Trying to accept the prospect of a c-section

sorry you are going through this hun....

there is the problems with mo-mo twins (i presume yours are if they are identical??) are they in the same sac? shared placenta?
your embryo split??
maybe this is what your OB is worried about.....OB may be concerned about the following...
cord entaglement/compression
cord prolapse after first bub is born
ttts
peak more with your OB hunni...i know it's not what you wanted to hear BUT this may be why he is recommending a caesar earlier

So I'm going back this afternoon to the OB, and I'm going to make him sit there and answer my questions whether he feels like it or not. I don't feel like being left in the dark, and I'm the one paying him so he will sit there and do his damn job even if it kills him.

He said they may try to come out at the same time, or they may get tangled in their cords, but he even said that its a pretty slim chance and entanglement can probably be determined on the day with a quick scan. He also said that due to my family history and DH's family history, there is also a very high chance they are not identical and we just couldn't pick that up on the scan at the time. There are twins and triplets in both sides of my family, and twins in both sides of DH's, so there is a chance that it could go either way. We will probably get a better picture of how things are today since I was only 8 weeks last time I was there, and now I'm 12 going on 13.

Sarah - I think Sam is going to be in for a very rude awakening today since I'm in a particularly foul mood lol I know he's a need to know basis kind of guy but...I'm a need to know everything regardless kind of girl! If I have to ring him at 2am when I can't sleep because I'm wondering about something, I will!

Trillian - We don't really have a room in our house big enough! Most of the bedrooms only fit the bed in them plus a side table if that. Its tiny. Plus I really don't like the house, it has bad vibes for me. I don't know if its because of where it is, or the fact that our fence is so ridiculously low we are constantly on show, but DHA keep insisting they can't give us a new one, despite all the things wrong with it and how unsuitable its going to be for kids :rolleyes:

sounds like a good plan, the first thing should be determining how many placentas and amniotic sacs you have, because that changes a lot of the management of the pregnancy and birth. Good luck and let us know how you get on :)

I will! I'm actually a little scared that he might have missed a heartbeat and theres 3 in there - eep! I didn't know about the triplets until last week and I had my mother send me the family biography and there are a few sets in there from back a couple of generations. I immediately emailed all my female cousins to circulate that memo!

I'm getting all nervous waiting for it, this is why I normally do things in the morning but DH couldn't get morning time off work :(

I was terrified the 2nd scan would reveal 3 too :lol:

So good news is there is still only 2 of them! The bad news is both hospitals in town will only deliver ID twins by Caesarian due to hospital policy and capability in the event of an emergency. So unless I want to fly to Brisbane I don't have a choice - and even then because they are very active babies hospitals there may still refuse. He did seem much more interested in answering my questions today though, possibly thanks to the woman who had the appointment before mine who is expecting triplets! I'm fairly sure she yelled at him for not answering her questions, there was definitely raised voices, so I think she softened him up for us!

I did get him to agree that I would not be delivering until I had experienced labour pains unless there was an issue with the babies. I told him even if I have to be on bed rest getting into the last month or two, I don't want to bring them into the world unless they are ready, or it is absolutely medically necessary i.e, life threatening for the babies. I don't care how big I am, if its not threatening my life or theirs, then we will be waiting. He agreed to that, and I wrote it down and had him sign it. I think he could tell I wasn't going to back down on it, and next time I will take a printed copy for us all to sign, me, him, and DH, that way there will be no confusion, and no re-negging. So at least I know my babies will be entering the world on their terms.

As for the crippling fear of hospitals, I informed him that I suffer from anxiety, so I need to be out of the hospital ASAP. He said since I have been prescribed medication for my anxiety, they can't ignore that, and if it does prove to be too great an issue they would be able to get me home in a couple of days and organise for home-care since my health insurance covers me for such a service. He said a general surgeon may be able to give me something to help the healing process along if it does prove to be taking too long as well.

So I'm feeling a little better now, I'll still call the public hospital just to confirm they won't deliver vaginally either, just to be sure he's not pulling a fast one on me.

They are EXTREMELY active babies - they were jumping all over each other and we even saw them high 5! One also seems to be big on howling or something because it kept opening and closing its mouth like it was sucking and blowing out. The other one just kept mooning us and hitting his/her sibling!

so are the twins definitely identical?

Yep. Same gestational sac. They were wrestling each other and everything!

aw how cute! I can understand why they are concerned, with the twins sharing a sac and (I presume) a placenta there is a greater risk. You can still refuse a CS, and if you are in labour they cannot refuse to treat you, but the risks of the cords getting tangled is very real. I'm glad you got some answers though :D Are you having regular scans now?

Yeah, and really my major concern was bringing them into the world before they're ready, and if he's willing to let me go into labour then prep me for surgery, I think thats a pretty fair compromise. I go see him again in another month but he said if I go to the hospital they will give me a scan/listen for a heartbeat at any time. Its basically because he is really busy this month, and he said after 16 weeks we will scan fortnightly, but he'll just give me a referral to QXray rather than have me come to him every time since I explained that fortnightly visits aren't really in our budget.

that sounds like a really good compromise, a lot of OB's would have refused to agree to that. Well done you for fighting your corner :D

Yeah I'm pretty happy with it, obviously I would be happier if I got my way completely but still its the best I'll get. So far I haven't had any problems at all so he thinks there is a good chance I will carry until at least 37 weeks, and maybe even to term since I have agreed to bed rest towards the end - which really I would have had to do anyway because I have a terrible back!

the last few weeks of a twin pregnancy can be pretty uncomfortable, I was in a lot of pain but managed to get to 38 weeks which was great. It's all so worth it though.

Yeah I'm expecting the pain to be bad. I fractured my back when I was 12, and I still get quite bad pain as a result so I can only imagine how bad it will be by trimester 3! But because of that I have a pretty high tolerance for pain, so far nothing I've experienced has hurt much more, accept for getting stitches in the roof of my mouth sans anaesthetic. That was pain! Plus I got a really good wheatie and some natural Chinese medical oils for pain, so fingers crossed I will get through!

I just wanted to jump in to let you know that I am having a repeat c/s for my DC/DA twins, mainly because I had a c/s with DD and my Ob doesn't want to risk the chance of my uterus rupturing and I live in Regional Vic and if there were any complications during a v/b we are too far from Melbourne.

My only advise is to make sure that as you are having identicals that they are closely monitored for TTTS as this could mean early delivery. As my boys are in there own sac's with there own placenta's I don't have to worry about TTTS although at my Ob appt on Thursday my OB arranged for me to have steriod injections to help develop the babies lungs as he thinks they will be here sooner rather than later. Definately have your ideas and plans in place but the one thing with multiples is that even the best laid plans can fly out the window.

Good luck and I hope you have a smooth pregnancy.