Can you have a VBAC with twins?

[AlisonF]

Hi guys,
I've just found out that I am expecting twins in March 2009 and was wondering if there was anyone out there who can give me some help on whether or not it is possible to have a VBAC with twins. My first son was born via emeregency c-section as he was in distress, my second son was a sucessful vbac after 17hrs of labour (all worth it I might add!!). It's been almost 4yrs since my c-section, I don't know whether that makes a difference or not.
I know that it all depends on the positions of the bubs as to whether you have a natural birth with twins anyway, but I'm just curious as to if there are any ladies out there who have been in my situation.
Any help would be great.

[Ozziehoffy]

I haven't been in your situation other than having a successful one baby VBAC - congratulations on that too I can't imagine why there would be any reason (other than any medical issue eg...distress etc.) why you couldn't have another VBAC with twins though.

[The[cookie]Doctor]

Hi Alison -

You'll be hard pressed to find someone that will support you to have a VBAC with twins, but there is another thread with some information... I'm quite sure the lady decided on a homebirth because going through the hospital system had too many restrictions.

For starters, with most twin births they will want you to have an epidural to begin with just in case twin 2 doesn't turn - but laying down and monitoring is not going to encourage thatg either, etc...

This is the thread I was thinking of - https://www.bellybelly.com.au/forums...bac-twins.html - you might be able to find some info in here, hopefully someone else will have some positive information for you.

[Midwife Melissa]

Honestly .... it might be hard to get a VBAC with twins in hospital. In some hospitals (not all), it's hard to have a twin birth full stop. Your best chances are with a homebirth. Your options are basically homebirth or hospital birth as bitrh centres won't accept twins .

A hosp VBAC twin birth would be quite medicalised - you can expect to have a drip, epidural and continuous monitoring, plus breaking your waters and an internal monitor for the first twin. This can all go against achieving a vaginal birth.
Good luck with whatever you decide

[chocolatecatty]

On a side note......has anyone heard from Kate about her twin V/HBAC ?

Alison - good luck with sorting this preg/labour out

[Jaycee]

Hi Alison
Just wanted to let you know that my sister in law had a vbac with her twins only 18 months after her c-section with her son so it can be done!
I hope you get the chance to be able to do this too!
xxx

[AlisonF]

Thank you so much Adkins_81, that's what I needed to hear, that it can be done!! now I just hope that my doctor will get behind me in doing it.

[dianeandross]

Alison, let me know what your Ob says... I too am pregnant with twins and was wondering if it was possible to VBAC after DS was born via c-section.

When I am due there will be 21months between them.

Have not asked Obs yet.... I think I know he is going to say No. Just don't know whether or not to push the issue with him.

Will be interesting to see what your Obs says.

[Jaycee]

Girls, if it's what you want I'd be pushing all the way!
Good luck
xxx

[gardeningkate]

Here are some links I came across while researching this, Twin VBAC
and
Twin VBAC not associated with increased risk of rupture | OB/GYN News | Find Articles at BNET
So basically there is no reason not to try!! Good luck.

[AlisonF]

Hey guys, I went to see my obsterician on tuesday and he told me that he is perfectly happy for me to try a natural delivery with the twins on the proviso that the first twin is head down and there are no complications - so basically just like a singleton pregnancy.
I'm so happy that I have a supportive doctor and hospital it just makes everything easier.

[chocolatecatty]

Oh wow that's unreal! Yay for finding a good Ob! So no talk about due dates etc. and not being allowed to go over?

[Midwife Melissa]

Hey guys, I went to see my obsterician on tuesday and he told me that he is perfectly happy for me to try a natural delivery with the twins on the proviso that the first twin is head down and there are no complications - so basically just like a singleton pregnancy.
I'm so happy that I have a supportive doctor and hospital it just makes everything easier.

So ... by natural, do you mean he's ok about not having an epidural, ARM and internal monitoring for your first twin, and external monitoring for your second twin? Are they ok with you labouring and perhaps birthing in water?

[AlisonF]

His told me that as long as the first twin was in the head down position that I can try for a natural delivery, I'm sure as I get closer to my due date he will talk specifics, but the main point I was trying to get across was that I was told that I can try for the delivery I want. As far as continual monitering etc, I'm not fussed by having that done if in the end I get to try for a natural delivery, If it doesn't work out and I end up with a c-section than I will deal with that. I think Midwife Melissa that you don't seem to want to offer any real support for me and other women who are in this situation, you just keep bringing up the negatives associated with trying for a VBAC with twins. I don't think that anyone here is thiking that having this kind of delivery is going to be easy and intervention free, but for me the whole point in trying for a vbac in this delivery is so I have an easier recovery given that I have two young children at home already and my husband can't afford much time off work to help me. I'm sorry if it sounds like I'm being nasty (I blame it a little on pregnancy hormones!!!) but this is a very emotional topic for me and continual negative spins on things that are meant to be positive isn't helping.

[Midwife Melissa]

Alison, I am showing support by pointing out how a hospital might manage your labour - you can then go and do your own research about this and work out if it will help you achieve a twin VBAC or not. Whatever you choose is ok and is certainly no concern of mine (though I do care!).

You have misinterpreted me by saying, "you don't seem to want to offer any real support for me and other women who are in this situation, you just keep bringing up the negatives associated with trying for a VBAC with twins" - I personally think a VBAC with twins is a great idea and I support it 100%. A successful VBAC with twins is almost impossible in a hospital situation. Take a look at the stats if you like. Homebirth is a more successful option for VBAC twins. That's all I'm trying to say. At the end of the day, do what is right for you. I do understand that this is an emotional topic for you and it's great that you're asking questions and talking through options. What is it that you're needing to hear?