WEBVTT - The Mum Whose Identical Twins Shared A Single Placenta

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<v Speaker 1>You're listening to Amma Mia podcast. Mamma Mia acknowledges the

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<v Speaker 1>traditional owners of land and waters that this podcast is

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<v Speaker 1>birth stories and knowledge that has been a fundamental part

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<v Speaker 1>of Indigenous culture.

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<v Speaker 2>Hi.

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<v Speaker 1>I'm Cassania Lucid and this is Diary of a birth.

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<v Speaker 1>I'm fascinated by identical twins. One embryo splits to create

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<v Speaker 1>a perfect copy, two babies genetically the same, but with

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<v Speaker 1>their own identities and personalities. Occurring in roughly one in

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<v Speaker 1>two hundred and fifty berths in Australia. They're relatively rare,

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<v Speaker 1>but let's be real. Any parent of multiples will tell

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<v Speaker 1>you how challenging it is. The nappies, the feeding, and

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<v Speaker 1>let's not forget the actual pregnancy. After undergoing IVF with

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<v Speaker 1>their first baby, Today's mum was left with one viable embryo,

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<v Speaker 1>and when it came time to add to their family

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<v Speaker 1>two years later, she and her partner had one last shot.

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<v Speaker 1>Fortunately for them, the embryo took they weren't expecting was

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<v Speaker 1>a high risk pregnancy with identical twins so let's meet

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<v Speaker 1>today's mum.

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<v Speaker 2>Hello, my name is Laura and this is the diary

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<v Speaker 2>of my birth with Alex and Riley.

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<v Speaker 1>So, Laura, can you tell us a little bit about

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<v Speaker 1>your life before you fell pregnant with your twins?

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<v Speaker 2>Life was pretty busy and I guess interesting. My husband

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<v Speaker 2>and I were both working, working full time. There was

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<v Speaker 2>lots of travel, lots of holidays, lots of fun times,

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<v Speaker 2>lots of going out and eating out. Yeah, we were

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<v Speaker 2>also renovating our house, planning and starting to renovate, meeting

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<v Speaker 2>with the architects, the builders, and yeah, life was busy,

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<v Speaker 2>just traveling. I work in Melbourne, but traveled to Sydney

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<v Speaker 2>quite a bit and we were able to get to

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<v Speaker 2>Greece of what where my husband's family is from. And yeah,

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<v Speaker 2>it was good. We had time. We had a lot

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<v Speaker 2>of time for four kids.

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<v Speaker 1>You had a baby before you fell pregnant with the twins.

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<v Speaker 1>Now I know that you went through IVF with both

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<v Speaker 1>of your babies. Can you tell us a little bit

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<v Speaker 1>about that process of falling pregnant with your first.

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<v Speaker 2>My husband and I I guess we decided, you know,

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<v Speaker 2>we wanted a family, we wanted kids. We tried for

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<v Speaker 2>a little bit, and I naturally didn't get anywhere. I

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<v Speaker 2>was son to get really impatient. I was still fairly

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<v Speaker 2>young at the time, but you know, I wanted things

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<v Speaker 2>done kind of now. We decided to embark on IVF. Actually,

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<v Speaker 2>before IVF, we did a few cycles of a varying induction,

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<v Speaker 2>which didn't work after two rounds, and went straight to IVF. So,

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<v Speaker 2>you know, did the hormones, did the injections, the egg collection,

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<v Speaker 2>which was a huge process. And this was in the

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<v Speaker 2>middle of COVID winter lockdowns, so not a fun time. Yeah,

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<v Speaker 2>it was really really tough. To be honest, The injections

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<v Speaker 2>not nice and I'm not very good at them. My

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<v Speaker 2>husband actually couldn't be in the same room when I

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<v Speaker 2>was doing them. Injection after injection after injection into a

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<v Speaker 2>collection of which I don't know if this is a

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<v Speaker 2>good number or bad number, but I was fortunately, I

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<v Speaker 2>guess to get nine eggs collected in the end, and.

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<v Speaker 1>All those nine eggs you got how many embryos.

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<v Speaker 2>Out of the nine every day kind of dropped off,

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<v Speaker 2>dropped off, dropped off down to two embrus that were

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<v Speaker 2>I guess day five blastsicists that were ready and appropriate

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<v Speaker 2>to be implanted.

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<v Speaker 1>Yeah, and you got really fortunate with your first and

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<v Speaker 1>you feel pregnant with him straight away?

