Twin VBAC anyone?

[bluebonnet22]

I was tempted to post this question on the VBAC forum, but it seems really dead over there. My twins were both transverse at 21 weeks, but I'm considering a VBAC if they both decide to turn (pretty unlikely I guess?). Did anyone attempt a VBAC with a multiple birth? Am I out of my mind? 

[ashb62]

Honestly, the risks of VBACs scare the crap out of me. IMO, twin pregnancy and delivery come with enough risks on their own.

I had a vaginal delivery with DD and a c/s with the twins. IF (and that's a big if) I were to have another, I would probably opt for a repeat c/s, even though I prefer vaginal delivery.

[fjamil1]

I want to try VBAC if baby A turns. Baby A is transverse and Baby B is breach. My OB is ok with the VBAC if Baby A is head down. I am 21w3d, and baby A has been transverse since 16 weeks, and hope he decides to turn soon.

[beachy]

Mar 31, 2015 10:04:01 GMT -5 bluebonnet22 said:

I was tempted to post this question on the VBAC forum, but it seems really dead over there. My twins were both transverse at 21 weeks, but I'm considering a VBAC if they both decide to turn (pretty unlikely I guess?). Did anyone attempt a VBAC with a multiple birth? Am I out of my mind? 

In my personal opinion, yes you are out of your mind. To me there are way too many risks with a twin pregnancy and delivery, and to add vbac risks on there too is just not even something I would want to consider. My Dr also won't even let me consider it, which is totally fine by me because I had no intentions of wanting one. 

[anotherdreamer]

I'm with ashb62 and beachy.

A pregnancy with multiples is already high risk, there are so many things that can (and do) go wrong.

Personally, the risk of a VBAC scared me anyway, but once I found out it was twins I was worried about the risk of uterine rupture even without adding a VBAC in there.

I don't know how much history they have of VBACs with multiples, first of all; I'd assume most VBAC stats are for singletons. Your uterus stretches A LOT more with multiples than it ever would with a singleton: my fundal height was 51cm at 38w4d with my twins, at 40w3d with my son I was only measuring 43w. The extra stretch and contractions worried the heck out of me, given my previous c-section.

And while the odds are supposedly low for a VBAC, when things go wrong they don't just go a little wrong- they go catastrophically wrong. I know that many women are okay with those risks, given the low odds, but I never was. I had a 1% chance of losing all 3 of my first pregnancies, but I lost them anyway... 1% seems like a safe enough risk, until you fall through it.

[rayray007]

I considered it. We scheduled a RCS at a drop dead date, but if I went into labour before then I was going to try, even if baby B was breach. Turns out I never went into labour, and I wasn't willing to add the unknowns of an induction on top of vbac, twins, and breach baby B- too many risks IMO.