twin birth

(23 Posts)
llightfoot Sun 27-Jan-13 17:45:33

i am due to be induced for my twin pregnancy i have had a child before but my identical twins are in to sperate sacks from what the docs told me its going to be a hard labour i am so scared and my hosp dosnt do epidurals can anyone reasure me who has had a simalar experiance plz x x

mayhew Sun 27-Jan-13 18:18:56

Are you in the UK? It is very unusual here for a hospital that manages multiple pregnancies not to have an epidural service. They are also usually available in any unit doing inductions of labour. Twin births and inductions quite often require caesarean and for that reason an anaesthetist should be nearby when you are in labour.

I would go back and ask some more questions about the plan for this birth. A senior midwife might be able to help you.

therugratref Sun 27-Jan-13 18:26:59

I had my first induced( it was an awful experience) and then my DT's early. I am sorry I would not countenance a twin birth induction with no epidural. I would ask for a planned section before I would go through being induced in what is already by definition a high risk labour.

llightfoot Sun 27-Jan-13 18:29:55

yes i live in cumbria the i have been to both hosps here and feel very let down i get told a lot of diffrent info i have never seen the same doc they just ignore your questions i am scared for my babbies and me i wish i cud go some were else but have no choice and the thought of needind emergancy treatment scares me the most wich i no is common for twins x

llightfoot Sun 27-Jan-13 18:34:02

yes i live in cumbria the i have been to both hosps here and feel very let down i get told a lot of diffrent info i have never seen the same doc they just ignore your questions i am scared for my babbies and me i wish i cud go some were else but have no choice and the thought of needind emergancy treatment scares me the most wich i no is common for twins x

nonpractisingVirgin Sun 27-Jan-13 18:49:55

I thought that you can choose your hospital so would you consider going further afield? There are so many unknowns with twin labour. I was recommended an epidural for my identical twins delivery and was very glad I did as first was born with forceps and second by EMCS. Hopefully yours will go smoothly but no option of epidural seems ridiculous.

ImKateandsoismywife Sun 27-Jan-13 18:52:40

Thats ridiculous! I think you're going to have to stamp your feet a bit, could you contact PALS for advice or maybe a supervisor of midwives?

llightfoot Sun 27-Jan-13 19:09:09

me and my partner carnt drive i wud love to go to.a dif hosp i asked about a csection but they wudny listen they just said we wont you to have a vbirth i feel like i have no options it makes ne wish i didnt live in cumbria whst is pals x

Arithmeticulous Sun 27-Jan-13 19:19:12

Have you googled Mary Cronk's twin guidelines? Useful ammo. Also health.groups.yahoo.com/group/ukmidwifery/ is a great place to get advice from midwives.

llightfoot Sun 27-Jan-13 19:25:48

i will have a look ta x

llightfoot Sun 27-Jan-13 19:29:10

i will have a look ta x

Neiffer Sun 27-Jan-13 20:52:30

Where in cumbria are you? Are you having to go to a midwife led unit like at kendal? If you don't drive then get an ambulance to a different hospital or a taxi. You have the right to choose where and how you have the babies. If its part of the morecambe bay trust then they have to accommodate you at a different hospital.

Karoleann Sun 27-Jan-13 22:09:34

You need put your foot down. Put " risks of twin birth + vaginal" into a google, read and print off some of the results.
When you next see the doctor or midwife show them the results and say you want to have a section. If they say no ask to speak to someone else, be polite, but forceful.
If you do have to go to a hospital further affield just call an ambulance if you're in labour.

llightfoot Mon 28-Jan-13 10:12:02

i wad going to whitehaven the switched to carlisle they have both let me down and they are the only hospitals here i am going to speak to my comunity midwife about ny concerns as she seems to actually care can u only have a csection if the doc thinks there ia a reason for it

footphobic Mon 28-Jan-13 13:50:28

I had twins which was my 3rd pregnancy and was induced at 38 wks with a plan for vaginal birth as lowest twin was in a good position. My personal preference is against epidural and I had coped well with gas and air in first two labours so that was the plan.