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<v Speaker 2>Yes, yes, very fortunate the first round. What and we

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<v Speaker 2>got beautiful Lucas.

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<v Speaker 1>So Lucas comes along and you know you're ready to

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<v Speaker 1>try again and you've got your one embryo left. So

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<v Speaker 1>what was going through your mind when you were ready

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<v Speaker 1>to implant that embryo?

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<v Speaker 2>Gosh, it was full on. So look, yeah, as you say,

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<v Speaker 2>we had one embry left, it had been frozen for

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<v Speaker 2>two years. There was a lot of hope and a

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<v Speaker 2>lot kind of writing on that final one emberor I

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<v Speaker 2>really didn't want to go through IVF again, the whole

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<v Speaker 2>hormones and egg collection. I also got a very hyperstimulation

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<v Speaker 2>and ended up in the emergency warard for a night.

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<v Speaker 2>And yeah, it was one embror and one final one

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<v Speaker 2>and all our hopes and dreams we kind of resting

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<v Speaker 2>on this one embrew that had been frozen for two years,

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<v Speaker 2>and we're just hoping that one worked.

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<v Speaker 1>You had your transfer, you went home. Now, for those

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<v Speaker 1>who haven't been through IVF, when you get an egg transfer,

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<v Speaker 1>you're not guaranteed to be pregnant. There's about a ten

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<v Speaker 1>day window that you have to wait, and then they

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<v Speaker 1>do a blood test and they can tell you if

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<v Speaker 1>you're pregnant or not, and it is the most excruciating. Wait, yeah,

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<v Speaker 1>how did you feel going into that blood test, because

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<v Speaker 1>I know that you waited, which a lot of women

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<v Speaker 1>don't wait.

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<v Speaker 2>It's a waiting game, right, It's like at the end

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<v Speaker 2>of your pregnancy, when you're waiting for baby to come.

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<v Speaker 2>It's a waiting game. Between that implantation and the blood test,

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<v Speaker 2>it's a waiting game. And then from that blood test

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<v Speaker 2>to the phone call, it's it's huge. What probably helped

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<v Speaker 2>was I went on holidays, So after the implantation, I

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<v Speaker 2>went on holidays, just up to write for a few

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<v Speaker 2>days with my husband and son. I also got acupuncture,

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<v Speaker 2>which has shown to support and help that implantation. And

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<v Speaker 2>I just waited, and I tried to be really patient.

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<v Speaker 2>I got the blood test and then just waited from

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<v Speaker 2>the phone call from the fertility clinic.

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<v Speaker 1>What was that phone call?

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<v Speaker 2>Like tears of happiness and joy. I still remember it.

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<v Speaker 2>And I remember getting the phone call first with Lucas

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<v Speaker 2>exactly where we were, exactly the time, and exactly feeling

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<v Speaker 2>of just you know, hope and want and longing and

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<v Speaker 2>this real, like I don't know, it's somewhat desperate feeling

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<v Speaker 2>that you just so want this baby and so want

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<v Speaker 2>this child, and relief, complete relief just washed over me

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<v Speaker 2>because they call you and you know the call is coming,

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<v Speaker 2>and you know you know they're going to either tell

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<v Speaker 2>you the best news or the worst news. And both

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<v Speaker 2>times they were very quick and just said straight away, congratulations,

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<v Speaker 2>you're pregnant.

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<v Speaker 1>Did you go for a dating scan?

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<v Speaker 2>If you went through, We did go for a dating scan.

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<v Speaker 2>I think about week seven. I remember calling up my

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<v Speaker 2>obstetrician at the time and said, oh, look, I'm pregnant.

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<v Speaker 2>I'd love to come in and see my ob and

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<v Speaker 2>they're like, oh, no, no, you're earlier to ORR. You

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<v Speaker 2>know week seven, you know, come back in a few

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<v Speaker 2>more weeks, come back at week ten. And I said,

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<v Speaker 2>oh no, no, I really want to go, like I

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<v Speaker 2>just want to make sure that it's a viable pregnancy

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<v Speaker 2>and it's healthy and safe. And they're like, okay, sure,

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<v Speaker 2>never always come in. And so I in at that

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<v Speaker 2>week seven for that first dating scan.

