What to anticipate Throughout the Labor and Birth of Twins

 

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Video taken from the channel: Jasmine Marie BSN, RN


 

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Induction Day! Labor and Delivery of Twins

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Video taken from the channel: Kendra Atkins


 

LABOR & DELIVERY VLOG | TWINS!

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Delivering Twins

Video taken from the channel: MUSC Health


Position of Twins During Labor. The position of the babies in the uterus will largely determine how the twins are born—vaginally or by cesarean. About 40% of twins are both heads down (vertex) at term, another 30% see the first baby (Twin A) vertex, and Twin B in a breech position.   Both of these positions are acceptable to consider a vaginal birth. And in fact, many women carrying twins do go into labor naturally during this time. However, when a twin pregnancy goes too long there is a possibility of depletion of the placenta which may lead to devastating consequences. Because of the significant load that is put on the placenta during a twin pregnancy your physician may want to induce labor or plan a Cesarean twin.

The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. This educational content is not medical or diagnostic advice. Here’s what you can expect from your labor and delivery: Labor. Your labor may begin very similarly to a singleton labor — either with contractions or with your water breaking.

With a twin vaginal birth, you run the risk of having an emergency C-section for the second twin. Once the first baby comes out, there is no telling what the second baby will do. With all of the newfound space, it is possible for them to flip around and have the umbilical cord wrap around their neck, or go into distress. During this phase, contractions become more frequent, helping your cervix to dilate so your baby can pass through the birth canal.

Discomfort at this stage is still minimal. What to Expect During the Labor and Birth of Twins. By Robin Elise Weiss, PhD, MPH Types of Labor and Delivery Complications. By Robin Elise Weiss, PhD, MPH Discussing With Your Provider About a VBAC. By Robin Elise Weiss, PhD, MPH When Should You Cut Your Baby’s Umbilical Cord?

Usually the doctor will rotate the baby’s head a quarter of a turn to be in alignment with the baby’s body, which is still inside you. You’ll. This phase typically lasts up to 12 hours although it’s usually considerably shorter for second and subsequent babies.

As labor progresses, the contractions get longer and stronger. Active phase. Often this phase lasts up to six hours, although it can be a lot shorter. You should be in the hospital or birth center by now or en route. Women who are expecting twins or higher order multiples often wonder if they will be able to have a vaginal birth, or if they will be required to have a cesarean section.

Well, as long as your labor is uncomplicated, it is entirely possible (and usually recommended) to deliver both babies vaginally.

List of related literature:

You’ll get a chance to view the triage/registration area, family waiting rooms, the labor and delivery wing, and the postpartum floor—if the hospital offers both LDRs and LDRPs, ask to see both.

“The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth” by Genevieve Howland
from The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth
by Genevieve Howland
Gallery Books, 2017

In practice, after the birth of the first twin, it is customary to wait for half an hour, thereafter inducing pains with amniotomy for the second of twins, followed by oxytocin stimulation of uterine activity.

“Practical Guide to High Risk Pregnancy and Delivery E-Book” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Practical Guide to High Risk Pregnancy and Delivery E-Book
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences, 2012

First, we’ll discuss giving birth at a hospital—what to expect, who will be helping with the birth and so on.

“Expecting 411 (4th edition): The Insider's Guide to Pregnancy and Childbirth” by Ari Brown, Michele Hakakha
from Expecting 411 (4th edition): The Insider’s Guide to Pregnancy and Childbirth
by Ari Brown, Michele Hakakha
Windsor Peak Press, 2017

Normal labor and delivery.

“Maternity and Women's Health Care E-Book” by Deitra Leonard Lowdermilk, Shannon E. Perry, Mary Catherine Cashion, Kathryn Rhodes Alden
from Maternity and Women’s Health Care E-Book
by Deitra Leonard Lowdermilk, Shannon E. Perry, et. al.
Elsevier Health Sciences, 2014

• Making sure you have an adequate social support plan for labor and delivery.

“The Pregnancy and Postpartum Anxiety Workbook: Practical Skills to Help You Overcome Anxiety, Worry, Panic Attacks, Obsessions, and Compulsions” by Kevin Gyoerkoe, Pamela Wiegartz, Laura Miller
from The Pregnancy and Postpartum Anxiety Workbook: Practical Skills to Help You Overcome Anxiety, Worry, Panic Attacks, Obsessions, and Compulsions
by Kevin Gyoerkoe, Pamela Wiegartz, Laura Miller
New Harbinger Publications, 2009

With twins or multiples, always be prepared for more than one resuscitation, and call for assistance.

