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Pregnancy update

Well - I've officially made it to full-term... I was 37 weeks yesterday.  Doesn't sound like that big of a deal, I guess, but with twins, I think it's something to be pretty proud of.  Especially since I've also managed to avoid the other things that tend to go along with twin pregnancies - gestational diabetes, pre-eclampsia, anemia, bedrest, etc.  The midwives and Dr. Jenkins all seem pretty amazed at how healthy I've managed to be.  So - go me.  :-)

Had my weekly non-stress test (NST) and visit with Dr. Jenkins yesterday, as well as my home visit with the midwives. 

The NST was completely normal, as usual (although I was slightly annoyed that they left me on there for so long, I was able to get a little catnap).  The visit with Dr. Jenkins was good.  He did an u/s to check the babies' positions.  Dixie (baby B) is vertex - YAY!  Unfortunately, Pixie is still breech.  S/he needs to either get head-down, or get out of the way so that Dixie can come out first.  C/s is scheduled for July 28 (40w4d), just in case.  Neither Dr. Jenkins nor I think I'll go that long, and he is completely ok with me going into labor, checking positions of the babies, and going from there.  I haven't talked to him yet about how he feels about attempting a breech birth if Pixie is still not vertex when I go into labor.  I'll discuss that with him next week.

Research is somewhat limited, but from what I've been able to find on vaginal breech birth vs. surgical birth:

-  Risks of vb are lower than c/s if baby is in Frank breech position (butt presenting, legs straight)
-  Risks of vb and c/s are about the same for baby if baby is in full-breech position (butt presenting, knees bent)
-  Risks of vb are significantly higher than c/s for baby if baby is in footling breech position (one or both feet presenting)

So... based on that and my gut, I've decided that if there's a butt presenting, I'd like to attempt a vaginal birth.  This is assuming that both babies are doing well during labor, of course.

I had a very open discussion about the possibility of a breech birth with the midwives at my home visit last night, and they are on board.  That's a relief - I really thought that a butt presenting when they arrived while I was in labor might mean an automatic trip to the hospital.  It doesn't.  Long as I'm comfortable with it and the babies look good, we can stay at home.

What else?  Oh yeah - I was 3cm dilated yesterday.  I'm not getting *too* worked up yet, since I've been known to hang out at 4-6cm dilated for weeks.  However, it's good to know that things are starting to happen.  Mama's tired... these babies can vacate the premises anytime!

Comments

( 3 comments — Leave a comment )
trouble841
Jul. 4th, 2008 04:59 pm (UTC)
I was telling Holli about you last night. She said wait, wasn't she on kid #2 when I was out there?

Her little boy is 4months old and 17lbs. my god, he's HUGE.
peachthief
Jul. 5th, 2008 06:07 am (UTC)
I'm so happy for you that your midwives and doctors are on board with attempting the vaginal breach birth. When I thought that Lilly might be breach, I asked mine and they were like AUTOMATIC C-SECTION, NO ARGUMENTS.

Ugh. I really want to try for a homebirth next time around.

Anyway, congrats on making it to full term! Here's hoping for a quick and easy delivery. :)
(Anonymous)
Jul. 5th, 2008 01:11 pm (UTC)
37 weeks is great ! And breech with twins is totally possible.
Just wanted to wish you luck. Trust your body. My twins were born naturally and vaginally and one was a footling breech. Took all of 5 minutes! Worst pregnancy and best delivery ever. Hang in there - your body will breathe such a huge sigh of relief once all the pressure of the two babies is gone. 37 weeks is an incredible milestone with twins . You did great!
I'd love to hear more of your story when you have time - I have some contribution pages on my site for twin belly pics - we LOVE those and twin stories -
Pop by if you can!
Have a great day -
Kim , editor http://www.raising-twins.com
( 3 comments — Leave a comment )