15 Truths About C-Sections with Twins (And Twin C-Section FAQ and A) (2024)

Truths about c-sections with twins.

When you find out that you’re having twins, you generally also find out you’re having a C-section. It’s something that is always on the table because twin pregnancy is very unpredictable, and that might be scary.

Butthe truth about C-sections?

Well, I have a handful to share. But the big truth is that no matter how prepared you think you might be; you aren’t.

I hadcountless people walk in and out of my hospital room over the following daysperforming various tests and instructing me on what might come at any moment.Luckily, my doctors got me well enough to keep baking those babies for anotherfour weeks before I stopped responding to medication and needed an emergencyC-section.

Evenwith those four weeks of prep time, knowing I was going to have a C-section, Iwasn’t ready.

I learned a lot from my emergency C-section and a lot of them you don’t get the chance to read about until you’ve already had the C-section and went through them yourself.

15 Truths About C-Sections with Twins (And Twin C-Section FAQ and A) (1)

What's In This Post?

  • Here are 15 Truths about C-sections with Twins
    • 1. You’ll never truly be prepared for what will happen.
    • 2. An emergency C-section is different from a standard C-section.
    • 3. It’s not like the movies.
    • 4. You might get the shakes.
    • 5. Or not be able to hold your baby.
    • 6. It takes a LONG time to feel your legs again.
    • 7. Learning to walk is one of the hardest things you’ll ever do.
    • 8. Using a pillow is actually a must.
    • 9. You’ll be screwed if you don’t take your meds.
    • 10. Not pumping soon after birth might lead to engorgement.
    • 11. Walking, as hard as it is, is what is best.
    • 12. Trying to poop, on the other hand, is not.
    • 13. Being uncomfortable with your incision is totally normal.
    • 14. Accepting your C-section might be rough.
    • 15. Nonetheless, you are a BadA$$.
  • C-Section with Twins FAQ

Here are 15 Truths about C-sections with Twins

1. You’ll never truly be prepared for what will happen.

Even me, destined for one from the start of pregnancy, was not expecting what ended up happening. The cold room, tiny table you give birth on, how many doctors and techs are in the room with you, the recovery, all of it.

2. An emergency C-section is different from a standard C-section.

I didn’t realize this until well after my emergency C-section, but they are in fact different.

3. It’s not like the movies.

Sorry to burst your bubble, but your hubby might not be able to be in the room for a while. Mine couldn’t come in until the moment before they started cutting. I had to get my spinal block, prepped and ready all with him outside the door. And let me tell you, that was NOT expected or fun at all.

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4. You might get the shakes.

This can come from the different assortment of meds, but I wasn’t expecting to feel so much shaking both during and after my surgery.

5. Or not be able to hold your baby.

This was the hardest truth for me. Between having preemies and such bad reactions to the meds, I wasn’t able to hold or even see my babies before they were whisked away to the NICU.

6. It takes a LONG time to feel your legs again.

I don’t know why I expected to feel them right away, but it took I think 6-8 hours to be able to actually feel my legs again after surgery. So much longer than I expected!

7. Learning to walk is one of the hardest things you’ll ever do.

After you can feel your legs is right about the time I was urged to try and stand up. And I couldn’t. I struggled for a long time, had to take breaks, and it hurt like nothing I could even explain. Fighting to see my babies in the NICU was the only reason I tried so hard over and over again to stand and walk.

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8. Using a pillow is actually a must.

I figured this was a joke, but nope. You seriously need that pillow. Especially if air itself makes you laugh. Just breathing even was too much pain sometimes.

9. You’ll be screwed if you don’t take your meds.

I fought taking my meds. I didn’t like how they made me feel while trying to see my twins in the NICU and opted out of them until I was legitimately doubled over in pain. You can reject the hard stuff, but at a minimum please take the Tylenol. You will need it. No one is that strong.

10. Not pumping soon after birth might lead to engorgement.

Again, not sure if this happens to everyone but it happened to me. None of the nurses had me pump at all. They told me to SLEEP! This led to extreme engorgement that even the lactation nurses were surprised by!

