Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“We Have To Reach In…So That Your Cervix Doesn’t Close Up Around The Neck And Choke The Baby.”
“We have to reach in and pull the second baby out if it is breech, so that your cervix doesn’t close up around the neck and choke the baby.” - OB to mother who was questioning the urgency to get the second twin out.
Has that/can that ever happen?! And, aren’t some twins born a significant amount of time apart from each other? I don’t know enough to comment, but it sounds pretty uncommon and far fetched. Does anyone know of any links I can read?
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BethanyH Reply:
December 11th, 2011 at 2:34 pm (Quote)
http://birthwithoutfearblog.com/2011/07/15/one-extraordinary-birth-six-days-of-labor-33-hours-between-births-two-healthy-babies/ here’s a story about twins born 33 hours apart.
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RM Reply:
December 11th, 2011 at 7:42 pm (Quote)
Thank you, thank you for this! No joke, I was recently asking about vaginal delivery for breech twins! Legislation in my state makes it a crime for a midwife to knowingly take twin or breech births and I had made a comment about it. Well, some unenlightened being had something to say about how dangerous delivering breech twins at home would be and I got to thinking… why can’t we do it with appropriate care under the appropriate circumstances? REALLY appreciated this!
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My understanding was that you DON’T want to do that since you can cause cervical swelling that can prevent either the baby or the placenta from being born.
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The cervix doesn’t ‘choke the baby.’ If it were to swell (because of their manipulations and rushing, as someone else already noted) to could prevent the head from fitting through. If the first baby’s head fit through there’s no reason to expect that the second baby’s head won’t also…unless someone is in there mucking things up.
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Ummm….
I’m a twin, but it was a complete surprise. When I was born they did not do routine ultrasounds, so they didn’t know that my mother was having twins. My sister was quite high up, and had dislocated my mother’s ribcage, so they never heard but one heartbeat.
After I was born labor stopped and they were taking me out of the room and sewing my mother up when they noticed a second baby. I believe they induced labor via a shot of pitocin and my sister was born 16 minutes after I was.
She was born breech, so she couldn’t have gotten her head stuck anyway, but it was obviously not necessary for anyone to stick a hand up in my mother to hold the door for my sister.
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Again, a legitimate concern, second twins do have risks that their siblings do not BUT this is a bogus explanation. So often we see these ridiculous reasons/excuses, like they think women are too stupid or ignorant to understand the truth.
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I would love to hear more about research/experience of problems where second twins who are breech literally get stuck because of a *closing cervix*. I suppose I could understand this concern if the cervix was already swollen…but I’m not a medical care provider and thus don’t have the experience to say much more about *this*.
I do wonder if the concern is with footling breech birth *in general*. Maybe the doctor was thinking about examples of singleton footling breech births in which the feet, legs, and torso are “delivered” before the shoulders and the head (and before the cervix is fully dilated)?
I do know that breech *extractions* (where someone “goes in” and pulls the feet/legs down) do increase the risk of a nuchal arm, which can make a breech birth more complicated. (I have actually seen this in my work as a doula. And yes, it DID make the birth quite complicated.)
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I was discussing birthing options with the base provider still – I ended up RUNNING from these fools – and I was set on vaginal delivery. I needed to know what experience they had that would help me achieve a vaginal twin delivery. We were going over birth presentations of the babies and I was/am of the mind that if baby A is vertex but baby B is breech, to leave baby B ALONE as long as there are no signs of distress or risk of infection and see how baby B presents AT the cervix. They said no, that they typically do a breech extraction for the above reason. They clearly didn’t have the level of experience I was looking for!
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HAHAHAHAHAHAHAHAHA!!!!!!!!!!!
::deep breath::
HAHAHAHAHAHAHAHAHA!!!!!!!!!!!
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