twin delivery...vaginal or c-section???

[samsmom95]

I work in a small hospital where we have 300-350 deliveries a year. We seem to have quite a few twin deliveries (2-4 a month). I'm curious what type of delivery your docs choose with twins. We have some that do vag only if both babies are vertex and some will do vag if presenting baby is vertex. Just wanting to know what other hospitals do, and if you have very many c/s after first baby delivered lady partslly.

[MamaMadge, ADN, BSN]

I delivered my twins lady partslly 18 years ago, Twin A Vertex and Twin B frank breech. It was successful and my beautiful girls are now beautiful young women.

[Elvish, BSN, DNP, RN, NP]

Madge, you just reminded me of a friend at work whose twin girls are now 4yo. A was vertex & B was breech; she had them both lady partslly without a hitch. I think it is awesome.

[OzMW]

We do lady partsl birth if the first is cephalic. I recently went to a workshop run here by two midwives who work at a very woman friendly private hospital They are well known Oz wide for the great stuff they do. The woman was multiparous and had twins. She refused CS. Both were breech. She laboured and delivered spontaneously, sitting on a birth stool. Ob and midwife sitting on the floor in front of her!

[harley007]

Deliveried my identical twin girls vertex presentation- 20 years ago - standing upright! I walked for the whole 10 hour labor and went with a "natural" delivery - no meds, no epis., just catch them and let me hold and nurse them please. (Had to look for a while for a MD willing to do that and to also not automatically admitt them to NICU). My lay midwife friend attended as a coach and caught the first one. I had been ready to deliver for 50 minutes but twin A had her fist agianst her chin and each time I pushed the pain level went off the wall. The midwife finally explained one good push to get her past my pelvis was all that was needed or they were going to hook me up to pitocin. So, I went for it and in one good push flying totally out came twin A and the midwife caught the baby while I was standing and she was kneeling on the floor. Boy, did all he** break loose after that - it did not go over well with the medical staff to have her deliver the baby but I was just in the zone and knew the midwife would be there for me. My OB then arrived and delivered number twin B. He asked if I would kneel on the delivery room table for twin B's delivery. He said his knees were not up to the midwife's catching position in twin A's delivery. I nursed them both as soon as possible and went home 10 hours later. For my next baby 16 months later, the singleton baby? I prolapsed the cord at home and ended up 16 minutes later with a STAT C/S. What a miserable recovery with a huge incicion, my 10 cm uterine fibroid that did not like pitocin speaking of "Oh my goodness" type pain and my son in NICU for two days- go figure with such a smooth twin delivery. All of them turned out fine and are honor students today.

[elizabells, BSN, RN]

We had one last year in which the first twin, who had hypoplastic left heart, was born first, vertex. Second baby got stuck midway, had to be pushed back up and sectioned. Ended up with devastating neuro injury. Who thought the hypoplast would be the healthier one?

[PNCC2001]

I delivered my twins 20+ years ago, vag. after 6 hours w/ ROM and Pitocin. Baby A was vertex, Baby B was transverse, but flipped before delivery. They were easier than my daughter, who was OP and 29 hrs. of labor!

[StudyingNursing]

My twins were both vertex during labor. 1st twin was born lady partslly after 1 push, 2nd twin turned transverse, and after trying a version for 22 minutes was a stat section (the placenta detached while trying to turn him). To this day he still has his own way of doing things

I would always have wondered if I hadn't attempted a lady partsl delivery, especially for my third pregnancy.