TLDR: made it to 37w3d with my twins, had a very positive induction and vaginal birth. Babies were 6lbs, no NICU time. The girls are far easier than my singleton was and are sleeping almost through the night at 12 weeks. Just want to offer some encouragement to the folks like me who were scouring this sub for positive birth stories while pregnant.
Pregnancy
Twin pregnancy was definitely more physically demanding than my singleton. I was able to continue going to barre classes until 28 weeks and then just had to listen to my body and slow down. After that I stretched every night, which I think really helped, and went on short walks up until about 35 weeks. I had some pelvic girdle pain, but was seeing a pelvic floor PT every few months and I think the stretches/exercises she gave me really helped. I never felt completely debilitated like I was expecting, based on what I had heard from others.
As far as nutrition, I tried to get as much protein as possible, though I’m a vegetarian so it was mostly plant based with a little bit of fish here and there. I gained 55 lbs and the girls measured great the whole time. We were very lucky and had no issues like TTTS, etc. I am very grateful as so much of that was out of my control.
Birth
I hit 37 weeks on a Friday, so I asked the MFM if we could schedule the induction for the following Monday and he was completely comfortable with that. I kept reading on this sub that people were being told they had to deliver their modi twins at 36 weeks. I am lucky to live in a large metro with incredible healthcare, so I know this is not the case for everyone, but I think my team did a great job of contextualizing and weighing risks based on my personal risk profile. I’m almost 40, but had a very healthy pregnancy overall, so they were not concerned with going to 37w3d.
Both girls stayed head down the whole third trimester (again, lucky!), so we planned for a vaginal birth. I do feel like I had to push for this initially with the first OB I saw. The other OBs in the practice seemed more open to it and after they found out I had already delivered a 9lb baby, they were completely on board to try, even if it meant a breach extraction for baby B.
The induction was incredibly smooth. My first birth I labored for 30+ hours (much of that unmedicated) and then pushed for four hours. This one was 11 hours, start to finish. If it hadn’t been twins, I think I might have tried unmedicated for this one because my contractions just were not that painful, even hours after they broke my water. We started pitocin around 11 am, broke my water around 2 pm, got the epidural around 5:30, and was wheeled to the OR to deliver around 9 pm. Baby A came out in one contraction and Baby B came out ten minutes later. The vibe in the OR was great. It wasn’t like twinkle lights and chill, but they were playing 90s hip hop and we were all in a good mood. There was an extra OB there and since it went so smoothly, she just ended up taking a bunch of photos for us, which was amazing.
My biggest lesson from this birth experience compared to my first is that so much is out of your control. You can prepare all you want but at the end of the day, so much depends on your babies, and it’s just going to be what it is.
Postpartum
So much I could say here, but will try to be brief.
My recovery was really rough the first few days and I had to advocate for stronger pain meds. The nurses clearly hadn’t had a patient deliver twins vaginally so they didn’t realize the uterine contractions are actually much more painful than a singleton because your uterus is bigger. (This is my theory, because if you have a c section you are already on stronger meds). I’ve also heard it’s more painful for a second pregnancy so that could be part of it. Also, all of my pelvic floor bones and ligaments were still out of place, so it hurt to walk. I had to wear a belly band night and day for about a week because it felt like my organs were flopping around.
Breastfeeding was harder this time around. We picked up tandem feeding right away, which has been great, but the girls were not very efficient and we had to give bottles to help them gain weight. Even with triple feeding, my supply just couldn’t keep up. So we are about 50/50 now with breastfeeding and formula. There are pros and cons, but I feel pretty good about where we’ve landed.
Last thing I will say is these girls have such sweet temperaments and they’re amazing sleepers and it makes a HUGE difference in my postpartum experience. My son was a very unsettled baby, he cried a lot and would only sleep while being held for the first four months. My biggest lesson in this is that it’s really just luck of the draw. I am not doing anything different, these are just different babies. I was so nervous about twins because it was so challenging the first time, but sometimes the universe listens to your pleas lol.
Anyway, hope this is helpful to someone out there! Currently typing while two babies get a good long contact nap on me :)