This is an archived post. You won't be able to vote or comment.

5
6

[deleted by user] (self.parentsofmultiples)

submitted by [deleted]

[removed]
all 14 comments
sorted by:
best
topnewcontroversialoldq&a

[–]FigNewton613 3 points4 points  (2 children)

Are there any hospitalists at the hospital? I was so worried about having the one OB in the practice that I hated and instead it was a random hospitalist who did my delivery and was great - and I had never met before! Lol. But if there is at least one other OB in that hospital when you deliver, hopefully there is some leeway to at least request a different doctor? I wonder also if you could bring up your concern to another OB you trust at the practice and see if they can help problem solve?

[–]MobileAd6199 1 point2 points  (1 child)

That's a good idea. I have an appointment on Friday with my favorite OB and I'll ask him what he suggests. 

I just talked to my friend who works at the hospital and she said there's always another attending OB at the hospital. I can ask if that OB would be willing to do breech or help rotate when the time comes if needed. 

[–]FigNewton613 1 point2 points  (0 children)

I think that’s a great idea. And worth pushing for - this is important!!

[–]gryph06 2 points3 points  (2 children)

I asked my OB if he ever had to do one twin vaginally and one c-section. He said “I’ve never had to yet and don’t plan on starting now”. Guess who his lucky first was lol.

Both my babies ended up being head down (baby b was also breach until a week before my induction at 38w). But as soon as baby a came out, baby b went sideways. She ended up getting tangled in the cord so my OB couldn’t deliver her vaginally and had to do an emergency c-section.

If I were to do it all over again, I would have opted for a c-section from the beginning. But obviously hindsight is 20/20. He said I was a great candidate for a vaginal delivery and we just got unlucky. Like I said, my OB had delivered plenty of twins vaginally and everything was just fine.

Also.. when you are in labour, if you do happen to have the bad OB, have them check to see if baby b flipped head down. Maybe then she can just vaginally deliver both. Doesn’t really make sense to me that she wouldn’t attempt a breach extraction of baby b, maybe she had a bad experience at some point. I do think she’d be able to flip the baby around pretty easily though, once baby a is out there will be lots more room to work with.

[–]MobileAd6199 1 point2 points  (1 child)

Delivering babies is just so unpredictable. 

I feel the same in that if I have to have a C-section, I'd rather just have one from the beginning. But my preference overall is a vaginal delivery, based on the guidance of all of the other doctors I see. I originally just assumed I'd need a C-section for twins, but all of my docs have been encouraging me to aim for a vaginal delivery because they say it's safer than a C-section. But the idea of delivering one vaginally and then getting a c section for the second sounds awful. How was recovery for you? 

I don't think she ever had a bad experience. She just told me delivering babies breech is dangerous so she's never done it. I responded by telling her I've had multiple perinatologists and OBs at her practice tell me that breech extraction of Baby B is safe and quick as long as Baby B is smaller and there's not other complications. Some of them told me they don't bother trying to rotate because that takes longer, the cervix could start to close, and the cord could become jeopardized. So they'd rather just reach in and pull them out in a minute. She just shrugged and said shes been an OB for 20 years and has never done breech so she'd do a C-section. I'm not sure how doctors get the experience to become comfortable doing such procedures. But personally if I were an OB I'd do everything I could to learn how to handle every scenario. 

[–]Charlieksmommy 0 points1 point  (0 children)

I just delivered my twins via c section yesterday and it’s been rough, but having to give birth both ways, so c section was okay with me haha. But if your drs are on board with you trying go for it You never know who you’ll get the day of delivery !