11. Walking, as hard as it is, is what is best.

You’re going to hate every second of it, but it is your best bet to a smooth recovery. Period. You have to get moving and I really think that is why I healed so smoothly.

12. Trying to poop, on the other hand, is not.

On the other hand, do NOT try and poop! It is not easy, hurts like a mofo and you thought walking hurt?? Oh, don’t even try this one girl.

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13. Being uncomfortable with your incision is totally normal.

It took me a long time to get comfortable with my incision. I wouldn’t even look at it at first. My husband had to change my dressings because I simply could not bear the thought of seeing it. And that is totally OK!

14. Accepting your C-section might be rough.

Even though birth is birth, it can be hard to accept that you had to have a C-section. It’s something I am still working through over 20 months after the fact. Sometimes I wish I could have experienced a “normal” birth. But I am also so thankful that modern medicine helped deliver my twins safely when my body was so sick.

15. Nonetheless, you are a BadA$$.

You are one STRONG mama. No matter which way you give birth, you GAVE birth. You grew one or a few tiny humans in you and that makes you so, so strong.

Ihope these tips help you walk into your C-section, scheduled or not, with yourhead held high and you know a bit of what to expect.

Keep in mind that these are my truths, and yours might be spun a little differently.

15 Truths About C-Sections with Twins (And Twin C-Section FAQ and A) (9)

Written by Lynneah of Twins and Coffee

Hi there! I’m Lynneah, and I am here toshare real, relatable tips and guidance for navigating life with twins! I havefraternal twins, Kendall and Caeden, and I bake cakes for fun. Check me outover on the blog or find me on Facebook, Instagram and Pinterest for more!

C-Section with Twins FAQ

Having a c-section is something that should be discussed in any birth plan. You never know what will happen at birth, so it is best to discuss options before your due date. But when you are expecting twins that conversation is even more important. It is a very real possibility with a multiple birth.

Here are 5 of the frequently asked questions involving c-sections with twins.

What percent of twins are delivered by C section?

40% of twins are delivered by c-section and 56% are vagin*l delivery. The remaining 4% involve both. That is the first baby is delivered as a vagin*l birth and the second twin as a c-section.

Is C section safer for twins?

Generally speaking, a planned c section with twins isn’t automatically safer than vagin*l birth. Studies have shown that women who planned on having a c-section as opposed to a natural birth did not lower their risks.

This is good news because it means that women can have more options. Birth plans should be discussed with your medical team before labor begins. The health of the babies should be the deciding factor in a twin delivery.

How long does a cesarean section take for twins?

The actual length of time for the surgery varies. The hospital stay after giving birth to twins varies as well, but it usually starts at 3-4 days. The stay can be longer if there were complications before or after birthing twins.

It is important to remember that a c-section is major surgery. (It happens in an operating room and everything.) So it will take at least 6 weeks to recover. It is best to give yourself plenty of time to recover. Recovering from birth takes time when you have one baby to care for, as a twin parent you have a second baby too.

Can you deliver twins without C section?

Absolutely! As someone who has given birth to twins vagin*lly, I can confidently say it is possible to deliver twins without a c-section. There are several factors at play. How your babies are positioned will play a major role when you are delivering twins.

The most important thing is to talk to your doctor and follow their recommendations. You can read more about a natural twin birth here: A vagin*l No Epidural Twin Delivery.

How long does it take for a cesarean to heal internally?

Having a baby is a medical event, and having a c-section is major surgery. It takes up to 6 weeks to heal from it. It is important to remember that your body has gone through a trauma. It needs time to rest and heal.

You can get tips on how to make the recovery process go more smoothly here: Tips on Recovering From a C-Section

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15 Truths About C-Sections with Twins (And Twin C-Section FAQ and A) (2024)

FAQs

What do I need to know about C-section with twins? ›

You will need to have a caesarean section if the baby that will be born first is in a breech position (their feet, knees or buttocks are presenting first). You will also need to have a caesarean section if one twin is lying in a transverse position (with their body lying sideways).

