Twin Homebirth

Jodi - posted on 11/26/2010 ( 4 moms have responded )

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I am 26 weeks pregnant with fraternal twin girls. my blood pressure is ideal, my weight gain is low, I have non-symptomatic gallstones and no complications thus far. I live in Wisconsin btw.

I wanted a homebirth with my first daughter but was scared out of it by my doctor. I ended up having a "normal" hospital birth that I was hugely dissastified with. Finding out I was pregnant again I was determined to have a home birth this time around...then we found out it was twins and my doctor once again scared me away from it. BUT, I have done so much more research this time (research I so regret not doing with my first pregnancy) and learned so much that I am back on track and want a home birth!

IF I go through my hospital, I am all but guaranteed interventions. If I don't go into labor by 38 weeks I have to be induced, if I don't progress quickly enough I have to have a c-section. My OBGYN has admitted she can only recall one twin vaginal delivery in all her years and of course there were interventions (pitocin, epidural, episiotomy, forceps). The liklihood that I will have a c-section is so great she has urged me to make the date and has warned me that even if I attempt a vaginal delivery I still have to do so in the OR, not a birthing room and will have to have continual monitoring which means I can't be up and moving around. There is only one other hospital close enough for me (The closest hospital, the one I have thus far chosen, is still an hours drive) has basically the same policies.

What I'm wondering is, has anyone had a twin home birth? Can midwives perform twin homebirths in Wisconsin (I'm having a horrible time finding the laws on this). I'm not sure I qualify for homebirth since I live so far away from the hospital, but there is a midwife ran birthing center 20 minutes away and I would be willing to do a birth there instead of home, I just really don't want to go through a hospital.

Lastly, I know a lot of people are misinformed about homebirths, so unless you come armed with facts proving that it's NOT safe, feel free to refrain from posting, this is not a debate about whether or not one should homebirth, I am asking for advice, support, experience and insight on a twin homebirth (or birthing center) from people who know what they're talking about!!!!

Thank you in advance!

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Kelina - posted on 11/27/2010

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Call around and ask some midwives if they're willing to take you on, and if they're willing to have you birth at home. If you can't find any, call the birthing center and ask what they recommend, or if you can just show up there etc. If you're a low risk pregnancy I don't see why they wouldn't allow you to birth at home unless one of the babies was footling breech. Congrats on your little ones, I'm having mine at home, hopefully soon!

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Alice - posted on 11/27/2010

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Oh, and... forgot to mention.

Today midwives show up at your house with all the essentials that doctors have at hospital that are needed for everything (short of an emergancy C-section). My midwife is a certified nurse-midwife and has oxygen and has unwrapped cords from babies' necks, turned breech babies, done episiotomies if needed, stitched up tears & episiotomies, and many other things that are rare for her, but she has done them and was trained to do them. :)

Alice - posted on 11/27/2010

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I've had 3 natural homebirths. My first was a "natural" (no drugs, vaginal delivery) hospital birth but I was pretty much shoved around and hated it.
My friend, Misty, is a direct entry midwife and she has 6 children; her last 3 at home. Her last was a set of fraternal twin girls, who are now 15 months old. They were born at 41 weeks and each weighed about 7 pounds. Her first came fast, the second was delivered breech, but they were both fine; eating and everything within a few minutes of birth.
My midwife (I met Misty after my last birth) has delivered two sets of twins at home. I was originally carrying twins last time and that's why I got a lot of information about home birth and twins and made sure my midwife was comfortable with delivering twins. (Mine were fraternal and I lost one of them about 14 weeks - my Jaquline came at home about 41 weeks, as I normally deliver around 41 weeks)
I talked with both of the moms who my midwife helped birth twins; one delivered at 43 weeks (they weren't really sure of her date, though) and her twins were identical, she had a water birth and had both without complications within 4 hours of labor beginning. Her babies were just over 8 pounds each. The other mom had fraternal twins, one of each. They were born about 41 weeks and she was in labor for about 6 hours. Her birth was also uncomplicated and she said (she had 3 other kids she'd delivered at home) that delivering twins was like "two births for one labor." Her boy was born first at just over 7 pounds and her girl was just over 6 pounds.

I'm perfectly comfortable with twin homebirth and would go through with it if I were having twins. If there's a direct entry midwife (one who delivers at your home) around, ask her for information. She will love to help you and will have knowledge of all the laws and everything. Basically, my understanding is that if midwivery is allowed (and in most states it is in some form) then it doesn't matter about the number of babies. Just find a midwife who is willing to deliver twins :) My experience is most are. All the midwifes I know either have done it or have been assistant to at least one twin birth.

If the birthing center is run by midwives, they usually are very homey and unrestrictive in their policies and usually have access to an OB or emergancy services if needed; I'd check that out if you (or your husband) would be more confortable with that option.

I say you know best. Honestly, I have considered, researched (I live in Florida), and would have done a twin birth at home. I have done three home births.

Ultimately, you have to research and find out what your options are where you live. Sounds like you just need a midwife who is willing to help you birth your twins!! Congratulations on your babies & good luck with your birth!! :)
~Hope this helps

Lisa - posted on 11/27/2010

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My second daughter I was with midwives and was going to have a home birth (unfortunately there was complications and I needed an emergency C section). I was pretty upset about not being able to have the home birth that I was planning. I don't know about twin home birth but why don't you contact the mid wives for their opinion - they are the experts and should be able to give you some great ideas and advice!

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