This is a twins birth story that just came through on our practitioner's
website. Sorry it's long but just beautiful.

Diane

LA LECHE LEAGUE OF DALLAS
Vivian & Fiona's Birth Story by Theresa Wohlfeld
La Leche League of Dallas
Issue 6

After a long painful labor with my first daughter, I decided to
take a different route when I became pregnant again. I thought
a home birth might be more conducive to the gentle, drug-free
birth I really wanted this time around.

I experienced more morning sickness in this pregnancy, but in
general everything went great as I progressed along. I decided
to have a sonogram this time, (I never had one with my first
daughter, Veronica) but with a homebirth, I decided I wanted
one to rule out any potential complications. At 24 weeks we
went in for the sonogram.

About � hour into it, the technician got really quiet and
looked puzzled. "What?" I asked nervously. "Well," she said, "I
think that there are two babies in there." "No, there aren't." I
said. "Are there? Are you sure?" It was a really surreal moment.
My husband was wrangling with Veronica and hadn't
heard the news. I yelled it to him across the room, and he just
beamed. "That's great!" he said. I just turned my head to the
wall in total shock. How in the world could we have two babies
at once? It seemed impossible. I had never entertained
the idea of having twins. Although when I
really thought about it, I had felt so much baby movement
that it kind of made sense.

After finding out that fraternal twins run in my family,
(I hadn't realized it before) I became used to the
idea and started to get excited that we were getting
two for one. I had always wanted three children and
now we were going to be done much sooner than we thought.

Two more girls! Veronica was very excited, too. One major
drawback was that we could no longer have a homebirth. The
good news was that Susan Akins, the certified nurse midwife
who had delivered Veronica at Baylor, was now in a practice
that let her deliver twins. Hooray! They required one of the
OB's to be present and the delivery had to be in the operating
room, but it seemed like a great compromise. They would even
deliver baby B breech (if she presented that way) as long as
baby A was head first.

My pregnancy progressed well. Carrying two was definitely
more challenging than my singleton pregnancy. I didn't feel
up to my usual daily dog walks. Just chasing Veronica all day
was workout enough. I tried to eat a lot of nutritious food, and
I rested every afternoon for a couple of hours. I started having
Level 2 sonograms, and everything always looked great. Both
babies were head down, and their growth was right on track.

Getting used to the idea of having twins was such an adjustment,
I hadn't given much thought to the birth. When a
friend told me she was taking a HypnoBirthing class, I was
really curious. The idea is that, through self-hypnosis, you
bring yourself to such a relaxed state that your body does the
work of labor without interpreting the sensations of contractions
(surges) as pain. Ideally you experience the surges as
pressure. It sounded great to me, if maybe too good to be
true.

to take classes from Nadine Romain and hired her as
our doula as well. The classes were great, and I found that I
really enjoyed practicing self-hypnosis. Being in such a relaxed
state is really a pleasant experience. I used the techniques
to release a lot of my fears about the birth and also
my fears of being overwhelmed by the realities of breastfeeding
and caring for two newborns in addition to our
toddler. My husband and I practiced whenever we could,
and I worked on visualizations I would have him and Nadine
prompt me with during labor. I came up with a "special
place" (my backyard) that they would describe to me to
help me relax.

I had been told that as soon as I reached 35 weeks I was
pretty much full term for twins, so we were getting ready
and excited in early April. When I went in for
my 37 week checkup with Susan, I was thrilled
to find out I was 4 1/2 cm dilated and 90%
effaced. Almost halfway there! I had been having
a lot of Braxton Hicks contractions but none
were painful. It was incredible to find out I had
made so much progress without even knowing it.
I reached 38 weeks with no babies yet, and friends and
family were starting to get anxious. I was now 5 cm dilated
and wondering what the babies were waiting for! I was not
worried myself, but people were starting to ask me, "When
are they going to take the babies?" "Take them where?" was
my response. It seems that the general practice of most
OB's is not to let a twin pregnancy go much past 38 weeks.
I was so glad that I was not being pressured by Susan to do
something. She did say that she would break my water
whenever I wanted her to if I became too uncomfortable
and just wanted to get on with it. I hadn't reached that
point yet.

At 39 weeks I had a non-stress test, and the babies did
great. I also had another Level 2 sonogram and everything
again looked perfect. The amniotic fluid level was good,
and the girls' estimated weight was now 61/2 to 7 pounds
each. The doctor doing the sonogram was amazed that I
was closing in on 40 weeks and had had no problems. I was
now setting a record for length of twin gestation for his
office!

As week 39 wore on, I was starting to worry that when labor
did finally start, things might progress too fast. We
needed enough time to get Veronica settled with someone
and get ourselves to the hospital in time. I didn't really
want an unassisted home birth with twins! My husband and I
decided to pick a day that we would want Susan to break my
waters. We settled on Friday May 2nd, just a few days before
my 40 week due date of May 5th.