“Nancy Caroline’s Emergency Care in the Streets” by American Academy of Orthopaedic Surgeons (AAOS), Nancy L. Caroline
from Nancy Caroline’s Emergency Care in the Streets
by American Academy of Orthopaedic Surgeons (AAOS), Nancy L. Caroline
Jones & Bartlett Learning, 2017

With twins, always be prepared for more than one resuscitation, and call for assistance.

“Emergency Care and Transportation of the Sick and Injured” by Andrew N. Pollak, Bruce D. Browner, Carol L. Gupton, American Academy of Orthopaedic Surgeons
from Emergency Care and Transportation of the Sick and Injured
by Andrew N. Pollak, Bruce D. Browner, et. al.
Jones and Bartlett, 2002

Normal labor, delivery and puerperium.

“Intrapartum Management Modules: A Perinatal Education Program” by Betsy B. Kennedy, Donna Jean Ruth, Elizabeth Jean Martin
from Intrapartum Management Modules: A Perinatal Education Program
by Betsy B. Kennedy, Donna Jean Ruth, Elizabeth Jean Martin
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

Talk to friends who’ve attended the births of their children – you’ll probably find that they were stressed out about the birth beforehand, too, but that they came through it like pros.

“What to Expect When You're Expecting 4th Edition” by Heidi Murkoff, Sharon Mazel
from What to Expect When You’re Expecting 4th Edition
by Heidi Murkoff, Sharon Mazel
Simon & Schuster UK, 2010

Epidural analgesia and the delivery of twins.

“Chestnut's Obstetric Anesthesia E-Book” by David H. Chestnut, Cynthia A Wong, Lawrence C Tsen, Warwick D Ngan Kee, Yaakov Beilin, Jill Mhyre, Brian T. Bateman, Naveen Nathan
from Chestnut’s Obstetric Anesthesia E-Book
by David H. Chestnut, Cynthia A Wong, et. al.
Elsevier Health Sciences, 2019

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • Crystal, I just watched your video of you giving birth to your twins. I am just in awe of how lovely you looked. You were stunning. All of That genuine inner beauty of goodness, lit your skin and face with such sheer radiance. The one word that keeps coming to my mind, is Heavenly��

  • I am expecting my mo/di identical twins girls sometime in June probably. I truly hope I’m able to deliver them as naturally as possible. I’ve had two little girls already, so I feel like I can do it. As long as babies cooperate and get their heads down!

  • Are you for real Crystal!? I have never seen a child birth ever that so quiet & calm. You are a Dr’s & nurse’s dream patient! You are the strongest woman! I hope your husband was blown away by how amazing you handled that whole experience! I love that you guys didn’t know the gender until they were born! How fun! I didn’t know what my 1st child was until she was born & there’s just something about that.

  • Awww Crystal……that was so special. Watching the boys run around now and going back and seeing their births. You are an amazing mom.❤

  • I love baby twins i i was make cry and smile and i going having baby twins boy and girl name derek bart and odette lisa middle names from the simpsons and first names from the swan princess from nest family animated stories from testament and i love babies with all my heart ❤����

  • First time watching your BEAUTIFUL FAMILY!!!!! You did so good mommy!!! May God Bless you both, and you Gorgeous daughters!!! ����������
    ❤️��

  • I hope I will strong like u Thai videos really mom makes so great and comfortable to think about deliver a baby loved all the part of Ur part u r very strong women’s are stronggg

  • Congratulations guys may god bless you and your beautiful baby girls I’m due in March 2020 I’m also having twins I’m scared of c C-section and by the look of things I’ll be doing it can’t wait though I’m excited about seeing my boys

  • I was pregnant in 2016 I also was nine months pregnant with twins walking across my graduation stage for high school. My water broke a week after graduation. I had twin sons baby a was 11 pounds baby b was 10.5 pounds both 21 inches long

  • My favorite parts are:
    1. 3:31min❤️
    2. 3:35min❤️
    3:38min❤️
    3. 3:49min❤️
    4. 3:52min❤️
    5. 5:37min❤️
    6. 5:44min❤️
    7. 5:54min❤️
    8. 6:04min❤️
    9. 6:22min❤️
    10. 6:25min❤️

  • I see they are 2 yrs old now. How fast they are growing. Enjoy every minute as you are noticing by now they are growing so fast and will continue to. Daddy wow two beautiful daughters that before you know it will be teens!!!! We had 4 teen girls and a teen boy all at once. Enjoy them so much!!!!

