It's fairly rare that twin pregnancies go as far as 37 completed weeks of gestation. It's also rare that the twins are in an orientation inside the womb in which the OB is comfortable attempting to deliver the twins vaginally. This morning at around 4 am, both scenarios presented themselves.
In our hospital, all twin deliveries are attended by the NICU resuscitation team including the neonatologist. At 4:15, my delivery phone went off indicating that we were to attend the delivery of 37 week twins in the OR. My thought was that it would be a Cesarean Section, be quick, and at 37 weeks, the twins would be fine, and I would be back in the call room in 20 or 30 minutes. I entered the OR to find that they were set up for a vaginal delivery (Twins are always delivered in the OR in case they have to convert to a C-Section). The first twin came out kicking and screaming at 4:35, got supplemental oxygen briefly, had APGAR scores of 7 and 8 and was ready for the newborn nursery shortly.
The mother then proceeded to push for ~ 2 hours in an attempt to deliver the larger second twin. All the while, we waited with baited breath. Surely the next contraction will be productive. At quarter til 7, the OB offered the mother three choices. One : continue to push, though no progress was really being made. Two : attempt a vacuum extraction ( a vacuum device is placed on the baby's head and he is gently pulled down). Three have a C-Section for the second twin. She decided to try the vacuum extraction. It didn't work. At 10 til 7 she opted for the C-Section. At 7:10, the second, much larger twin was born by C-Section. He required a little more oxygen and stimulation than his brother and had some bruising and molding of the head, but was otherwise healthy and also able to go to the newborn nursery. Being that it was 7:30, and my alarm had been going off in the call room for half an hour, there was no point in trying to go back to sleep.
All's well that ends well, but I really wish that I had asked that I be excused at around 5 and had them call me back when delivery of the second twin was imminent, two hours of sleep that I'll never get back!
Monday, February 8, 2010
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Welcome back! I found your blog a few weeks ago and I absolutely love the content. Please keep writing.
ReplyDeleteThanks Mom! I've gotta tell you I love hearing from you! Comments like yours are what got me back into it!
ReplyDeleteWhen you stay up at night your supposed to bring some business!!! I know it is a terrible thing to wish for!!! Keep up the wonderful stories!!
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