Friday came and I was very relaxed and felt very comfortable
with my decision to push things along a bit. I had Nadine with
me, and I had slept the night before and eaten breakfast. I felt
ready for the challenge ahead of me. Susan examined me and
found that I was 6cm dilated, 100% effaced and that baby A
was at +1 station. Yeah! We were so close. She broke my water
at 9:30 am, and I started having surges about 10 minutes later.
My husband talked me through them, and I felt confident
and relaxed. Another 10 minutes later the surges were really
strong. I didn't seem to get a break between them. I was getting
a little panicky at this point. It reminded me a lot of my
labor with Veronica, and I had my doubts that I was going to
make it through without medication. The fact that the air conditioning
was out didn't help. The room was stuffy, and I was
getting really nervous.

At this point Nadine stepped in. She had a
little hand held fan that she handed to my
husband to point at my face. She put a wet
washcloth on my forehead and started to talk
me into a deeper state of relaxation. She has a
wonderful French accent and a very soothing
manner of speaking that immediately put my
mind and body at ease. She used the visualizations
we had worked on to help me relax and
also urged me to project myself forward in
time to when I was already holding my babies. I instinctively
started to moan softly with the surges, and I was surprised by
how much this helped. The pain and panic were now gone,
and I only felt a slight pressure in my abdomen as each surge
peaked. I was somewhat aware of nurses coming in and out of
the room, but it was not disturbing to me. We had our soft
music on and the lights dimmed, and my focus stayed on being
relaxed. The staff at Baylor was really great about working
with us. They tried hard to keep things as quiet and peaceful
as possible. At about 11:00 am someone came into the room
to take my blood. I was only vaguely aware of his presence and
just heard Nadine say, "Your arm is going to float up and
someone will hold it for a minute." I gently lifted my arm and
felt someone's hand hold it, but that was all. I didn't feel the
bind of the elastic or the prick of the needle or anything! I had
to ask someone later if they got the blood sample at all.

A minute later I felt a little nauseous and then a strange sensation
of my body bearing down. It wasn't like I felt consciously
that it was time to push; my body was just doing it on its own.
Nadine was startled and said, "What's happening, Theresa?" I
replied, "I think the babies are coming." I heard her repeat my
words excitedly, and all of a sudden there was a lot of movement
in the room. I heard someone call out for Susan, and
then she examined me and I was completely dilated! It had
only been 1 � hours since labor had started. Everyone was
rushing around preparing to move me from the LDR room to
the OR. I kept my eyes closed to stay focused, but in the hallway
I heard someone ask "Where's Dad?" We'd left Paul back
in the other room where he was changing into scrubs. It all
happened so fast no one was quite ready!

He soon joined us in the OR where the doctor on call was also
with us. I felt nauseous again, and my body again instinctively
pushed. It was really amazing to realize that I had surrendered
the birthing process to my body. I just did what felt right; I
wasn't really thinking about it. I really felt that my body knew
what to do, and I just got out of the way, so to speak. I
moaned with each surge and just felt a tingly numbness as the
first baby crowned. A few more pushes and Vivian Elise was
born at 11:33 am weighing 6 lbs. 14 oz. She was put immediately
on my chest, and I was so excited to finally meet her. I
just remember being almost overwhelmed with how easy it
was. I couldn't believe I already had one of my babies! Paul
said later that I looked almost dazed. It wasn't
too good to be true; HypnoBirthing had
worked! After about 10 minutes of rest, I could
feel my second baby getting ready to descend.
This was one of the most amazing parts of the
births. I felt the surge start and then the baby
move all the way down my body and through
the birth canal in one intense continuous movement.
It was wild! This was definitely a sensation
you wouldn't feel with the birth of a singleton
(as they are engaged down in your pelvis by the
time of their birth). Fiona Marie was born after that one push
at 11:46 weighing 7 lbs. There was no need for an episiotomy,
and I had only a tiny tear as Fiona Marie came out with her
hand on her cheek.

Both babies were robust and healthy. We couldn't have been
any happier with their births. I delivered twins at almost 40
weeks after only two hours of labor, and it honestly didn't
hurt! What could be better than that? Life at home has been a
little hectic with three girls under three, but the babies are
nursing and gaining weight well and even sleep a five to six
hour stretch at night. I never imagined that I would have
twins, and now we can't imagine life without them. We are so
lucky to have found Nadine and HypnoBirthing. I had the unmedicated
birth I'd always wished for. It was a revelation to
learn that birthing is something that our bodies know how to
do. Women are taught to fear the process and that pain is
inevitable. The cycle of fear and adrenaline does lead to pain,
and now that I have experienced both kinds of labor, I know
that it doesn't have to be that way. It was amazing to learn that
labor can actually be an enjoyable experience and not just
something that has to be endured. I will forever be grateful for
my serene birth experience.


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