I really don't want this and cannot find any literature about what risks monitoring twin1 from early labour might reduce. My obstetrician is unwilling to discuss the topic with me and will only say "well, twin pregnancies are at higher risk of complications so it is hospital policy but we can't make you do anything you don't want"
I think this is a very unhelpful attitude as I believe movement during labour and certain delivery positions will help twin2 to be in an optimum position for delivery and RFM makes both of these impossible. I was wanting to know what risk would be reduced by monitoring the first all the way through labour and no-one providing the care is willing to have this discussion with me - if there was a benefit I would not obect to it and I feel unconfident in pushing to not have it without the obstetrician's explanation of the risk. I cannot find any research on the subject - only on normal presenting singleton delivery which says only effect is increased section rate, and there are no NICE guidelines on the subject. Also, having expected a homebirth before I knew it was twins I am reluctant to have any over-medicalisation of the birth.
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Routine internal foetal monitoring of twin1 from early onset of labour in normal presentation of non-identical twins
27 replies
curiositykilled · 30/06/2009 15:31
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