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How I Got a Vaginal Birth of Twins Instead of a Cesarean Section

Sometimes over on Mothering.com or on my local mommies board, I’ll read something from a soon-to-be twin mom who really wants a vaginal birth, and has to be in the hospital for whatever reason — or wants to be in the hospital — and I think, “I am so freaking lucky.” I had my twins vaginally. This was over eight years ago, way before my conversion to Crunchy. And although I wanted to have them vaginally, I didn’t have my heart 1000% set on it.

A vaginal birth just seemed like a better deal than surgery. As a single mom-to-be of twins, I didn’t want the hassle of recovering from a cesarean section. My twins had Twin-to-Twin Transfusion Syndrome, and so I saw a high risk obstetrician, part of a group of high risk obs and maternal-fetal-medicine specialists. He was very cool, my doc. I told him regularly that I didn’t want a cesarean section, unless there was a compelling medical reason. (TTTS itself does not necessitate a cesarean.) He was open to vaginal birth, as long as the first twin was vertex.

I had a doula. Not that I knew what that word meant. But I had a friend who’d had cesarean surgery with her twins and then had had two homebirths, and she offered to be there when I was in labor and giving birth. She gave me a copy of The Thinking Woman’s Guide to a Better Birth. I remember asking my doctor if the high risk delivery unit had a telemetry unit so I could walk around while I was in labor. He said no. My doula held the monitors — one for each baby and one for contractions — on my belly so I could stand up and rock or sway while I was in labor.

There’s her arm, holding one of my monitors! And there I am in early labor (since I’m still smiling).

My body was clearly ready for labor, as I was induced with Cervidil at 4pm and gave birth 9 hours later, without needing any pitocin. My body rocks! Not very many first time moms have such a short, relatively easy labor. And as soon as my water broke, spontaneously, with Mineral, I felt the urge to push and he came out easily.

Animal’s water was still intact, but when it broke — also spontaneously — his foot slid out. I had a lot of luck going into this birth — the willing doc, the head-down baby A, the induction that worked well, the urge to push and ability to get out Mineral quickly — but Animal’s foot sliding out was the apex. I don’t know of any doctors who are willing to deliver a foot-first breech vaginally; I don’t know if a version to turn him vertex would have worked or if he would have been able to handle that. I had an epidural and I was in an OR, so the team was ready for a cesarean surgery. But his foot slid out and the team told me to push, and I pushed, and he came out too.

I got lucky. I am so freaking lucky. I really have no advice for anyone who wants a vaginal birth of twins in a hospital, unfortunately. If you buy the ticket — or have health reasons that give you the ticket — you take the ride. But I hope you get lucky!

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