I took two pessaries to get going, then it suddenly kicked in very fast and incredibly intense and painful. From nothing but mildest niggling pain, to waters breaking and both twins born was 1.5 hrs.

I was taken to a room next to an op theatre to deliver, with a double team including anaesthetist and doctor in case the need for a section arose as things developed.

Epidural was available as we had a chat about it when things got going as I did question trying to cope with the level of intensity and pain if labour was long, though in the end it was too quick even if I had wanted.

I imagine it varies a little from hospital to hospital, but this was standard where I was in Suffolk at the time.

Plan A was always a vaginal birth if all factors allowed it and that was what both hospital and myself were aiming for, but!!, to be prepared for an emergency or change of plan if it arose. There was no suggestion of planning a section just because it was twins, it always depended on whether things looked good/possible for a vaginal birth.

Contractions went off a little for second baby and they started to murmur about possible section if we got to the cut off time, but things got going again and I could really feel to push him and was very aware of this if that makes sense, so I feel with an epidural it may very likely have been an assisted birth and I was very glad I didn't have one. The doctor did have to help deliver him as he came out arm first, but arrived safely after some shoving it back in manipulation.

It's different for everyone. I had a very good experience. A friend of mine had twins a few years later and her experience was almost identical, so it's possible to have a good, safe induced vaginal birth with twins without epidural.

Though epidurals are not my choice, I definitely don't think it's right not to have the option available and I've never heard of this in a main hospital so you strongly question it and press for it. Going without is not for everyone as induction does make labour intense.

I would definitely discuss it with both consultant and senior midwife, talk about your worries, ask direct questions to try to get some reassurance and answers.

schmee Mon 28-Jan-13 14:15:17

I'm sorry to hear of your worries. Can your GP help you at all? For my twin labour it was a requirement that I had an epidural set up (because of the risk of an emergency c section). I requested and was given a planned c section in the end.

I suggest going to your GP because hospitals can get stuck in their own mindset of how they do things. I think you should consider going to a different hospital (agree, use an ambulance if you need to). A hospital or birthing unit that is not set up to provide epidurals, is NOT set up to deliver twins. You need to be given a different option.

Fair enough if you really really wanted to give birth without an epidural in a midwife led unit, and they were set to airlift you to another hospital in case of complications. But that doesn't sound like it is the case here.

Your GP and your community midwife should be able to help you, to advise, and if necessary to advocate on your behalf.

llightfoot Mon 28-Jan-13 21:22:15

thanks for all the advice x x

rednellie Tue 29-Jan-13 16:54:54

Another here who has had a vaginal twin birth with no epidural. It was no harder/worse than my first labour with DD and everything went fine.

Twin pregnancies and birth are higher risk, not necessarily high risk, iyswim. You don't have to panic unduly. Of course things can happen in labour, and you may have complications, but I'm pretty sure the medical team where you are will be able to step in and offer you what you need. Please don't panic, there's lots of support and advice on the Multiples section of mumsnet. Here's the twin ante natal thread.

llightfoot Tue 29-Jan-13 21:28:14

its gd to no ather people have done it so why carnt i but found out today am very anemic aswell i am worried but will do my best at least

rednellie Wed 30-Jan-13 14:08:41

Llightfoot - I don't want you to think you have to cope with anything you feel unable too, I just didn't want you being petrified. I know when you're pregnant with twins people can make you totally paranoid about the risks, but when you break it down its nothing to freak out about.

Its hard bloody work bad I would defo recommend the twin thread I linked to above - lots of support.

llightfoot Wed 30-Jan-13 15:08:03

its fine am the type of person that likes to no everything that coild happen just found out i am very anemic aswell lol

rednellie Wed 30-Jan-13 18:26:00

I had to take these disgusting iron tablets. Made going to the loo bit hard! Sending you lots of positive thoughts.

llightfoot Wed 30-Jan-13 19:52:39

they just maje ne sick lol

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