Does anyone know Dr. DeLia's reccomendations on c/s delivery etc.

Discussion in 'Pregnancy Help' started by melstofko, Jul 11, 2008.

  1. melstofko

    melstofko Well-Known Member

    I spoke to Dr. DeLia early in my pregnancy and thankfully have not needed his services. I didn't want to bother him and was wondering if anyone knows what he recommends in mono/di twins in the way of delivery (c/s vs. vaginal), and how many weeks he recommends delivering by? I would appreciate any additional info you have from him. Thanks.
     
  2. ferfischer

    ferfischer Well-Known Member

    I would call him or his office again - i'm sure they will help you! YOu should also ask on the TTTS foundation boards, or write Mary at the foundation and ask her.
     
  3. Emily@Home

    [email protected] Well-Known Member

    I was really baffled by this conundrum too. . . I wanted to do what was best for the babies, but because our TTTS didn't get any worse, the babies were a good size, and both were head down, the MFM specialists and my OB wanted me to try the vaginal if I wanted. That was with the whole, "You'll deliver in the OR with an epidural in place JUST IN CASE." They monitored me very closely.

    Seems like I read somewhere on the TTTS Foundation website that they mention C/S, but then if you read another part of the site that talks about planning for delivery, they don't exactly poo-poo the idea of a vaginal.

    I did have a successful vaginal delivery in the OR with an epidural. All was fine.

    But I was spooked by others' recommendations. It's worth contacting them again. There might be some red flags in your situation that might help you make a sound decision that you are comfy with.

    I'm interested in what he has to say myself since I never called him back concerning the matter either!

    Oh, let me add that I did talk to Mary postpartum, and she didn't seem surprised that I had a vaginal delivery.
     
  4. melstofko

    melstofko Well-Known Member

    I e-mailed Mary and wrote in another thread her reply..basically it was to deliver by 34 weeks if you have had no sign of TTTS. I am thinking that is pretty darn early considering lung development...I know my OB would not be going for that if I had no complications to warrant it. She did mentiona study as well that said definately no later than 36 weeks. I am gonna have to do some more research on my own and talk to my OB because I am very concerned to be having conflicting info (my OB scheduled an induction for 38 weeks). Any more info that anyone has would be greatly appreciated :)
     
  5. Emily@Home

    [email protected] Well-Known Member

    My docs did seem like they wanted to do the delivery between 36 and 37 weeks as long as all was going well. They didn't want to wait any later than that considering the TTTS, just the fact I was having twins, the fact I had a cerclage, and the whole thing with me having been on bedrest so long. Again, I was hospitalized and being monitored constantly.

    I remember being very aggravated by the whole TTTS/L&D decision-making because there isn't any hard and fast research about it all - or so it seems! After a pregnancy full of anxiety, you just want to make the best decision so that nothing goes wrong at the very end.

    I talked to the docs about whether a vaginal would be okay and asked them if they knew how to deliver TTTS twins. I went through all kinds of scenarios with them, all the "what if's" and so forth. I was never satisfied really, and I wished the MFM docs had been the attending docs instead of my regular OBs who had little experience with and understanding of TTTS. In the end, I just went with it and hoped/prayed for the best.
     
  6. melstofko

    melstofko Well-Known Member

    QUOTE(mstofko21 @ Jul 12 2008, 10:43 PM) [snapback]873745[/snapback]
    I e-mailed Mary and wrote in another thread her reply..basically it was to deliver by 34 weeks if you have had no sign of TTTS. I am thinking that is pretty darn early considering lung development...I know my OB would not be going for that if I had no complications to warrant it. She did mentiona study as well that said definately no later than 36 weeks. I am gonna have to do some more research on my own and talk to my OB because I am very concerned to be having conflicting info (my OB scheduled an induction for 38 weeks). Any more info that anyone has would be greatly appreciated :)



    Update-

    Spoke to Dr. DeLia, he said he would need my info a 32 weeks to give me a recommendation. Talked to my OB today and she said that if fluid levels are good and both babies are still growing she would be hesitant to deliver me at 36 weeks since that is still technically considered premature. I am truly hoping that I will go into labor on my own between 36-37 weeks and not have to worry about any of this but who knows. Thanks for your info :)
     
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