It seems I've fallen behind on updating what's been happening to me lately. When I left off, I had just had my 28 week ultrasound and found out that Baby A is still breech.
Since then, I've started seeing a chiropractor. I have been to see her 3 times so far. I love her. I think I'm addicted to seeing her. Seriously, is there such a thing as a live-in chiropractor? She is optimistic that she can turn Baby A, and thinks I have plenty of time. She has been correcting the problems with my hips, which has helped with my pain. She has also been performing the Webster technique, which is basically just stretching/massaging the muscles and ligaments in my lower abdomen and pelvis. The idea is that if they are properly aligned and relaxed, there is more room for Baby A to flip if he so chooses. Since seeing her, I will say the babies' movement has increased a LOT. I'm not exactly sure where they are at this point, because I don't feel a lot of actual kicks, more like a lot of rolling movements that make it hard for me to determine who is where and doing what.
In addition to stretching and adjusting me at appointments, she gave me a couple exercises to do at home to help open up my pelvis. She also told me to keep doing the things on the spinningbabies website every day if possible.
Yesterday, my IPs came down for the 30 week OB appointment and hospital tour. It was great to see them, as they hadn't been able to make it to St. Louis the last couple of appointments. They are getting very excited about the impending arrival of their sons. We did not have an ultrasound, just a meeting with the doctor. Overall it went fine. My weight gain and blood pressure are good, and doctor had no concerns about my health. I asked him about the prospect of bed rest (since my manager was asking if I knew when I'd be going out). He told me that I'm doing great, and as long as nothing with my health changes, he sees no reason why I can't work right up until the babies decide to come. This makes me happy, since if I have to go out before the babies come I will have to use my short term disability (my time off after delivery comes out of a separate "Parental Leave" bank). Plus, the less I need to be out of work, the better.
We also asked about a possible induction and when the doctor thought the babies would come. He said that I am doing really well, so he doesn't think I will be going into labor soon (although you never know!). But he said that if I go into labor anytime 34 weeks or later, they do not stop labor. He also said we could pick a induction or c-section date for later on in the pregnancy. He said normally he would not be willing to set a date before 38 weeks, since we have special circumstances with my IPs needing to drive 5 hours to get here, he is fine with us scheduling anytime after 37 weeks. He also mentioned that the majority of women don't make it to 37 weeks with twins, so the chances of me going into labor spontaneously are high. This idea really stressed out my IM, who was apparently under the impression that we would pick a day to have the babies and they would be born that day. She asked if we could just go ahead and schedule an induction for 34 weeks so they could be there, and he told her that they would absolutely not do it before 37 weeks (full term).
We will be returning in another 2 weeks for THE ultrasound. The one that determines our birth plan - whether we are going to attempt a vaginal delivery or do a c-section. So I have two weeks to make sure I get Baby A head down and ready to go. There is still a chance that he could flip head down after that and we could revise our plan, but I don't think that my IPs or doctor would be very open to changing their minds after that point.
It also sounds like my pro-vaginal delivery doctor is not particularly pro-vaginal after all, when it comes down to it. He said that we will talk more in detail after the ultrasound to talk about our birth plan, but he started listing off all sorts of reasons that I might have to have a c-section for Baby B even if I deliver Baby A vaginally. He also said that because Baby B was bigger than Baby A, he would lean toward doing a c-section because a vaginal delivery is more risky if the second baby is bigger. I was so flabbergasted about the c-section propaganda as a whole that I forgot to even ask why (maybe because the birth canal wouldn't be big enough?) I know my IPs will want me to do whatever the doctor recommends, so I am trying to arm myself with research and prepare to go in fighting for my right to attempt a vaginal delivery. Right now I'm thinking that as long as Baby A is head down and there is no risk to delivering him vaginally, that's what I will do. If it becomes necessary to have a section for Baby B, I will cross that bridge when I get there. I figure no matter how much my doctor and IPs try to push me, no one can force me to have a c-section against my will, and I deserve the right to at least try to avoid a major abdominal surgery because of things that could possibly go wrong once Baby A is out. Of course, Baby A might never get into head down position at all, and we might not even have to worry about it.
As far as how I'm feeling in general, I think I am doing OK. I definitely would not say I'm feeling good anymore, but I'm not miserable either. My hands and feet have started to swell a bit, particularly if I spend any amount of time outside in the summer heat. I have gained about 30 pounds so far, which I'm happy with. Everyone keeps telling me how tiny I am for carrying twins, and although my belly really doesn't look that huge, the fact that I have baby parts in my ribs all the time makes it very difficult to bend over and pick up after my toddler or put on shoes. The chiropractor has helped a lot with my hip pain, which is a huge relief. Nevertheless, at this point I'm getting to be more generally achy and short tempered. I've gotten angry at my poor husband a few times, mainly because he can't seem to read my mind and know what I want him to be doing.
Oh well, I can see the light at the end of the tunnel. I can't believe I am 31 weeks tomorrow! Just 3-7 weeks more to go.