As for labouring twins, there are subtle differences and some things that someone labouring just one baby won’t experience. Mum's body needs to do more work!
If you happen to find out you’re
carrying twins, the pregnancy journey is going to be extremely different than
just carrying one baby. This is true right up until the last moments of
pregnancy: the stages of labour.
Labour is the time in pregnancy
where the body gets itself ready to deliver the babies. This involves a lot of
muscle contractions and dilation of the cervix. During labour, it is normal for
a woman to feel a lot of pain and discomfort.
As for labouring twins, there are
subtle differences and some things that someone labouring just one baby won’t
experience. There are more things for the doctor and prenatal team to be aware
of. There is more work that the mum’s body needs to do. It is literally double the
effort to labour two babies.
Here are some of the things that
need to be taken into account when labouring twins.
1. Timing is key
delivery time is really importantfor twins. The final stage of labour is
the delivery, which involves pushing the baby out of the birthing canal. When
this happens, the baby and the placenta (the organ that has been providing
nutrients and oxygen for the baby inside the womb) both come out.
When giving birth to twins, it is
important that baby number two comes out straight after baby number one and the
placenta, otherwise it will be deprived of oxygen. This is why doctors will be
keeping a close eye on baby number two’s movements.
There is up to a ten minute time gap
that doctors normally allow as the maximum. Of course, this is on a case by
case basis. However, after this amount of time, there is more risk of
complication or twisting of the umbilical cords.
2. It takes a little longer
labour timegenerally increases with twins. This is because, obviously,
there are two babies that need to be pushed out of the womb. One of the main
reasons for this is because the uterus is stretched so much to hold the twins
that it makes it harder for the cervix to dilate.
The muscles in that area are already
working so hard to support the uterus, that working for dilation is more
straining. The harder the muscles have to work to achieve dilation, the longer
time it going to take. There is much to do with this, otherwise than prepare
early on for a longer, more painful labour. Bringing plenty of things with you
to the hospital to boost comfort is a good idea, such as a favourite pillow or
favourite herbal tea to have throughout the time.
3. You will be monitored closely
the heart ratesis a key priority for doctors during labour. Given that
there are three heart rates that need to be monitored, the doctor is extra
attentive. During early labour, the heart rate of the babies is monitored with
an external belt around mum’s waist.
As labour progresses, there will be
two or three foetal heart rate monitors set up. All the while, mum’s heart rate
will also be monitored as well during the process. This does mean a lot of
cords and beeping going on in the delivery room, but it is obviously for very
important reasons. The doctors can tell a lot about how the delivery is going
based on these heart monitors. It also indicates whether medical intervention
will be needed at any point.
4. Pain relief is recommended
an epiduralis more encouraged when labouring twins than a single baby. In
many cases, an epidural will be administered in a single baby delivery, but in
the majority of twin deliveries women take the epidural.
Even when things are going well with
the labour and the twins are in the right position, doctors will still
encourage the epidural given the pain that is about to happen. Accepting this
form of a pain relief is a wise idea, given that the labour is going to be
longer and more painful when it comes to delivery twins.
5. There is more room for risk
increased chance of a high risk labour happens with twins. High risk labours
include when things go wrong, such as preeclampsia, cervical problems, or
increased blood pressure. However, the odds are very good with delivering twins.
Thanks to support from doctors and
prenatal teams, it is becoming easier and easier to ensure labouring twins
doesn’t enter the high risk category. The main reasons for high risk labours
come back to pre existing conditions. Other things that can contribute to a
high risk pregnancy are pre-existing conditions such as being overweight or
having a small pelvis. In these cases, doctors will have a recommended birthing
6. Babies need to be in the right position
positioning of the babies can influence how the labour goes with twins. At
the beginning of early labour, the doctors will establish if the first baby is
facing head down or not. If so, a smooth labour may begin.
However, the position of baby number
two can change as baby number one pushes down on the cervix. This can often
result in breeching, and sometimes the need for a C-section. Most of the time,
doctors can manually turn the second twin during the labour. If not, an
emergency C-section may need to happen, in which case doctors will be well prepared
to guide you through.
7. The weight of the babies is less
birthweight of twinsis significantly less than that of a single baby.
Given that twins are sharing the space in the womb as well as the oxygen and
nutrients from the one placenta, it isn’t too surprising that they are
For full term single babies, the
average birth weight is 3.1 kilograms. For twins, the average weight is 2.2
kilograms. That is a substantial difference, but remember that weight number is
for both twins, so it is still double!
8. The cervix has to stretch for longer
cervix muscles stretch morewhen labouring twins. The cervix is the opening
of the birthing canal, which connects the uterus to the vagina. Therefore, the
cervix needs to open to let the babies come out. In any labour, the cervix
dilates to 10 centimetres, about to the size of a bagel.
In case labouring twins, due to the
added pressure on the opening of the cervix, the chances that the cervix might
dilate prematurely thereby creating a higher risk ofpreterm labourfor the woman.
9. Two types of birth is possible
a mixed delivery is a common occurrence with twins. This is when one baby
is born vaginally, and the other is born via a C-section. This will happen if
the second baby takes too long to exit the womb after the placenta has come
out, or if there is distress with the foetal heartbeat.
Unfortunately, this type of delivery
means that mum needs to recover from both a C-section and a vaginal birth! This
type of recovery is twice as difficult since it is both a surgical operation
and intense stretching of the vagina. Extra TLC from loved ones is needed in
10. Doctors will watch the umbilical cord
is a risk of the umbilical cord knottingduring a twin delivery. This is a
very scary thought and is a major reason why doctors monitor twin deliveries so
closely. Basically, the twins share the same placenta, but have their own
umbilical attached to it.
Since the placenta exits the womb
with baby number one, but is still attached to baby number two, there is some
stretching that occurs. This stretching means that the umbilical cords have the
potential to twist and knot together during the birth.
11. You might need a scheduled C-section
C-sections are more common when it comes to twins. There are certain things
that can make it near impossible for a woman to labour twins.
These can involve things like mental
health issues, a narrow pelvis, or medical conditions. In the case of
C-sections, twins are delivered within about 2 minutes of each other.
12. Pain is doubled during labour
become more frequentputting strain on the uterus, hence increasing the
intensity of the pain. Carrying twins literally stretches the uterus to its
maximum capacity. There is little room for movement inside the uterus for the
twins at full term.
There is less room for movement of
the babies inside the uterus. The muscles around the uterus therefore have to
work even harder to contract and push.
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