Twin pregnancies have increased in the last years. case of every 100, and now it is one case out of every 80 and the figure increases. This is due among other reasons to the increased use of fertility techniques and the elderly age of mothers (from 35 years there is more chances of twin pregnancy). If this is your case and you expect twins or twins, it will be good for you to read this post to know everything you need to know about twin childbirth.
What is a twin birth and what risks does it have?
A twin birth occurs when you are pregnant with 2 babies. They can be identical twins (which is when a single egg is divided into two) or twins (two eggs fertilized by different sperm). You can see more about this in our post “Twins or Twins Pregnancy”.
Multiple births have greater risks than single baby deliveries. Normally they are premature births, usually last about 35-37 weeks only while a normal pregnancy reaches 40 weeks. This is why the uterus cannot expand further by having two babies inside. Premature babies are not yet fully developed, so there will be a risk depending on the week of pregnancy. Normally they’ll end up after delivery in the incubator.
Preeclampsia is also a risk factor during pregnancy, which is usually present during multiple pregnancies . You need to follow up to control these risk factors.
A twin pregnancy is a unique and exciting experience, but it also brings a lot of doubts and fears. Knowing what childbirth will be, whether it will hurt more, whether natural childbirth can be done… are the common doubts of a woman pregnant with twins.
What is twin childbirth like?
The time of childbirth is a time that scares many mothers, especially if more than one baby comes on the way. The risk that they will arrive early and what will be the time of childbirth, is something that disturbs many future mothers.
Your doctor will be the one who can first solve all your questions about the time of delivery. If it is possible in your case to try a vaginal delivery or it has to be by cesarean section (most likely). If you both come upside down you can try vaginal delivery. If you both come from the breech, you’ll have a cesarean section. If one is on the stomach and one on the buttocks, if the one who needs to be born first is on the stomach, vaginal delivery can be attempted. If it won’t be for cesarean section. There are other issues that may determine whether it is done by cesarean section even if they come head-to-head, it will be your doctor who will determine what is best for your case.
Vaginal birth of twins
If it is due to vaginal delivery, when delivery begins, you will be connected to a fetal monitor to monitor the condition of babies. Contractions will become more intense and regular, and the dilation phase is usually slower than that of a single baby pregnancy. That’s why you’ll have more time before you go to the hospital. Come without hurry but without pause.
When you are dilated about 4 centimeters they will put the epidural, if there is nothing to contradict it. I’ll be the doctor or the midwife who will tell you when you should push. Because babies with twin births are usually smaller than in a single pregnancy, the expelling phase is usually easier. The first will be the big brother. You can embrace them as soon as you are born to make skin with skin.
After childbirth there is no expulsion from the placenta. Multiple pregnancies have a higher risk of bleeding so you need to monitor well to control. If your babies weigh less than 2.5 kilos, they will have to spend a few days in the incubator to regain weight. If it is cesarean delivery you can also do skin to skin after delivery. You’ll have to do more rest as recovery.
Because you remember… a twin pregnancy is twice as happy. Enjoy this special moment.