Reply to OB/midwife practice & hospital recs for Twin birth

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[quote=Anonymous]Quick update, particularly for those who might be in a similar situation as I am and may be rattled by commenters who think my rational desire to find a doc who would be happy to plan for a vaginal delivery is absurd: I’ve now met with 3 OBs with full knowledge of my medical history. The first volunteered, before I even brought it up, that there’s no reason not to expect a vaginal delivery and that she’s never had to perform a c-section on twins if Baby A is head down when labor begins, barring some other emergency issue. The second is happy to plan for and encourage a vaginal, but notes that not all docs in her practice feel similarly, and you don’t know who you’ll get on delivery day. The 3rd was similarly supportive and noted that Fairfax tends to have enough OBs available on any given day that if you run into a doc not comfortable with vaginal and babies are well positioned, you should speak up and ask for another because there’s probably one available who can get it done.

All that to say, don’t let ppl make you think this isn’t a reasonable option. Emergencies happen, and contingency plans are there for a reason- birth doesn’t always go as we plan. But there’s no reason you can’t have a comfortable plan going in. I didn’t talk to one doctor who encouraged me to plan for a C-section based on twins, age or post-partum pre-e history. In fact, 2 out of the 3 made the point that if pp pre-e occurs twice it is typically less severe the 2nd time and prenatal preventive measures usually reduce risk significantly. All 3 made the point that history of successful vaginal delivery is statistically more important to potential to achieve another one than maternal age or pre-e history alone.

Don’t be scared. [/quote]

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