Twins born at or after EDD

Archived User

Twins born at or after EDD

I'm 38w2d pregnant with boy/girl twins.  Both are head down.  This is my 7th successful pregnancy (I have 6 kids, had 1 miscarriage last year).  All of my others have been born well past their EDD, so it wouldn't surprise me if these twins were born later too.

I'm getting pressured from my OB to induce.  The only reasons she gave was the babies "running out of room", and that there was no benefit, only risks, to carrying them past 39 weeks.  She never did say what the risks are.  Is there any??

I have an appt tomorrow, and I know she's going to want me to schedule something.  My husband wants me to schedule it too, mostly for convenience for him.  I'm pretty natural birthing minded, my last was a homebirth, and I do not want to be nduced unless there's a valid reason for doing so (if the babies aren't doing well).

 Thanks for helping me with any advice I can get!

Henci Goer

RE: Twins born at or after EDD
(in response to Archived User)

First of all, congratulations on carrying your twins to term! Unfortunately, it's not an area where I've looked at the research, but I just ran a search in the National Library of Medicine (PubMed) on "twins elective delivery" limited to studies published in the last 10 years. I could find nothing on outcomes with planned delivery vs. expectant management. I did find one article describing the parameters of a study now underway on this point and another describing the parameters of a planned systematic review. (A systematic review is a "study of studies" on a particular issue.) This suggests that the idea has arisen that awaiting labor onset increases risk in twin pregnancies with little if any hard data to support it, and researchers are just now beginning to subject it to scientific appraisal. At this point, however, it appears that it's anybody's guess whether the idea arises from the biases of the medical model or there is actually something in it.

~ Henci

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