About 1 in 3 of all sets of twin births are vaginal births. You may choose to have an elective caesarean, or your doctor may recommend a caesarean section because of potential complications. Even if you plan a vaginal birth, you may end up having an emergency caesarean section due to complications during labour.
1 In the United States, approximately 75% of twins are delivered by cesarean delivery (CD).
A twin home birth is not something that most people come across often. A lot of people think that twins NEED to be delivered in an OR via c section… and while that CAN be true, it's also true that you can birth twins vaginally, at home and with one baby even being BREECH.
Twins can occur either when two separate eggs become fertilized in the womb or when a single fertilized egg splits into two embryos. Having twins is more common now than it was in the past. According to the Centers for Disease Control and Prevention (CDC) , twin births have nearly doubled over the last 40 years.
Both babies are in the transverse position.
This means both babies are lying horizontally across your uterus. This positioning almost always results in a C-section.
If you are keen to avoid a c-section, the first and best decision you can make is to choose a care provider who supports natural twin birth. Stay as healthy as possible by eating well during pregnancy in order to avoid issues like gestational diabetes and encourage your babies to settle into an optimal birth position.
Vaginal Birth of Twins
The good news is that even though you have two babies, you only have to labor once. Once the cervix is open, each baby will have its own pushing stage. This means you will have to push twice, but the majority of the time the second twin is born much more easily than the first.
Factors that increase the chance of twins include: consuming high amounts of dairy foods, being over the age of 30, and conceiving while breastfeeding. Many fertility drugs including Clomid, Gonal-F, and Follistim also increase the odds of a twin pregnancy.
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That's not all, Monga says. Women pregnant with twins complain of more back pain, sleeping difficulties, and heartburn than those who are carrying one child. Being pregnant with twins also carries a higher rate of maternal anemia and a higher rate of postpartum hemorrhage (bleeding) after delivery.
A little more than half of twin pregnancies end in preterm delivery (before 37 weeks). While 40 weeks is the full gestation period of the average pregnancy, most twin pregnancies are delivered at approximately 36 weeks (range 32-38 weeks depending on the type of twin pregnancy).
Like twins, two fetuses eventually share the same womb and develop alongside each other. Both babies are usually delivered at the same time. Unlike twins, embryos from superfetation don't form during the same menstrual cycle. As a result, they're different gestational ages (in different stages of pregnancy).
In twin pregnancies, it took an average of 12.7 hours for the cervix to progress from 4 centimeters to fully dilated, at 10 centimeters. In singleton pregnancies, this took an average of 9.6 hours.
Sometimes, if there are concerns about the health of the mother or the babies, the decision is taken to deliver the babies early (whether by induction or Caesarean section), as the risks to the babies by being born at this time are less than if they remain for longer in the womb.
Barring pregnancies that result from assisted reproductive technology, dizygotic twins are far more common than monozygotic twins and account for 70 percent of all twin gestations.
The American College of Obstetricians and Gynecologists (ACOG), for example, recommends delivery between 34 and 37 weeks for twins with a shared placenta and at 38 weeks for twins with separate placentas. Some other physician groups recommend delivery closer to 39 weeks with separate placentas.
Monochorionic-monoamniotic twins are identical twins that share both a placenta and an amniotic sac. This is the rarest and highest risk form of twin pregnancies.
Some say that twins are always hard (yet amazing), while others say they truly didn't find them to be difficult. A few said that the first two months with twins are easy (being in the rose-colored glasses phase), then reality hits from months 3-6 (when the sleep deprivation catches up), then it can get easier again.
The time between giving birth to your first and second baby varies from woman to woman, but the second baby is usually delivered within about 30 minutes to an hour after the first. In very rare cases, some women deliver 1 twin vaginally and then need a caesarean section to deliver the second twin.
About 1 in 3 of all sets of twin births are vaginal births. You may choose to have an elective caesarean, or your doctor may recommend a caesarean section because of potential complications. Even if you plan a vaginal birth, you may end up having an emergency caesarean section due to complications during labour.
The quick answer to this question is that, in a twin pregnancy, it is the mother's genes that determine twins. First up, giving birth to identical twins is not genetic, but conceiving fraternal twins is. The mother may have the genetic trait of releasing two eggs in one menstrual cycle.
It is estimated that 1 in 250 natural pregnancies will naturally result in twins. While twin pregnancies can happen by chance, there are some factors that may increase your odds of having two babies at the same time.
Premature Rupture of Membranes
During pregnancy, the fetus—or in the case of twins, fetuses—is enclosed in the amniotic sac. As a part of the labor process, the sac will break open (known as "water breaking").
Physically recovering from a multiple birth, whether it was vaginal or via C-section, is much like recovering from a singleton birth — only more so. Indeed, the postpartum period can be worse with twins or triplets, as everything you experience will feel just a little bit more painful and last a while longer.
Twin pregnancies are at high risk of stillbirths compared to mothers carrying just one baby. This risk increases 13-fold if twins share the placenta, and five-fold when they have their own placenta. Stillbirth risk also increases as the pregnancy advances so mothers are often delivered before their due date.