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2 Apr 2024

Labor in Special Circumstances: Twins, VBAC, and Breech Births

Childbirth
Stages of labor
Labor in Special Circumstances: Twins, VBAC, and Breech Births
Navigating labor and delivery can be complex, especially in special circumstances such as carrying twins, attempting a vaginal birth after cesarean (VBAC), or facing a breech presentation.
This article aims to provide expectant mothers with insights and guidance for these unique birthing scenarios, helping to prepare for a safe and informed childbirth experience.
Twins: Double Preparation for Delivery
  • Understanding the Risks: Discuss the increased risks and monitoring requirements associated with twin pregnancies.
  • Delivery Options: Explore the likelihood of vaginal delivery versus cesarean section for twins.
  • Preparing for the Unexpected: Learn about the potential for unexpected shifts in birth plans with twins and how to adapt.
VBAC: Weighing the Possibilities
  • VBAC Eligibility: Understand the criteria that make a woman a good candidate for VBAC.
  • Benefits and Risks: Delve into the potential benefits of VBAC, such as shorter recovery time, and weigh them against the risks, including uterine rupture.
  • Creating a Birth Plan: Tips for preparing a birth plan that incorporates the possibility of both VBAC and repeat cesarean.
Breech Births: Understanding Your Options
  • Types of Breech Presentations: Learn about the different types of breech presentations and how they can impact your delivery options.
  • External Cephalic Version (ECV): Discuss the possibility of ECV, a procedure to turn the baby into a head-down position before labor.
  • Breech Delivery Options: Explore the safety and feasibility of vaginal breech delivery versus a planned cesarean section.
Preparing for Special Circumstances
  • Informed Decisions: The importance of being well-informed and discussing all options and scenarios with your healthcare provider.
  • Mental and Emotional Preparation: Strategies for coping with the additional stress and uncertainty that can accompany these special circumstances.
Q&As
  • How can I best prepare for the possibility of a cesarean with twins?
Answer: Preparing for a potential cesarean with twins involves understanding the procedure, discussing recovery expectations with your doctor, arranging postpartum help, and packing for a longer hospital stay. Mental preparation and organizing your home for post-surgery recovery are also important.
  • What are the signs that indicate a VBAC might not be the best option?
Answer: Signs that a VBAC might not be advisable include a history of uterine rupture, a vertical cesarean scar, certain maternal health conditions, or signs of distress in the baby or inadequate labor progression during delivery.
  • Are there exercises or techniques to encourage a breech baby to turn?
Answer: Yes, there are exercises and techniques like pelvic tilts, the breech tilt, or the use of certain yoga positions. An External Cephalic Version (ECV) can also be performed by a healthcare provider to try to turn the baby. Always consult with your healthcare provider before attempting any exercises.
Conclusion
Labor in special circumstances requires additional knowledge, preparation, and flexibility.
Whether you’re expecting twins, considering a VBAC, or facing a breech birth, it's important to work closely with your healthcare team to develop a birth plan that is safe, realistic, and aligned with your personal preferences and medical needs.
Remember, every birth story is unique, and understanding your options is the key to a positive and empowering childbirth experience.
All I Need to Know
Medical Interventions during Labor & Birth
1 min read
D
Dana
31 Dec 2023

Heyyy ladies.. I have a question, pleeease let me know if you have experience & can tell me about it or give advice. I’ve had 3 vaginal births & then an emergency cesarean with my last… With this pregnancy I’m hoping for a successful VBAC! My doctor says there’s a good chance that I can do it & I’m praying that my son decides to come on his own, to make chances even greater. Has anyone had a vbac?! Please chime in.. 😘 #vbac #31weeks #babyboy #fifthpregnancy #advice

Childbirth Stages of labor
1 comments
A
Amber
Following for advice :)
27 Mar 2024

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V
Val
12 Aug 2023

After four natural vaginal births.. I’ve been scheduled for a C-Section Any tips? Twin A is still breech!

Childbirth Stages of labor
6 comments
D
Destiny
I’m scheduled for c section also with my twins I’m scheduled for the 29th, but i had a c section with my first child! if you don’t want a c section they don’t think they can try and turn twin a around?
27 Mar 2024

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V
Val
Thanks for the advice
27 Mar 2024

Answer

T
Tania
23 May 2023

Had my baby yesterday ❤️ 8 pnds 10 oz and was able to vbac plan was a csection but it changed when i came in and they had to cancel but i was already 5 cm so decided on a vbac 2nd degree tear and a one of a kind labor and other unexpected complications...but i wouldnt change it ❤️😍🥰

Childbirth Stages of labor
1 comments
V
Vienna
Congrats strong mama ❤️ you are so strong 💪 wishing you and baby a happy and restful healing and new journey together 😊🎉
27 Mar 2024

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L
Leslie
10 Dec 2022

Hello everyone, I am 36 weeks pregnant with twins I’m debating wether I should do c-section or natural, one of the twins is in breech but then changes to head down and vice versa often, what’s safer? I’m really anxious about what decision would be best?

Childbirth Stages of labor
4 comments
A
Amber
I had c section due to high blood pressure three weeks ago. It goes fast your in surgery then out within bout 30mins is the good thing bout it.
27 Mar 2024

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J
Jameka
C section is best but also scary being one baby's head is down so confusing to me of how the surgeon decides cases like this but I'm still going to say C-section
27 Mar 2024

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J
Jillian
22 Aug 2022

Holy freaking cow. For those of you that are interested in watching House of Dragons skip the labor scene. It’s a traumatic, graphic, crude, c-section because of a breech birth. Wish I hadn’t seen that. I’ve got labor anxiety but nothing debilitating and that scene has me a bit shaken.

Childbirth Stages of labor
5 comments
P
Porscccc
I plan to watch tonight so thank you for the heads up. I really don't wana see anything like that. How far into the 1st episode does it take place?
27 Mar 2024

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S
Schamerra
Yea it made me a little sick and I've had 2 c-sections.
27 Mar 2024

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C
Cierra
13 May 2022

I'm not 100% if I'm going this route but depending on how baby does I may be able to do a vbac. Can anyone who has done both C-section and vaginal births tell me your experience and which one you liked more. I just want some food for thought. We will go more into it when I'm at 28 weeks.

Childbirth Stages of labor
3 comments
a
angel
I have had both, and honestly ya the c section was easier, but the recovery took alot longer. And then I had my daughter natural and everything went good😊
27 Mar 2024

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C
Cristal
I had my daughter natural and I hope this pregnancy will be the same. I can’t imagine the recovery after with a C-section
27 Mar 2024

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