Surprise Twin Double-Breech Roadside Vaginal Birth After Cesarean

Red sign on the side of empty roadI was measuring consistently ahead in fundal height early on and just before the mid-point of my pregnancy my midwife referred me to an obstetrician to have an ultrasound (we’d not planned on having any) to rule out twins, fibroids, excess amniotic fluid, or any other complications. At the ultrasound, we were told there was one baby, no fibroids, and no excess fluid — the doctor said I simply had “a large uterus.” So we went with that as confirmation.

At about 2:30 one morning, I had a contraction that woke me from my sleep. This had happened before, so I waited and felt a few more before I grudgingly got up and decided I’d take a bath to help them stop so I could get some sleep. I went into the bathroom and turned on the light. I saw that a little blood was in the toilet from sometime earlier that night, and wiped to see if there was any more… there was.

I woke up my husband, Garrett, and he called our midwife to tell her what was happening. She said it was probably just my bloody show and to take it easy but to call her if anything else happened. I tried to sleep, bathe, and just relax to get the contractions to stop. I was struggling to concentrate on the book I was reading. This was at about 6:30.

I took another bath, a shower, and tried to lie down and listen to a Hypnobabies CD, but the contractions were too strong for me to really relax. I definitely thought they’d stop. In fact, I thought they’d better stop, since I’d just had the home visit from the midwives on Monday morning. I could have a home birth in 5 days at 37 weeks, but not a day sooner!

I was determined not to be in true labor yet. When Garrett got home from dropping off our son (at about 8:30) and saw me in the bed, he said we needed to call our midwife again and so he did — all while packing a bag. She asked some questions and then suggested we come and meet her to assess the situation and see if I was really in labor or see what we could do to slow or stop it.

We left and on the way stopped at the store to get more minutes for our cell phone. I was low moaning for a while, but then that stopped working. About 45 minutes into the trip, my moans got higher pitched and less controlled. We talked about passing a bank, and how we’d definitely make it a few more hours at least and then a couple of minutes later, my water broke — everywhere! I was finally able to accept that the baby would be born that day, and soon, but we talked and I figured we still had at least a few hours. Garrett called our midwife to keep her updated, and she announced a change of plan — she said to meet her directly at the hospital. She asked Garrett if it was me moaning that she was hearing, and he said it was.

As they were talking, my body gave a tiny involuntary push, and I felt something come up between my legs. My first thought was, “Oh, God, the cord.” But I knew what an emergency that would be, and thought that maybe, just maybe, I had somehow pooped. So I reached down (with much trepidation) and felt, and it was most definitely cord. I yelled, “The cord is out! The cord is out!” and my midwife heard me yelling over the phone. She told Garrett to pull over immediately and get me on all fours to take the pressure off the cord, and to call 911. There was, oddly enough, some traffic on the rural highway that morning, but after about a minute he managed to pull off the road. He got out and threw Bruin’s car seat in the grass (we were, luckily, in front of empty fields on both sides of the highway. It was actually quite a pretty spot) and got me into the back seat, talking with our midwife all the while. She told Garrett to get my chest down and my butt up in the air, and then he called 911.

Somehow Garrett managed to get my shoes and pants off. I could hear him on the phone with the operator and the guy was asking him what he saw, and asking him to feel for a pulse in the cord (he didn’t feel one), and telling him to hold the baby in. By now I was really in it… it was all happening so fast, but I truly was my primal self. The pushing and grunting was happening, whether the 911 operator told me to stop or not. I tried to be compliant, but I couldn’t stop it. There was literally nothing I could do but work with my body and my baby.

It was the most beautiful feeling I have ever experienced. I wasn’t scared — I was totally consumed, growling and pushing. At some point, Garrett touched what he said was just the cord, which I shouldn’t have felt, but it was excruciating. Whether or not the baby made a fluke movement at the exact same time or if for some reason I was able to feel it, I don’t know, but I did try to donkey-kick poor Garrett. I tried to kick him off again (while yelling, “GET OFF OF ME!!”) when the operator told him to flip me onto my back. That didn’t feel right at all, but I tried, and just absolutely could NOT make my body do anything differently than it was doing. It knew exactly what to do, and there was simply no stopping it. I occasionally lifted my head to look out of the window at the trees in the sunshine, and just let my mind feel “universal.”

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Syllah & Madalyn’s Homebirth

I will instruct you and teach you in the way you should go;
I will counsel you with my loving eye on you.

Psalm 32:8

At around seven we all went outside to enjoy dinner. The rushes became much stronger but I didn’t give in to them until we got back inside and finished bedtime prayers with our two children. We moved to the living room and I labored on the birth ball, now believing babies were near. My husband stayed close to me. He filled the bathtub and we kissed in between contractions. Towels and sheets were laid down from the bathroom to our bed, just as I had seen throughout the pregnancy. I went back and forth between the toilet and squatting beside our bed, pushing with every urge. I felt what I knew to be Syllah’s head crowning and I called my husband over.

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Twins!! A footling breech and a frank breech!

“At 7am it was time to get in the birthing pool that was set up in the middle of the dining room. It felt amazing and just what I needed at that point. My midwife seemed to know what I needed before I did. My 4 year old daughter was present the entire time. She loved rubbing my back with frequent costume changes so her brothers could see all her pretty outfits.

Finally around Noon, it was time to push. It took a lot of work to get baby A down in his complete breech position. The midwife tickled his feet and he was able to switch to a more favorable frank breech position scrotum presenting first.”

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