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Delivering Multiples
What to Expect When You're Carrying More than One
By Melinda Copp
Usually with twins and usually triplets, if all the babies are head down, or vertex, then a vaginal delivery can be attempted. Sometimes if Baby A is vertex and Baby B (and C) is not, a vaginal delivery can also be attempted by turning Baby B. If Baby A is in breech position, then a Cesarean delivery is required, even if B (and/or C) is vertex.
"With higher order multiples, a Cesarean delivery is recommended," Rudderow says. "A Cesarean delivery is also recommended for gestations less than 28 weeks due to the increased stress a vaginal delivery would put on the already compromised fetus."
"Women often come away from delivering twins feeling like they weren't in control," Davis says. "It doesn't always warm up to an encouraging thing."
But that doesn't mean parents shouldn't express their concerns and desires for how they want labor and delivery to happen. Like Smith, you can still make decisions about what you want and keep the doctor's precautions as backup in case the delivery doesn't go as planned.
The important thing for parents expecting multiples to realize is that although they may lose the chance to make some decisions about the way their delivery is handled, they do have lots of time to prepare for what to expect when labor starts. Finding support from other parents of multiples is an excellent place to start.
"Talk to other mothers of multiples about how they dealt with pregnancy and childbirth," Davis says. "It's important to hear other stories, how others negotiated with their providers and learn what to expect."
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