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VBAC for Twins
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Anonymous
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I recently found out I am having twins. My son was a C-section after 30 hours of labor. I dialated quickly but he was malpositioned. Before this, I had hoped for a VBAC for a number of reasons: although I am glad my child is healthy I was crushed not to have a natural childbirth the first time; perhaps even more importantly healing after my C-section was really, really hard and I am prone to adheasions in my pelvic area which have caused a LOT of pain and significant other issues including impaired fertility for me.
Are there any doctors around here who would do a VBAC for twins? Has anyone else considered it and how did it work out? I understand that it could become medically necessary if it's not already (I hope not from a "I don't want to be sued" angle). FWIW, I did have gestational diabetes but have lost a lot of weight since that pregnancy and the GD was very under control -- son was, if anything, on the small side. I live in Reston. |
Anonymous
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I think Dr. Tchabo would be your best bet.
However, as a multiple mom myself, I would try to keep an open mind to what may come. There is a good chance that one of the babies will end up breech, etc. I would try to just go with the flow, if at all possible. Best of luck. Twins are such an incredible blessing. The pregnancy and the first few months were tough, but after that, it is so wonderful! |
Anonymous
| I've found Georgetown to be surprisingly supportive of vaginal delivery for twins in general (although I can't speak to VBAC specifically). They are encouraging me to try a vaginal delivery if I want to - even though baby b is breech and much bigger than baby a. In talking to friends who delivered twins elsewhere, either of those things would have been dealbreakers with other practices. That said, they did strongly encourage having an epidural (not sure if you wanted to avoid that) because they said an epidural will make it easier to do a version for the second baby if necessary. Good luck with whatever you decide. |
Anonymous
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I would second Dr. Tchabo. I would also go on the Resolve website for NOVA. I did not deliver with Dr. Tchabo but did have a successful VBAC and while I would have been fine with another c-section, I really wanted to try for the VBAC. I wish you the best of luck.
VHC where Tchabo delivers at is a great hospital. I'm getting ready to deliver #3 there and I'm actually looking forward to my stay there. |
Anonymous
| Have you connected with the NoVa or DC ICAN chapters? They would be able to offer you lots of insight about who might help you with this type of birth. |
Anonymous
| Thanks for all the suggestions. 19:08, what doc at Georgetown are you seeing, or do you mean the hospital as a whole? |
Anonymous
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19:08 here -- I am seeing Dr. Mazloomdoost (sp?) who is great. I also had an initial appt with a high risk OB (Dr Landy) to meet her since if anything goes wrong with my pregnancy, she'd likely take over my care. Dr Landy also did my 28 week u/s and was adamant that even those baby B was breech and much bigger than baby A, I should still consider myself a good candidate for a vaginal delivery. Dr. Landy is the department chair so I am hoping this means that other doctors would be supportive as well. G'town is a group practice, so any of the OBs could deliver me. So far I've met about half of them and they all say that the "worst case" would be that after delivering the first vaginally, they wouldn't be able to get the second into a good position and I'd have to have a c-section for the second. They've all said that it will be my decision whether I take that chance.
All that said, I haven't delivered yet - so take all of this with a grain of salt. OVerall though I've been impressed with g'town. And they have a great NICU, which was very important to me since I was really paranoid when I found out I was having twins. I think they are the only level IIIC NICU in DC, which means they have an ECMO machine (an infant heart-lunch machine). Hopefully my babies won't need it - but it's nice to know it's there. |
Anonymous
| I hated Dr. Tchabo - but I would recommend him. He is not all warm and fuzzy, and I barely understood half of what he said, but he prevented me from having a c-section. My baby was in the wrong position, and all other friends with this problem ended with a c-section. I was able to have a vaginal birth, although assisted. I am not going back to him, but if I were in your case, I would see him again. |
Anonymous
| For what it's worth, I had a successful singleton VBAC at Georgetown. Four different doctors from the practice rotated through during the almost 24 hours I was in labor, and none of them ever mentioned a c-section, not even when I stalled at 8cm for 10 hours. Our doula, who has a lot of experience with the various hospitals in the area, was very impressed with them. I don't love all the doctors in the practice, but I'm really grateful for the way that they handled my VBAC, and would definitely go back if I had to do it all over again. |
Anonymous
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I'd also highly recommend attending an ICAN meeting. Those mamas know where you can get a VBAC in this town, and where you can't. I think that would be your best bet.
I think this would be the chapter closest to you? http://www.icanofnova.org/ Also midwives may be more inclined to attend a VBAC with twins, or to know who does. Here's a list of area midwives: http://www.birthoptionsalliance.org/MidwifeList100810.pdf Tchabo would also be who comes to mind first but I've heard mixed things too about his bedside manner. However if your priority is the VBAC and if you bring along others (doula, partner, etc.) for the touchy feely part, might work well. Best of luck to you! |
Anonymous
| FWIW, my aunt had twins via VBAC in 1982 and everything went fine. Good luck! |
Anonymous
| thanks for all the suggestions! 21:29, that's encouraging (although i wish it wasn't 22 years ago!) was it around here? |
Anonymous
| OP again. Pregnancy fog: I should have said 28 years. |