  • Awwww i could tell she wanted one to be a girl, but estatic that they’re both thriving… im hoping for a boy and a girl with my twin preganacy. But ill take healthy of any sex ����

  • oh my goodness caitlyn, congratulations!!!! i cannot begin to imagine how it must have been for you to go through all of this during this time! but both babies look adorable and hope all is well beauty xxxxxxxxxx

  • I love baby twins i going having baby twins a boy and a girl names derek bart and odette lisa middle names from the simpsons and the swan princess from nest family animated stories from new testament����❤�� i make me cry and smile for my children

  • I just found out April the 4th Im having twins they are due October the 16th, but my doctor says if we still have a baby at 37 weeks September the 25th they will go ahead and take them

  • I thought you got clothes for a little girl? In the closet tour ther was little girl stuff, not two boys! Was the 2nd on a surprise and hey just got the ended wrong?

  • Why induce? Twins arent as dangerous to wait for a natural birth. My midwife delivers twin all the time at home. But at least they are happy and strong.

  • Congratulations, Crystal! I am so excited for your sweet little family! Welcome to the world sweet baby Andrew and Ethan! Love the smile on Dad’s face when they were born and he turned the camera around! Awesome!!

  • How miraculous! Congratulations!! We have 3 boys and a girl too. And our last little guy who is 17mo is Mark Andrew hahaha! ��❤️��❤️

  • I did tear up! Thank you for sharing such a beautiful and sacred part of your family’s life! What every mom. dreams of. Seriously, it was much better than your Pinch Me vid, but I hope they send me a box. I know why you said it was painful to bend over now! God Bless You and Yours. ♡ Cindi

  • My mom was an ivf mom in the 90’s and my twin brother and I were born four hours apart (almost on different dayswe have different moon signs!) and my mom delivered us both vaginally! a hero! and then she had no more kids lol

  • My son who is now 37 was born Dec. 16 I always gave him a few small gifts & his big gift on his birthday then about 5 small gifts for Christmas he never complained.

  • I feel like the hospital was unfair to you. They made you come in early to induce you because it was more convenient for them (they had room). Unless the girls were tangled in another way…I’ll see, I think it’s so wrong that they force moms into labor, then push c-sections on them.

    My midwives warned me of hospital births because of this. I’m pregnant with my third and after seeing this video and another birth video, I think I’m finally gonna do an epidural. It looks way easier than non-medicated 42 hour births (my last one)!

  • I’m so glad I found this video. I’m having twins in January. I have been wondering/anxious about how it will be during this pandemic versus my previous deliveries. Thank you for sharing.

  • If and when i being a mother i also would want natural birth c-section is the most scariest thing there are so many things that can go wrong

  • Thanks so much for sharing these moments. Pregnant, and really wanting that vaginal birth experience too. I teared up when you were crying! What a trooper! Congratulations on 2 healthy babies!! Wonderful husband too!:,)

  • I was leaving local hospital after seeing me mum poor l on the stairs midwife told lady go for walk poor woman crying she gave birth on stairs not one midwife came to het.she given pictin told her after that drug need to walk.18hours long time I was in labour 24hours screaming for pain killers not given any,,,I took raspberry tea..3days no woman should labour 3days,go though 3days still end up having c section good husband there
    .

  • Your babies are so cute! I just found out I’m having identical twins due October 2020 and found your video. Thanks for posting and I loved every moment. ❤️❤️❤️

  • Amazing….thank you for sharing. You have no idea how your experience has helped me. I’m suffering from depression and anxiety due to a divorce. My doc suggested surrounding myself with the things that make me happy. For me…. it’s BABIES! And your video truly made me happy, it was a joy to be a part of your situation. Thank you. You have been blessed with such a beautiful family! xo You did great by the way, I’m very proud of you. (Both)

  • Thanks so much for the support even when you’re so busy with those precious babies! I always wanted twins, but no luck!
    What a lucky momma you are!❤️

  • Girl, I just saw your twin birth! I’m confused…..you must have not known the genders!!!!! LOL! They are so precious & you’re A “GREAT MOM!” How much did they each weigh? You delivered like a pro!

