How to give birth to multiple babies naturally? The difference between cesarean section for multiple babies and cesarean section for single babies

Whether it is a natural birth or a caesarean section, multiple births are more difficult and risky than a single birth. So how to give birth to multiple babies naturally? What conditions must be met for a natural birth? What is the difference between a caesarean section for multiple births and a caesarean section for a single birth?

How to perform cesarean section for multiple babies

A C-section for more than two babies is mostly similar to any other C-section, with a few differences. One of them is that there will be more medical staff in the delivery room. In addition to the usual two obstetricians, an anesthesiologist, and two nurses who will take care of you during the procedure, there will be a pediatrician and a nurse for each baby. If you're having triplets, there will be 11 medical staff in total.

The hospital will also prepare an incubator for each baby and equip it with resuscitation equipment. In addition, depending on the position and size of the babies, the incision you may need to make is larger than normal.

What is the difference between a cesarean section for multiple births and a cesarean section for a single birth?

1. There will be more medical staff in the delivery room for multiple cesarean sections. In addition to the usual two obstetricians, an anesthesiologist, and two nurses who take care of you during the operation, there will also be a pediatrician and a nurse for each baby, and of course the husband or doula.

2. The hospital will also prepare an incubator for each baby born with multiple babies and equip it with resuscitation equipment.

3. Depending on the position and size of the babies, the incision you may need will be larger than that for a single baby.

Special examinations for normal delivery of multiple pregnancies

1. After arriving at the hospital, an ultrasound examination should be performed to determine the position of the babies.

2. During delivery, you will receive intravenous injections, and each baby will have electronic fetal heart monitoring at all times.

3. If you want to use painkillers during delivery, it is best to choose epidural analgesia. This is because if the doctor has to remove the second twin from the uterus after the first twin is born, or if a cesarean section is needed immediately for other reasons, epidural analgesia can provide additional pain relief at a later time.

4. After the first baby is born, the doctor will assess the baby's position and size through the abdomen and vagina, and may also use B-ultrasound to check. Everything that happens next depends on the position of the second baby. If his head is near the cervix and low enough in the birth canal, the doctor will rupture the amniotic sac and continue to monitor the baby's fetal heart rate.

How to deliver other babies in a multiple birth?

For example, if you have twins, contractions usually start again soon after the birth of the first twins, and if there are no contractions, you may need to take oxytocin. You will need to use the same effort to give birth to the second baby as you did to the first baby, but it will probably be much easier.

The second baby may be only a few minutes later than the first, or it may be half an hour or even longer.

If your baby's heart rate isn't always normal, or if other complications arise at this time, your doctor will quickly perform a cesarean section.

If the second twin's head isn't down but its bottom has dropped into the pelvis (a breech presentation), your doctor may deliver it vaginally or by cesarean. If neither the baby's head nor the bottom is near your cervix (which can happen even if the second baby was head down before the first one came), your doctor may do an "internal version," where they reach into your uterus, grab the baby's feet, and pull them out feet first.

Conditions for normal delivery of multiple births

When the pregnant mother was told by the doctor that she was pregnant with twins, the whole family was very happy and excited. But being pregnant with twins means that the risk during pregnancy will be greater. Is it possible to have a natural birth when pregnant with twins?

If the pregnancy meets certain conditions, it is possible to have a natural birth. First, the pregnancy is smooth and there are no complications; second, there is no abnormal fetal position, and the twins or the first fetus to come out is in the head position; third, the fetus is not overweight. Generally, if these conditions are met, a natural birth can be achieved. However, the chance of a difficult birth for twins is greater than that for a single mother, so doctors generally recommend a caesarean section after careful consideration.

For monozygotic twins with a relatively smooth pregnancy and no complications, it is recommended to terminate the pregnancy at 36 to 37 weeks; while for dizygotic twins, it is recommended to terminate the pregnancy at 37 to 38 weeks. If complications occur during pregnancy, the decision on whether to terminate the pregnancy needs to be made based on the gestational age.

What is the survival rate of the fetuses in twin pregnancies with premature birth?

When premature birth occurs, the fetal survival rate is related to the gestational age and complications of the fetus at birth, the technical level of the hospital's neonatal department, and the family's economic support. Generally, the older the fetal gestational age, the higher the survival rate and the fewer sequelae.

What preparations need to be made before cesarean section in twin pregnancy? What risks must family members be aware of?

Before cesarean section for twin pregnancy, the surgeon should be prepared to resuscitate and rescue the newborn. Family members should be aware that the premature birth rate and miscarriage rate of twin pregnancy are higher than those of single pregnancy. In addition, because the uterus of twin pregnancy has great tension, it is like a rubber band that is stretched very long and may break, and the uterus may also experience heavy bleeding. In addition, there may be some complications during twin pregnancy, and the fetus may have some sequelae, which requires hospitalization in an incubator for observation.

The editor of No. 5.com said that every mother is great. The pain of giving birth is unbearable for ordinary people. It is conceivable that mothers of multiple babies will be more tired and painful. The above mainly talks about the relevant knowledge of giving birth to multiple babies. Do you understand it?