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On episode seven of the Double Happiness Multiplied podcast, we explore birthing options for multiples.
We talk to Maternal Fetal Medicine Specialist Professor Craig Pennell about the types of twins that will require a caesarean delivery and those that can be safely delivered vaginally.
Founder of Rockstar Birth Magazine and Rockstar Birth Radio, Shalome Stone explains why a birthing plan is important.
Hypnobirthing Practitioner and Birthing Doula Elysee Jamieson shares her experience of birthing breech fraternal twins.
And, I’ll tell you why my girls were delivered by Caesarean section.
By the end of this episode, you’ll be armed with all the information you’ll need to make educated decisions about the birth of your babies.
Talking About Birth
Birth. The topic can get as heated as bringing up politics, religion, or vaccinations at a dinner party. There are many people who have incredibly strong opinions on the matter, oftentimes formed on the basis of misguided information.
You’ve probably heard people say things along the lines of, ‘women have been giving birth to babies in the open fields for centuries and they always did fine’, well they often didn’t and the mortality rate was exceptionally high.
However, pregnancy and birth have become incredibly medicalised and it’s often difficult to find a middle ground as such.
So, whether you’re someone who holds dear to your plans of a drug-free vaginal delivery or you surrender yourself to an attitude of going-with-flow, it’s important to be educated on the possibility that your ideal birth plans might need to be altered.
Let’s face it, many multiples wouldn’t cope with the journey down the birth canal and without medical intervention those precious babies wouldn’t survive.
On the other hand, if you have an uncomplicated multiple pregnancy, and under the guidance of a team with experience in multiple births, Professor Craig Pennell assures us that in most cases you can achieve a vaginal delivery.
As Professor Pennell explains there are many things that need to be considered in planning the most appropriate form of delivery for a twin pregnancy.

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Type of twins;

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Monochorionic Monoamniotic twins will always be delivered by caesarean section,

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Monochorionic Diamniotic twins have a high rate of caesarean birth due to common complications,

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Dichorionic-Diamniotic – more likely to achieve vaginal births.



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Parity of the mother – delivery of twins is technically more difficult for a first-time mum than a woman who has had one or more vaginal births.

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Complications in the pregnancy.

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Gestation – delivering a set of twins at 24-weeks is very different from delivering twins at 37-weeks.

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Location – smaller hospitals might not be equipped to cater for the vaginal delivery of twins.

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And, the experience of your obstetrician.



“If you are in the public hospital system in Australia or the United Kingdom, and you have an uncomplicated set of Dichorionic Diamniotic twins, and the first baby is coming head first,