  • I feel for you! I really want to try to have a vaginal birth too but don’t know if it is even option since I had an ovary removed in November 2018. They were suppose to make 3 small incisions to remove it but wound up cutting me open like a c-section. Guess that is something I need to ask about on my appointment on Feb 5th. I should be around 8 weeks and will be having my first ultrasound for this pregnancy. I did have an ultrasound during week 6 on my last pregnancy but it ended in a miscarriage so I’m really nervous. I never seen a baby or a heartbeat during that time

  • Die Geburt ist ein so extrem emotionaler Weg, egal wie das passiert. Aber ich kann verstehen das sie sich sehr wünscht das es naturell geschieht. Ich habe mein erstes 28 Stunden erkämpft und ich würde es wieder ertragen. Wie dein Mann schon meinte, das erste Gefühl Eltern zu werden……..wenn Pläne über Bord gehen, und das wird noch sehr oft geschehen. Besonders mit zwei Kindern wird es oft alles andere als nach Plan gehen. Liebt und genießt es, dieses wundervolle Geschenk.

  • Pregnant with boy girl twins and this made me cry and i cried with you when you decided to get a c-section �� im really scared of getting one

  • They are so precious Crystal! I’m enjoying these updates! Be sure to let me know if you’d like baby shoes for your two little men! LittlePeachShoes.etsy.com
    Promise I won’t bug again ��

  • Awwww you made me cry @ 10:09. As a Mom of 3 I can’t imagine having that experience robbed. But you did all you could do. I just think they should have done it earlier instead of making you go through labor for 3 Days. I feel terrible for you. But you did great Mama. Congratulations on your beautiful baby girls!!! They are really big for twins. Gorgeous. It was adorable when she recognized her Daddy’s voice immediately.

  • You Guys are like parent goals! Showing the true nature of the situation with crying is nothing short of heroic! Seriously! I’m a total mega fan as a twin mum of boy/girl 3 year olds myself, and new to the youtube situation, your video totally resonated with me. My birth was also traumatic and the love you guys have, is simply beautiful to see. I cannot wait to watch the rest of your video’s since to watch your journey unfold ������ xxx

  • Those babies are beautiful! COngrats I hope all is well a few years later! <3 I do want to say, this is why I am so against induction! God gave us natural labor for a reason, why these docs want to rush us if nothing is going wrong I will never understand. I have 3 kids, my oldest is 12, i went natural and is was beautiful. My 2nd is 4, i was induced and had I knew how stressful it would be on myself and the baby I would have refused. That was absolutely miserable bc i wouldnt dilate either, obviously bc my body wasn't naturally ready! I am high-risk bc of 8 miscarries 1 being an ectopic, but not bc of anything labor or delivery related. So there was no reason to induce me, and if there was nothing wrong during your pregnancy why rush the babies? Bc docs want to control on their time, not babies natural time. My 3rd just turned 1 in july, they tried to get me to do induction and i refused! You have that right to deny it so I did. My pregnancy was perfect so why rish baby? He came when he was ready nd I did everything natural and primitive and it could not have been more perfect. I'm so sorry you didn't get to experience that but on the bright side you have 2 healthy babies and that is most important <3

  • Great video YouTube beautiful girls congratulations just wanted to let you know there was hardly any sound on it. God bless in much love

  • Sorry other than the 1 baby having the water pop’ed I don’t agree with the surgery,if the babies were in good health with no issues they should’ve WAITED chances are the way the “Parents” acted beforehand like oh can’t wait to see them I bet you 10 to 1 asked or begged Dr to have the surgery done…An just before some dumbass says I don’t know child birth I’ve deal with worse every single day before you run your mouth so go right ahead if you CHILDREN have to Bitch an Moan,but even after the surgery an she’s holding a baby even said they decided to go with C-Section witch double makes me think they asked/begged dr for it an I’m sorry Dr. was WRONG an should be FIRED!!!