A c-section known as a cesarean section is something many of us think
about when having twins. Though the probability is higher with
multiples, many women with a twin pregnancy give birth vaginally. It
will depend on the presentation of your twins (the position they are
laying) and any complications that may arise whether or not a cesarean
birth is required.
Pain Management - Cesarean
sections can be performed using an epidural, numbing you from the waist
down. This allows you to be conscious during the procedure, a screen
will be put up so you are unable to see the operation.
case of an emergency c-section a general anesthesia will be given which
completely knocks you out for the entire operation. If attempts have
been made to give birth vaginally and an epidural is in place you may be
able to just top this up and remain awake for the birth of your twins.
Cesarean Section – A
cesarean birth is an incision across the bikini line in your abdominal
wall then through to the uterus, you will be shaved just along the top
where the incision will be made. A catheter and a IV drip will also be
inserted. Your twins will be lifted out one at a time followed by the
placenta. As long as there are no complications your partner will be
able to hold your beautiful twin babies almost straight away, you will
be able to cuddle your newborn babies once the incision has been close.
Combined Vaginal & Cesarean Section– Giving
birth to Twin A vaginally then delivery Twin B via cesarean section is
very uncommon. Usually a combined vaginal and c-section birth occurs for
the second twin when the following has occurred:
Cord Prolapse – cutting the oxygen supply
Presentation of Twin B and unable to move baby to deliverable position
Placental Abruption – the placenta tears away from the uterus prematurely
This would be classed as an emergency c-section delivery
Video of a Twin C Section
Watch this amazing video of twins being born via a cesarean section.
**Parental discretion is advised. Please be aware this video contains graphic images of a cesarean section delivery.**
A cesarean section is a major operation and it will take a minimum of
6 weeks to recover. During this time it is advised to lift only your
baby and to cut out even the basics of household duties.
It is also important to eat well and get plenty of rest as well
as doing very light exercise which should be discussed with your doctor.
Ask and accept help from family and friends. After a c section
and trying to look after your twins can be very tiring, let alone if you
have other children to attend to.
Every woman is different and recovery times will vary from mom to mom
Reasons for a C-Section
There are a number of reasons a cesarean birth may be on the cards,
you may elect a c-section or for various reasons it may be a necessity.
Every person is different as is every birth.
Discuss your unique twin pregnancy with your health care professional.
Your babies are both breech or transverse (sideways, which is uncommon).
Labor is failing to progress , your cervix is not opening and your babies may be distressed.
Have had a cesarean section previously ,
in which case you may have a planned cesarean birth. If you have
previously had one c section it is very possible you could deliver
naturally, this will need to be discussed with your doctor or midwife.
Fetal Distress – Usually due from lack of blood flow to the babies and limited oxygen.
Cord Prolapse –
When the cord is visible from the vagina before the baby is born
partially cutting off the bloody supply, though this is uncommon.
Cephalopelvic Disproportion – This is when the baby’s head is larger and/or the pelvic is too small for the baby to be delivered vaginally.
- Where to placenta is low in your uterus and covering the cervix
(opening) either entirely or partially, making it impossible to deliver
vaginally. It is occasionally possible to deliver naturally if this
condition is very minor.
A cesarean birth may be advised for you have had a previous vaginal delivery with complications.
Suffering from serve preeclampsia decreasing blood flow and oxygen levels may result in a cesarean section.
If your twins are monochorionic If
your twins are monochorionic, sharing an amniotic sac, it is sometimes
recommended to deliver via a c-section. This is due to the risk of the
umbilical cords becoming entangled during a vaginal delivery.
Placental Abruption is when the placenta detaches from the wall of the uterus prematurely reducing oxygen reaching your babies.
An emergency c-section may be performed if you are hemorrhaging and
losing a dangerous amount of blood during pregnancy or labor. One reason
for this occurring is when the uterus tears called Uterine Rupture, an
emergency cesarean section will be performed for the birth of your
As some occurrences for a cesarean section can be unexpected it’s a good idea to include this in your birth plan.
Reducing the possibility of a C-Section
It's important to always get advice from your doctor or midwife regarding a cesarean section.
Keep healthy with light exercise (as advised by your health care professional) and good nutrition:
A Healthy Pregnancy Diet
Under the advice of your
practitioner, confirming you are low in iron from a blood test, iron
tablets could be taken along with vitamin C for better absorption, this
could help to prevent hemorrhage.
Prevent infections by keeping wounds thoroughly cleaned and inform your doctor or midwife of any swelling and deterioration.
During labor try to be as
mobile as possible doing things like, standing up, very short walks,
gently rocking your hips from side to side in a stand up position
leaning over the bed and/or gentle leg movements. This will help prevent
blood clots and will also aid the leading twin to descend. Assuming the
leading twin is head down.