Multiples are any pregnancy in which two or more fetuses are being formed.
The moment you talk multiples with a provider you fear the work high risk is coming next. That doesn’t have to be the case. You don’t have to be high risk because you are expecting multiples. Let us dig into the research available to us.
Do you know types of multiples?
Babies who share the same sac, placenta are identical. They are known are Monoamniotic, Monochorionic, or MoMo for short. If the babies share the placenta but haves different sacs they are known as Monochorionic, Diamniotic, or MoDi. Finally, that leads us to Diamniotic, Dichorionic they have different sac, different placenta, and will be fraternal twins.
In 2016 a study was released stating that momo twins did not have to be delivered via cesarean. Previous to that many providers considered momo babies to be an automatic cesarean. The research shows that momo twins delivered vaginally had a shorter hospital stay and fewer complications. This was compared to those twins delivered via cesarean.
What to expect
If you are expecting twins you are at a higher risk of placenta previa or preterm labor due to the limited space available. Some expecting parents may also experience more sciatica, SPD, cervical pressure, and faster labor again due to the limited space and carrying multiple babies.
That doesn’t mean you can’t carry to term. I have seen plenty of expecting parents do it.[mailerlite_form form_id=5]
Position of twins
You may run into the issue where a provider is concerned because of the position of one or more of the babies. Remember breech is a variation of normal and some babies will remain breech until labor. We aren’t talking about a transverse baby, this would be a reason to consent to a cesarean if the baby won’t change positions. It is important for the sac to be kept intact to prevent cord prolapse.
Deliver time between multiples
Did you know the multiples can be delivered between several minutes and evens days apart? One of the few times you would want to speed up labor between births is if the cervix closes slightly in between. Remember to hydrate and rest between births, change positions if needed.
Caring for multiples in pregnancy
As expecting parents when we learn we are expecting we often joke about the idea of expecting more than one. Most of that is not the case but for some reason, our minds go there. Before we know how many little ones we will be expecting we start to change our lives. We eat healthier, take vitamins, increase our water intake. We do everything we can think of to keep the little one happy and growing.
Proper nutrition doesn’t have to mean you don’t splurge and eat junk food sometimes but we can have healthy snacks as well. Now that summer has arrived and fruit is back in the season I am loving watermelon. Any trip to Publix means a quick trip to the fresh fruit and a quarter of a watermelon in my cart. I will then enjoy it over two snacking sessions. Yum!
Brewers Diet is a great and highly recommended form of eating when you are expecting. It is a great way to hit the balance of all the foods your body will need. While malnourished expecting families deliver all over the world, daily it will cause low energy and complications in pregnancy and delivery.
Vitamin C is shown to help strengthen the amniotic sac. This will help with fewer leaks and premature rupture of membranes. If you are anything like me I tend to pee myself often at the end. A sneeze I wasn’t ready quite forgets me every time, this pregnancy I have added vitamin C to our daily prenatal intake. You can take also increase your intake of fruits such as orange, grapefruit.
Iron and vitamin C also go hand in hand. Vitamin C will help the iron become more absorbable. Low iron is a hemoglobin level under 11 or hematocrit under 35.
Things to consider
Just like with any other pregnancy and delivery I encourage you to do research. I try to provide you the best links and access to the information to help you decide what works best for your particular situation. Today I am going to cover three things for you to consider delayed cord clamping, delivering in the operating room, and the use of epidural.
Delayed cord clamping
Even with twins you can still do delayed cord clamping and still have the same benefits. Delayed cord clamping will not cause any issues for the other babies being birth.
Delivering in the operating room
One of the downsides of delivering multiples in the hospitals is that most providers want to be in the OR just in case. This can be overwhelming and cause you not to find your zone as fast. Ask about being able to change positions or lowering the lights, maybe even have some music playing. Anything to help you feel safe and less overwhelmed.
Along with being taken into the OR, you may notice the additional push to have an epidural. THIS IS ABSOLUTELY NOT SAFE DUE TO SUPINE HYPOTENSION SYNDROME (thanks HERBAL for the knowledge). While I would try my best to always stay away from using an epidural this is one time I would really not be ok risking it.
As you can see I don’t have a lot of risks here because there aren’t many. With any pregnancy, you have some risk. The difference is you’ll want to watch for signs. Rest when your body is telling you to rest, stay hydrated, and enjoy the pregnancy.
Have you delivered twins vaginally? What was your experience like?
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