So, you'd think that by now I'd be an old pro at being a pregnant mama, but nope! Carrying twins really throws a wrench in the works. Everything I've taken for granted during the pregnancies with Milo and Violet seems a luxury now -- like working right up until they were born. I don't know that I'll be able to do that this time around.
My biggest concern is that they will come early and need extra medical care. I feel very fortunate to live in a place where that care is available, but I'd do rather not use it if I don't need to. I'd rather have healthy, big babies as close to term as I can.
I didn't have a birth plan written for either Milo or Violet, preferring to "go with the flow" and make medical decisions as necessary. It worked well for both of them, but I know that delivering twins requires a good deal more planning and coordinating. It sounds like I'll most likely need to deliver in the operating room as a "just in case." I've peeked into the ORs at the birth care center and they're not too bad -- definitely not as comfy as a birthing suite, but it will be OK. I'm not afraid of labor and delivery, though I might ask that I not have an episiotomy, if at all possible. Recovering from that was worse than the actual births, I think -- I was itchy and sore for days. I tore a teeny bit with Violet, but needed only one stitch to fix it and I didn't even notice it.
Speaking of birth, how the babies will arrive is largely dependent on the positions they are in when it's go time. If both are head-down, I should be able to deliver them vaginally. If Baby A is head down and Baby B isn't too much larger than A, I should be able to deliver vaginally no matter what the position of B. If neither are head-down, I'll have c-section, despite my protests that if I can deliver Milo's 90th percentile head while pushing for only 8 minutes, I could sneeze a 6 pounder out, even if it is breech. As long as babies are cooperating, I am confident that I'll be able to deliver them. After all, they aren't likely to be bigger than 8lb 9.5oz Violet, are they? Could you imagine carrying 17-18lbs of JUST BABY? Nope, can't see that happening. Particularly knowing that they will be evicted at 38 weeks.
I am not assuming that their births will be a bad experience, just that it will be very different from my first two. Milo's was an induction with epidural, he was born just fine. Violet's was all natural and a truly wonderful experience. No matter how the twins are born, surgery, induction, violent sneezing fit, as long as they arrive healthy, I'll be a happy mama.