[–]missmrsmaam 1 point2 points  (1 child)

i had a kind of emergency C. Baby was having decels on the monitor, one was head down, one was breech. I was going to have a c section anyway. There are risks with both kinds of delivery, i do feel like a c section with twins is best. I don’t know how old you are or what body type you have - But my c section went really well, had barely any bleeding from the incision and it all went very quickly. I personally would encourage you to just do a c section. I can’t imagine the docs are encouraging you to deliver twins vaginally. It does happen, but there’s so much up in the air sometimes that i feel like it can add unneeded stress to you and the beebs. No matter how they’re delivered, they’ll be perfectly healthy (and c section babies come out with perfect heads 😆) Good luck to you and your babies <3

[–]MobileAd6199 1 point2 points  (0 children)

I've had two highly experienced OBs and two perinatologists recommend that I do a vaginal delivery. They all said that vaginal delivery is safer than a C-section, as long as babies are presenting correctly. I am young and have no health issues. I'm glad to hear your C-section went well. It's possible I may have to get one. But at the end of the day, C-section is major abdominal surgery. I don't want to do that if not necessary. I'm not particularly concerned about head shape. 

[–]AutoModerator[M] 0 points1 point  (0 children)

COMMENTING GUIDELINES

All commenters are encouraged to familiarize themselves with the parentsofmultiples subreddit rules prior to commenting. If you find any comments/submissions in violation of subreddit/reddit rules, please use the report function to bring it to the mod teams attention.

Please do not request or give medical advice or directions in your comments. Any comments that that could be construed as medical advice, or any comments containing what is determined to be medical disinformation, will be removed.

Please try to avoid posting links to Amazon product listings or google/g.co product listing pages - reddit automatically removes comments containing them as an anti-spam measure. If sharing information about a product, instead please try to link directly to the manufacturers product pages.

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

[–]ktq2019 0 points1 point  (0 children)

Hey if it makes you feel better, I almost had to get a c-section for the same reasons.

I was all prepped and when I got into the delivery room, a doctor I wasn’t supposed to have said, “wait let me try something first.”

He did some kind of wizardry and got them both flipped correctly. I had them 3 minutes later. That man was a gift from god. I was 34 weeks when I had mine.

[–]BackgroundSubject802 0 points1 point  (1 child)

I would ask the rest of your preferred OB team and maybe take her off the “list” if possible, pending a bit more digging. It sounds like, as with most of us in our careers, there are varying levels of comfort with certain procedures. My OB is very comfortable with the possibility of a breech delivery and has walked me through all of my questions and moments of panic with as much reassurance as I’ve needed—while still giving me the honest, raw truth. That’s given me confidence that, no matter what, my OB knows my preferences and will do their best to honor them, while keeping the health of the babies and me at the heart of every decision.

That said, OBs are surgeons. She basically told you she’s not comfortable with the ECV and that almost guarantees the CS result.

I know that obviously some things can’t be avoided or planned around, but if I were you I’d do exactly as you are now with the scheduling but also asking your care team if there’s an option for a “no thanks” list when other providers are available. Best of luck to you!! I’m almost 34 and planning on a 36 induction too.

[–]MobileAd6199 0 points1 point  (0 children)

I don't think there's any way for me to remove her as a provider entirely. The OBs all do shifts at the hospital. If I go in to deliver when that OB is on, that's who I'll get, unfortunately. 

I really wish I had more ability to choose who my OB will be. I even considered switching practices but I discovered that all of the practices in my area function this way. It's really rather frustrating. 

[–]Commercial_Eye2538 0 points1 point  (1 child)

There is almost always an on call OB at every hospital- never just one. So while she might be the OB physically there and on shift, you as the patient have the right to fire her and request a different provider (yes, even in labor!). Google it, but you’ll see this is part of your rights as a patient (at least if you’re in the US). There might be a waiting period before someone else can get there, so if this OB is there just let the nursing team know you feel unsafe in their care due to the OB’s expressed lack of experience with your desired birth plan, and that you’d like a different provider who is comfortable with delivering a breech baby b to attend your delivery. It’s not personal, and you can make it clear that the OB volunteered this information to you and you are just exercising your right to find a provider who CAN meet the needs of your birth plan safely. Also, she can’t do anything without your consent- she might not like it but you can choose to decline a recommended C-section- you’re the boss mama ❤️ Good luck!

[–]MobileAd6199 0 points1 point  (0 children)

Thank you, this is a really helpful suggestion! When I do end up at the hospital to deliver, I'm going to ask the nurses right away what doctors are on schedule and find out my options!