For once, my OB appointment was not cancelled today. Of course, it was actually with the nurse practitioner, who is not part of the hospital on-call rotation, so that helps. In general, it was the usual brief, uneventful visit. I’ve gained more weight, not surprisingly, but I think a lot of it is fluid retention. Blood pressure remains fine, heartbeats were good and easy to find.
I talked to her briefly about delivery options. Well, alright, I know what the options are. Assuming they stay in the same positions (one vertex, one breech), it depends on who decides to present or engage first. If little miss breech wants to be the first one out, then there is no choice: c-section all the way. If vertex boy pushes her out of the way, it depends in part on which doctor is on call if and when I go into labor. My doctor and one or two others are willing to do a breech extraction of the second twin (especially since she’s smaller). Other doctors will not. And all that aside, my OB’s practice gives the choice of a c-section to all twin moms, even if both are head-down.
First, I asked the nurse practitioner (who I love, by the way) whether she would prefer/recommend having the “choice” made ahead of time, if there ends up a choice to be made. For her two cents, she felt like she was personally more of a “planner,” and therefore would want to have her mind made up. This very much resonated with me, as I like to know as much as I can ahead of time. She then said that if she was in the situation of having twins and both were head down, she’d go for the vaginal. But, if it was her, if one of the babies was breech, she’d go for the c-section and not run the risk of the breech one getting stuck or not turning. This was absolutely her opinion, and I did not feel like she was suggesting that I ought to do the same thing. I had asked her personal opinion, and she gave it.
And you know what? In many ways, it was exactly what I wanted to hear. That pretty much sums up how I’ve felt all along. If by some miracle little miss manages to flip over again and her larger brother is presenting first, I might be willing to attempt the vaginal birth. But in pretty much any other situation, I really think I’m going to choose the c-section. It’s not without risk, and I know many people would choose differently. But this feels like the right decision for me.
I also asked when they might start talking about scheduling a c-section, in case I should go all the way to 37-38 weeks. She said I could absolutely start having that conversation with my OB at my next appointment (next week. yes, now they’re all weekly). Though I know I could just as easily go into labor on my own, I think it would be nice to have a date scheduled so that I have an actual end-point in sight.
So, what do you think would make a good birthday between August 10 and August 17 (37-38w)? Is a particular day of the week more desirable for any reason? I’m not really one to go for superstition or numerology, so I’d probably just as soon take whatever day they give me. But do chime in if you think any of those days is more auspicious than another!
(OK, funny thing. I just checked our family tree for other birthdays in that week. Turns out the only other twins in our families, one on my side and one on his, were born on the 15th and 16th of August. And as both sets are children of our male cousins, it has absolutely no impact on the fact that we are having twins. Just a very strange coincidence.)












