Baby/Midwife/Home Birth/Pregnancy/Twins??? Update
Arizona is in the process of reviewing the scope and practice of licensed midwives. Currently at issue is this: May they legally deliver twins/multiples, and may they legally assist in the delivery of homebirth VBACs (vaginal birth after cesarean)? Currently, they’re not allowed.
The VBAC question doesn’t affect me; I’ve never had a c-section. But the part about twins thing might.
My midwife still says I’m measuring huge and that it’s likely that I’m either a month further along than I think I am, or that I’m carrying twins.
I don’t think it’s twins. With this being my sixth baby, I can palpate like a pro (almost) and I only feel one baby in there. Of course, I could be missing something… But, the fact that I can feel a whole baby and I’m only 15 weeks — according to my LMP — tells me that I’m probably 19 weeks, in actuality.
My husband and I went back and forth on whether or not to have an ultrasound. I’d like to avoid or at least limit ultrasounds. My husband would prefer that I have none*. However, we’ve decided to go ahead and have one in about three weeks.
I was almost afraid to find out if I was carrying twins, because I didn’t want that to mean I couldn’t have a home birth. But, in my appointment yesterday with the midwife, she said:
- If I’m having twins, I really need to know in advance.
- In order to birth twins at home, we need to have a CPM (certified professional midwife) who is also an NMD (naturopathic medical doctor) attend the birth. They are governed by a different body — the one that licenses NMDs — and they ARE allowed to attend twin home births.
- If I’m having twins, it’s a good idea to have two midwives on hand, anyway.
And, wouldn’t you know?? I already know an NMD who is also a CPM. Voila! The doctor who oversaw the healing of my now four-year-old daughter, Fiala, who had a lifelong intense, crazy, systemic candida yeast infection: Dr. Jesika DiCampli. So, I have a message into her office right now, though it might be jumping the gun a bit.
I also found out in yesterday’s appointment that I have great out-of-network coverage with my insurance, and even with a deductible, the cost for birthing the baby at home will be LESS than what I paid for the hospital birth of our last, Fiala.
So. Overall, I’m feeling better about things: that my hope for a home birth may still be realized, even if I’m carrying twins. That has weighed on my heart for the last month-plus, when it became apparent that I’m big-for-dates.
I’m also feeling less sick, though I’m struggling with some insomnia issues, which has NEVER been a problem for me, my whole life. I was previously feeling ill from about 11 a.m. until 11 p.m., and now it’s just from about 7 p.m. to 11 p.m. or later… and I can’t sleep when I’m feeling pukey, and when I do go to bed, even if I’m exhausted, I just can’t get comfortable, or the sleepiness just evaporates, and I lie in bed, grumbly and feeling rotten. Last night, I finally got up and went downstairs. Nothing like a crossword puzzle at 2:30 a.m., right?? I drank three glasses of water and ate some blueberries until my husband came down to inquire about my presence. I spent more than two hours, awake. I was just thinking last night about how I don’t have any “getting oneself to sleep” skills, because normally, as soon as my head hits the pillow, I’m OUT until my hubby wakes me in the a.m. Unless someone cries. I’m up with a start, then.
Anyway. I’ll let y’all know how it turns out, twins or no. :)
*Excellent, informed, balanced info on the pros and possible cons of prenatal ultrasounds found in the book Gentle Birth, Gentle Mothering by Dr. Sarah Buckley, MD. In related news, it turns out the my midwife actually met Dr. Buckley and was very encouraged by her at a conference. I was jealous; I’d love to hear Dr. Buckley speak.