Vaginal twin delivery, four under three, an unexpected C-section, and an OBGYN mom
Join Merelise as she interviews her friend Jessica O'Connor, an OB specializing in fertility, to explore her journey through a twin pregnancy, two subsequent singleton births, and balancing a medical career with motherhood.
Jessica’s motherhood journey started out with a bang when she found out she was pregnant with twins during her reproductive endocrinology fellowship. She decided early on she wanted to attempt a vaginal twin delivery if possible.
After a wonderful pregnancy where she carried her twin boys for 37+2 weeks, she went into labor spontaneously. During labor she experienced some scary complications due to baby B’s heart rate decelerating for an extended period, but she ultimately welcomed two boys into the world vaginally.
Throughout her first birth story, Jessica and Merelise discuss the different types of multiple pregnancies possible, what boxes she wanted to check in order to attempt a twin vaginal delivery, and the realities of breastfeeding and sleep training twins, while also completing her oral board exams.
When her twins were a little less than a year old, Jessica and her husband decided they wanted to conceive again, in order to time a second maternity leave with her fellowship. That meant they would have three kids under three but they felt prepared and excited for the possibility! Despite having gestational diabetes and being pregnant during COVID, her second pregnancy, her only girl, was relatively uneventful and her second birth was a beautiful, successful induction at 38 weeks. The only surprise was an almost 9 pound baby!
During her third pregnancy, she had gestational diabetes again and her baby was measuring very large. Her care team wanted her to opt for a scheduled C-section, but Jessica wanted to try for a vaginal birth, knowing she’d already had three, successfully. She went into labor naturally and despite pretty quickly getting to 10 cm, her baby wouldn’t descend into the birth canal and every time she pushed, her baby’s heart rate would decelerate. Knowing that he was likely very large, wasn’t descending into the birth canal, and was having heart decelerations, they decided to deliver via C-section given the high likelihood of shoulder dystocia. Her almost 10 pound baby boy was born shortly thereafter!
Merelise & Jessica discuss that, after two vaginal deliveries, recovering from a C-section was challenging for Jessica, and made worse by the fact that she had a small bowel obstruction one week postpartum, a complication from her abdominal surgery. Ultimately, Jessica acknowledged that, no matter how many babies you have, every one is unique and every birth is unpredictable, as evidenced by her four children’s stories.
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Disclaimer: This podcast contains general information and discussions around health and related subjects. This information and the other content provided in this podcast and any linked materials are not intended and should not be construed as medical advice, nor is this information a substitute for professional medical expertise or treatment.
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