Is C-section recovery harder with twins? ›

Physically recovering from a multiple birth, whether it was vagin*l or via C-section, is much like recovering from a singleton birth — only more so. Indeed, the postpartum period can be worse with twins or triplets, as everything you experience will feel just a little bit more painful and last a while longer.

What are the disadvantages of multiple C-sections? ›

Women who have multiple repeat cesarean deliveries are at increased risk of:
  • Problems with the placenta. ...
  • Complications related to adhesions. ...
  • Incision-related complications.

What is the risk of cesarean for second twin? ›

Conclusion: In the general population, the cesarean delivery rate for the second twin after vagin*l delivery of the first twin is approximately 9.5%.

What is the recovery time for a twin C-section? ›

Recovery and Outlook

Make sure an adult is there to help you get up from bed the first several days following C-section surgery. Most people stay in the hospital between two and three days. A full recovery can take between four and six weeks.

How long does a C-section for twins take? ›

Caesarean section surgery usually takes 30-60 minutes. But the entire process can take a few hours, from going to the operating theatre, preparing for surgery, having the surgery, going to the recovery room, and then returning to your room in the maternity unit.

Can you have a flat stomach after twins? ›

The abdominal muscles must be tightened, especially after a twin pregnancy, as these muscles will be very stretched out. Repairing the muscles is important to create the flat stomach contour and improve core strength.

Can your stomach go back to normal after having twins? ›

After carrying twins, women's bodies look very different from what they did pre-pregnancy. After all, the skin and abdominal muscles stretched outward for nine months to accommodate the two growing foetuses. After delivering twins, it may be difficult to coax a body back to its pre-baby state.

What is the hardest part of having twins? ›

Each infant will have different needs at different times, requiring differing amounts of attention. It is physically harder to take care of multiples than singletons. This is especially true when they are infants and toddlers. It may make the parents feel tired and stressed a lot of the time.

What percentage of C-sections go wrong? ›

Cesarean section also requires a longer recovery time, and operative complications such as lacerations and bleeding may occur, at rates varying from 6% for elective cesarean to 15% for emergency cesarean.

What are the long term effects of multiple C-sections? ›

The number of previous caesarean section increases the risk of placenta accreta. Among women with placenta praevia, 40% of those with two previous caesarean sections and 61% of those with three previous caesarean sections develop a placenta accreta [19].

How many C-sections is too many? ›

“So, every patient is different and every case is unique. However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”

How early can you deliver twins safely? ›

A little more than half of twin pregnancies end in preterm delivery (before 37 weeks). While 40 weeks is the full gestation period of the average pregnancy, most twin pregnancies are delivered at approximately 36 weeks (range 32-38 weeks depending on the type of twin pregnancy).

What is the recommended mode of delivery for twins? ›

Mo-Mo twins should always be delivered by cesarean section to avoid umbilical cord complications for the non-presenting twin at the time of the first twin's delivery. A woman carrying Di-Di or Mo-Di twins is a good candidate for a vagin*l birth if: The presenting twin is in a vertex position.

Can I deliver twins naturally after C-section? ›

vagin*l delivery in twin gestation after one previous cesarean section may be considered in appropriate cases. A large multicentral randomized prospective study may further confirm this conclusion.

Does twins automatically mean C-section? ›

But while you'll be laboring only once, you'll be delivering twice — and it's probably anyone's guess at this point which delivery route your babies will take. Right now, your chances of delivering twins vagin*lly are 50-50 (which means that your chances of having a C-section are also 50-50).

Do twins born at 37 weeks need NICU? ›

The average length of pregnancy for twins is 36.4 weeks. Babies who are born between 32 weeks and 37 weeks generally do very well. If your babies are born early, they are likely to be fine, but they may need to spend time at the special care baby unit (SCBU) or the neonatal intensive care unit (NICU).

How many people are in the room for a twin C-section? ›

If you're giving birth to one baby, and it's likely to be straightforward, there may be nine or 10 people. If you're having twins, and there are concerns for you and your babies' wellbeing, the number will be higher. There could be as many as 20 people in theatre with you.

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