As a triplet mum who experienced a C-section (also known as Caesarean section) delivery, I understand the mix of emotions when anticipating this significant event. On one hand, I was conscious of the fact I would be undergoing surgery for the first time ever, but on the other hand, I was extremely excited to have a chance to finally meet my triplet babies.
Image: Unsplash.com/omurden-cengiz
If you or your partner are feeling anxious about your upcoming C-section surgery, here are some tips from the multiple mama tribe:
Educate Yourself and Ask Questions:
Knowledge is empowering, so take the time to educate yourself about C-section deliveries. Talk to your doctor, ask questions you may have about the process, how the environment will be like, and express any concerns you may have. Understanding the procedure should help you feel more at ease as you’ll have a better idea of what to expect.
Image: Unsplash.com/Luis Melendez
One thing you should know if you're delivering multiples is that there will be many people in the operating theatre. During a twin, triplet or quadruplet cesarean section (C-section) delivery, a multidisciplinary team of healthcare professionals will be present in the operating theatre to ensure the safety of both the mother and the babies. The team typically includes:
1. Obstetrician(s):
- One or more obstetricians will perform the C-section. In the case of triplets, a senior or highly experienced obstetrician may lead the procedure due to the complexity and higher risks associated with multiple births.
2. Anesthesiologist:
- An anesthesiologist will administer anesthesia (usually spinal or epidural) and monitor the mother’s vital signs throughout the surgery. They ensure the mother is comfortable and pain-free during the procedure.
3. Neonatologist(s) or Pediatrician(s):
- A neonatologist or pediatrician will be present for each baby to provide immediate care after delivery. Triplets often require specialized attention, especially if they are premature or have low birth weights.
4. Obstetric Nurses or Midwives:
- Several midwives or nurses will assist the obstetrician during the surgery. They help with preparing the operating room, handling instruments, and caring for the mother and babies.
5. Scrub Nurse(s):
- A scrub nurse (or surgical technologist) will assist the obstetrician by passing instruments and ensuring the surgical field remains sterile.
6. Circulating Nurse(s):
- A circulating nurse manages the overall environment of the operating room, coordinates between team members, and ensures all necessary equipment and supplies are available.
7. Neonatal Nurses:
- Additional neonatal nurses may be present to assist the neonatologist(s) in caring for the triplets immediately after birth. They help with resuscitation, warming, and stabilizing the babies.
8. Additional Support Staff:
- Depending on the hospital and the specific circumstances, there may be additional staff, such as a perinatal specialist, respiratory therapist (if the babies are expected to need breathing support), or a surgical assistant.
9. Partner or Support Person (Optional):
- In some cases, the mother’s partner or a support person may be allowed in the operating theatre, provided they are prepared for the environment and the situation is stable. Check with your medical team on what your hospital's usual guidelines or arrangements are.
Image: Unsplash.com/gabriel-tovar
So yes, it will be crowded in the operating theatre! A multiple C-section is a high-risk delivery that requires careful coordination and expertise. The presence of a large team ensures that both the mother and the babies receive the best possible care, especially in the event of complications such as prematurity, low birth weight, or respiratory distress. Each team member has a specific role to ensure the procedure is safe and efficient.
Gather a Supportive Birth Team:
Image: Unsplash.com/melissa-askew
Having a strong support system is crucial during this time. Surround yourself with a caring and understanding birth team that includes your partner, family members, and trusted friends. Speaking to other multiple mummies who have gone through a Caesarean birth should help as well. Discuss your preferences and concerns with them so they can provide the emotional and practical support you need.
Plan Ahead for Postpartum Recovery:
Image: Pexels.com/ron-lach
Preparing for a C-section delivery also means planning for the recovery period. Take the time to create a comfortable and nurturing environment at home. You may need a stool in the shower, an additional trolley near your bed/rest area for handy access to items, or a recliner that helps you to rest and get up more easily. If you are not engaging a confinement nanny, try to arrange for help with household chores and consider ordering confinement meals to give yourself ample time to rest and recover. Do note that postpartum tummy massage for C-section delivery should start later than vaginal delivery – follow your doctor’s advice on this. Check out our article on postpartum recovery for tips on both core recovery and scar tissue management by Dr. Claire Low, who also happens to be a triplet mum! Many mums of multiples experience Diastasis Recti, so be kind to yourself and allow time for proper recovery.
Prepare a Hospital Bag:
Packing a well-thought-out hospital bag is crucial for a smooth C-section delivery. Include comfortable clothing, essential toiletries, nursing gear, body creams, and mundane (but important!) things like an extra long phone charging wire. Don't forget to pack items for your babies if your doctor predicts they may be able to head home together with you. You'll be staying at the hospital a little longer than with a vaginal birth, so it's important to have everything you need within reach. Hear from other mums and download our hospital bag packing guide here!
Discuss Birth Preferences:
While a C-section delivery may feel less flexible in terms of birth preferences, it's still important to communicate your desires with your healthcare team. Discuss topics such as skin-to-skin contact, breastfeeding, and any specific concerns or requests you have for the immediate postoperative period. Your medical team will do their best to accommodate your wishes within the bounds of safety.
To be honest, we were just super relieved we got to finally deliver our babies in a hospital well-equipped with a Level 3 Neonatal Intensive Care Unit (NICU). Learn more about the NICUs in Singapore hospitals over here! Many twins, triplets and quadruplets are born premature, so it may also be good to understand how to learn more about life as a parent with babies in the NICU.
Embrace Emotional Preparedness:
Preparing for a C-section delivery is not just about physical readiness but also emotional preparedness. Acknowledge and address any fears or anxieties you may have. Seek support from fellow mothers of multiples, join online communities, or consider attending birthing classes specifically designed for C-section deliveries. Sharing your concerns and hearing others' experiences can provide comfort and reassurance. Some mums found it helpful to watch videos of C-section deliveries although that may not be something for everyone.
If you’re carrying twins, triplets or more right now and are getting nearer to your C-section date, our tribe is cheering you on. Embrace this journey and have faith in the team of medical professionals who will support you through this experience. All the best!
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For more real-life stories and parenting hacks from parents of multiples, check out our Spotlight series on Multiples Matters!
