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  1. #1
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    Default Twins at Sandringham?

    Hi there

    I am new to this forum. Just wondering whether anyone out there has had twins at Sandringham hospital in Melbourne? Last week we found out that I am pregnant with twins due early July. The news is still sinking in...Our DS will be 2 when the twins are born . I had DS at Sandringham and opted for midwife care. I was very happy with the whole experience so decided to go there again second time round. The only thing is I am unsure whether they do multiple births there?!? The maternity unit there is small and only takes low/medium risk pregnancies. I am booked in to see my midwife at 16 weeks (I am 13 weeks now), so I will find out more then, but just wanted to do some of my own research before then as I like to be organised! Also, for anyone who had twins, did you go with midwife care all the way through your pregnancy? I do not have an ob, so I am thinking the whole management of this pregnancy will be very different compared to a singleton pregnancy. Any insights into your experiences would be greatly appreciated.

    I thought it would be easy second time round...but it feels like I have to learn everything from scratch again!!!

    Thanks

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    Congratulations on your twins!
    I dont know about Sandringham hospital but the level of care required will depend greatly on the type of twins you have. A Di-Di pregnancy is the 'lowest' risk twin pregnancy because both twins have their own sacs and placentas however simply because there is 2 babys when our bodies are designed to only do 1 at a time, means that even this low risk twin pregnancy is a medium risk pregnancy. You may be able to do midwife care with the odd Ob visit as well and only switch to Ob care if complications arise. Most people with Di Di pregnancys have monthly growth scans from 20 weeks at least and tend to start fortnightly and weekly appointments sooner than you would with a singleton. With this type of pregnancy, barring complications you have a good chance of making it to term or at least 35 weeks.
    A Mo-Di pregnancy where the babies have their own sacs but share a placenta are a little more risky because of the risk of Twin to Twin Tranfusion Syndrom, in a nut shell where one baby gets more nutrients than the other. Usually these pregnancys require a little more monitoring than a Di-Di pregnancy and you could expect fortnightly growth scans to make sure everything is okay.
    The other type of twin pregnancy is a Mo-Mo which is extremely highrisk pregnancy because the babies share a sac and a placenta. Its not as common but would require specialist care most certainly
    Another thing to keep in mind when choosing your hospital is that 50% of twin births are premature so you when choosing your hospital you may need to have a back up plan f they come early. I personally chose a hospital that could cater for premmies so I didnt have the added stress if they came early of transfers or being separated from my babies. I was living remote though so in a different situation to most. If I was to fall pregnant again with twins in surburbia I would try to choose a hospital that could cater to early babies from 32/34 weeks just to be on the safe side.
    It is very very different to a singleton pregnancy! I had my singleton after my twins and after having a very difficult twin pregnancy with heaps of monitoring and an admission to hospital, I couldnt believe how cruisy it was being in the caseload midwife program and how little monitoring and how few appointments was needed in a singleton pregnancy!

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    Thank you Timestwo for your very informative response. I really appreciate it. I have reassessed and will be trying to book myself into Jessie McPherson private hospital (which is attached to Monash and has NICU facilities). Will also be ringing around some obs tomorrow - hopefully one of my selected few will take me on!

    I just don't want to risk anything and would prefer to take the safest option for the babies sake.

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    That sounds like a good plan. Ive heard good things about Monash and Jesse Mac.
    All the best for your pregnancy, hopefully you have the most boring, straight forward pregnancy you can (and I mean than in a good way!!!)
    Having twins is amazing!

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    Monash is a great choice, a friend of mine just had her twin girls at Jessie Mac and everything went really well.

    My sister is also a NICU nurse at Monash and the team that looks after the SCN and NICU are just amazing!!!

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    Thanks for your responses. I feel very comfortable with my choice. My GP referred me to a very highly recommended ob (and pulled some strings). I am very grateful as I am already 13 weeks and was anxious about not being able to get into anyone!

    As it turned out, Sandy only cares for multiple pregnancies if you elect to have a c-section. This did not suit me as I will be trying for a natural birth. Midwife care is also an exclusion for multiple pregnancies.

    Looking forward to a 'private' medical experience with this pregnancy. Although I could not fault Sandy one bit with my first DS.

    Thanks

  7. #7
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    bgbgbb is offline To think, I was only going to have 1 child!
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    I had my 3rd at Sandringham, but chose to have #4 with an ob (pelvis failed) and then the twins with the same ob (at Masada, which unfortunately is no longer operating a maternity unit). My ob is one of the few who will deliver twins vaginally and I found his management of my pregnancy absolutely wonderful. A good friend of mine also delivered twins vaginally, at Jesse Mac, and she loved her ob.

    The advantage of going private with an ob is that they have the ability to recommend hospital bedrest if things become too physically tiring in the latter stage of the pregnancy. Do take advantage of this, as you need your energy for what is to follow.

    One tip, drink 3 litres of water a day. The little darlings zap it out of you and you can get dehydrated so much more quickly than with a singleton. It also reduces your swelling incredibly. If too much water makes you nauseous, drink sparkling water.

    P.S. If you want a twin breastfeeding cushion when they arrive, PM me as mine is just sitting there, doing nothing.


 

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