Twin Pregnancy – choosing a doctor or midwife

Twin Pregnancy – choosing a doctor or midwife

By: Kellie Asaro -

So, you’re having twins! After finding out that you are indeed expecting two, you will surely experience many emotions from bewilderment to elation. After that, you will need to decide who will be caring for you throughout pregnancy and the eventual birth of your babies.

CHOOSING A DOCTOR

You may already have a relationship with an OBGYN, but you will want to find out what their experience is with twins. Twin pregnancy is still considered “high risk” in the medical community. Although, due to the increase in twin births, numerous obstetricians are now very experienced in this area. You will need to balance the doctor’s experience with your particular pregnancy and preferences. If you have significant complications you will likely be referred to a perinatologist (a doctor who specializes in high risk pregnancies).

Always ask lots of questions and gather the appropriate information regarding your unique pregnancy to make the most informed decision.

You should be sure to talk to your doctor about your expectations, especially about how you want to birth your babies. Ask what their policies are on C-sections and/or VBAC (vaginal birth after C-section). How far will they let your twin pregnancy progress until recommending induction? Do you plan on having an epidural or avoiding one? What are your feelings on the use of forceps, suction, or episiotomies? Will you be allowed to deliver vaginally if one or both babies are not in a favorable position? Will you have to deliver in an operating room?

These are just some of the questions to ponder, and you may have to talk to a few doctors before you find the right one for you.

CHOOSING A MIDWIFE

Some women carrying twins will opt for a midwife as their primary caregiver. A midwife is someone who has modern medical knowledge, butapplies a more intimate and traditional approach when dealing with pregnancy and birth. They generally offer a more personalized experience by letting mothers take the lead in decisions regarding their situation. Midwives are the common choice for women that want a natural or home birth. While most will work out of birthing centers or be based out of a hospital, some will indeed assist you in your own home.

Finding a midwife for twin pregnancy might be harder to come by depending on where you live (not as many choices in rural areas). You will want someone suitably experienced in twin pregnancy and birth. And if you are opting for a home birth of your twins, you will likely be in need of two midwives as well as a knowledgeable pediatric nurse. If you plan on a natural delivery in the hospital, your midwife can assist you there just like a regular doctor would. If you suffer from too many complications (think preterm labor), a midwife and/or home birth of twins may not be in the cards. There are a number of personal stories of natural, home births of twins out there on the web. So be sure to do a search and read the experiences that other women in the same position have had. They are quite inspiring.

With either choice, try to remain flexible in your birth plan. Sometimes complications can crop up most unexpectedly with twins. Always ask lots of questions and gather the appropriate information regarding your unique pregnancy to make the most informed decision.

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