Are you pregnant with twins, triplets or more? Connect with other expectant parents, ask questions and share your support.
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Hi there, I am currently 27 weeks with DCDA twins, & one of my twins has a brain structural abnormality. Because of this I have decided that I would like to request an elective c-section to reduce my anxieties around any further potential issues occurring for him during labour. I was originally under the care of my local hospital (Royal United Hospital, Bath) for scans until twin 1’s problems were picked up on my 20 week scan. My care was then transferred over to the Foetal Medicine Unit at St. Michaels Hospital in Bristol, which is where I now have all my scans & speak to the consultant. My midwife team is based in my local town of Paulton hospital. Currently I have been told that I am still able to birth at my local hospital in Bath instead of having to go to Bristol, although this could change if twin 1 requires any immediate surgery straight after birth as a result of his issues (not likely). I had a midwife appointment today & asked her when my birth plan would be discussed, as know from reading lots of information that twins can arrive anywhere between 32-37 weeks & assume that a date would need to be set in advance for an elective c-section. In this appointment the midwife said that it is usually discussed at my 36 week appointment, to which I explained that this would be too late as twins are often advised to be born no later than 37 weeks. Unfortunately she didn’t seem to have much understanding around a twin pregnancy. My next midwife appointment is at 31 weeks which is a telephone appointment, not a face-to-face appointment. So I am now worried that it won’t be recorded in my notes or arranged. This is making me highly anxious in an already stressful pregnancy given the difficulties my twin 1 may have when he is born. I apologise for the long email, but am hoping that someone may be able to give me some kind of advice as to what I do about this situation!
If you are seeing a consultant, isn’t it the consultant that you speak to about your birth plan? I’m expecting MCDA twins, currently 22 weeks. My midwife has said she’ll see me for the usual urine tests etc, but I saw the consultant at 16 weeks and he set a date for discussing birth plan of 31 weeks. He said if anything happens before then, it’ll be a C Section, so nothing to discuss, but otherwise that’s when we’ll nail down details. My midwife is just checking up on routine stuff but isn’t involved in the birth plan as it’s going to be consultant led. She said not to bother filling in the birth plan part of my handheld notes as they don’t even look at those in these cases, the midwives present at the section will want to know your feelings about skin-to-skin and feeding, but you can just tell them at the beginning of the procedure as you’ll be able to talk.
Congratulations on your pregnancy. I had thought, as I am expecting DCDA twins - that given the risk you have improved continuity of care. That’s certainly what I’ve been told. I would raise your concern with regards to the lateness of planning with your obstetrician. You’re allowed to be as vocal as you need to be with regards to your care and choices! Keep pushing for clarity and answers. I would be the same in terms of wanting more of a definitive plan especially given what’s going on more broadly, coupled with your circumstances. That sounds too late given when twins can arrive from. Naturally birth plans change but that’s not the point here. Very best of luck to you. You will get there. Gemma x