff.com began in 1998 as a forum for discussion on all things twins. One is that the mother is healthy and has a low-risk pregnancy.
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