Thursday, October 3, 2013

About Pregnancy & Childbirth: Vaginal Birth is Safe For Twins

About Pregnancy & Childbirth
Pregnancy & Childbirth 
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Vaginal Birth is Safe For Twins
Oct 3rd 2013, 09:45

Newborn Twins

A new study out talks about the safety of vaginal birth for the vast majority of twins. The main criteria for safety is whether or not the baby closest to your cervix, known as Baby A, is head down. How often Baby A is head down is something most moms have no clue, but in this study in both the planned vaginal birth group and the planned cesarean group, Baby A was head down about 96-7% of the time. Having both babies head down, while nice, is not necessary for the safety of a vaginal birth, but that was over 60% of the time. This opens up a new look for many twin moms.

One of the problems with having twins is the risks that are associated with it. Twin B, the baby furthest from the cervix, is the twin most likely to suffer if there is a problem at the time of birth. This study did confirm those findings, but found that it was the same in both groups, meaning that having a cesarean planned to protect Baby B would not be helpful.

Given the added risks of cesarean birth for most healthy moms and babies it seems that a planned vaginal birth is still the clear choice for mothers who would prefer a vaginal birth. When I was having my twins, most of the twin mothers I met in class and at the high risk doctor's visits waiting room wanted to have a vaginal birth, but many felt forced into a cesarean birth. This gives them the data to back up their preferences with their practitioners.

If you had twins, did your practitioner encourage you to have a vaginal birth?

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Source:

Barrett, Jon F.R., Hannah, Mary E., Hutton, Eileen K., Willan, Andrew R., Allen, Alexander C., Armson, B. Anthony, . . . Asztalos, Elizabeth V. (2013). A Randomized Trial of Planned Cesarean or Vaginal Delivery for Twin Pregnancy. New England Journal of Medicine, 369(14), 1295-1305. doi: doi:10.1056/NEJMoa1214939

Vaginal Birth is Safe For Twins originally appeared on About.com Pregnancy & Childbirth on Thursday, October 3rd, 2013 at 09:45:48.

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