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<v Speaker 1>And your partner was with you, yes, Yehannie was with you. Yes,

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<v Speaker 1>So a spoiler alert, you have twins, so we know

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<v Speaker 1>that we had twins here, But what I really want

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<v Speaker 1>to stress is you have identical twins, right, yes, so

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<v Speaker 1>they only implanted one embryo, so this wasn't a case

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<v Speaker 1>of you know, IVF putting multiple embryos in and that's

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<v Speaker 1>why you have twins, like you had identical twins. So

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<v Speaker 1>at some point during your early weeks, this embryo split

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<v Speaker 1>into your identical twins. I want you to kind of

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<v Speaker 1>paint me a picture of being in that ultrasound room

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<v Speaker 1>with your husband to find out that you are actually

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<v Speaker 1>having twins.

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<v Speaker 2>So we get in the room. It wasn't a long

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<v Speaker 2>wait and very quickly I was up on the table

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<v Speaker 2>and the obstetrician you know, put the gel on, put

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<v Speaker 2>that ultrasound one thing on, and very very quickly and

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<v Speaker 2>very clearly we can see what we can hear and

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<v Speaker 2>see your heartbeat, healthy, bible, normal pregnancy relief here tears,

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<v Speaker 2>a cry, tears of joy, happiness done, obviously positive pregnancy

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<v Speaker 2>and blood test. You know it's good and baby at

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<v Speaker 2>week seven, very strong heartbeat, wonderful and I was just

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<v Speaker 2>crying and crying and crying, but positive, good tears and

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<v Speaker 2>then the obstetrician at the time. I just remember this

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<v Speaker 2>so clearly. He got the sonography, I don't know the

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<v Speaker 2>wand the thing, and he very quickly moved it from

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<v Speaker 2>one side of my uterus to the other and up

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<v Speaker 2>popped another embryo on the screen, the black and white

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<v Speaker 2>sonography screen, very clearly another embryo moving, and automatically said

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<v Speaker 2>there's two. He didn't say anything, he was silent, he

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<v Speaker 2>was still. He is normally a very talkative ob and

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<v Speaker 2>he didn't say a word. At the same time, I've

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<v Speaker 2>got my husband in one corner of the room, engaged,

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<v Speaker 2>but probably like also not that engaged. I have a

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<v Speaker 2>student midwife in the other corner. Again, I don't think

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<v Speaker 2>she was paying much attention at the time. And then

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<v Speaker 2>all of a sudden, everyone was like watching and looking

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<v Speaker 2>at the screen and looking at me and looking at

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<v Speaker 2>my tummy, and my robe looked at me, looked at

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<v Speaker 2>my tummy, looked at the screen, looked at me, looked

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<v Speaker 2>and I just kept saying, there's two, there's two, like

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<v Speaker 2>I could read and interpret the ultrasound that, you know,

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<v Speaker 2>the black and white screen, and I knew what I

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<v Speaker 2>was seeing. And again he doesn't say anything for a

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<v Speaker 2>long time, and I was like, oh my god, just

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<v Speaker 2>talk to say something for such a normally talkative guy.

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<v Speaker 2>He looked at me, looked at the scan and said, congratulations,

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<v Speaker 2>you're having twins. And more cries, more shock, more tears,

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<v Speaker 2>more laughter. It just was a huge, huge, huge shock.

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<v Speaker 2>Any profanities, Yes, I'm sure, yes, I think so. I

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<v Speaker 2>think I swore yes, I remember the shock. I don't

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<v Speaker 2>remember what I said, but I remember the shock. And

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<v Speaker 2>then just like both like laughter but tears.

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<v Speaker 1>So you and your husband get in the car. You've

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<v Speaker 1>just found out this very shocking news. What's that conversation sound?

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<v Speaker 2>Like? God, that was really tough. I'll be honest with you,

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<v Speaker 2>Like this was just obviously not expected at all. Like,

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<v Speaker 2>we don't have twins in the family. It's not a

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<v Speaker 2>genetic link. They were completely random, identical twins. We get out,

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<v Speaker 2>I'm meant to get back to work, Jani's meant to

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<v Speaker 2>get back to his work, and we just like are

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<v Speaker 2>still processing the news and still processing the information. And

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<v Speaker 2>I must say it took weeks and months to process

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<v Speaker 2>it and come to terms with that. You know, just

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<v Speaker 2>a lot of questions I think, like are they healthy.

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<v Speaker 2>Is it going to be a viable pregnancy? Can I

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<v Speaker 2>carry twins? How are we going to feel? How will

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<v Speaker 2>I emotionally cope? How will I physically cope? You know?

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<v Speaker 2>Can I actually carry twins to term? Well? Will that look? Like?

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<v Speaker 2>What does this mean for my career? What does this

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<v Speaker 2>mean for Lucas our son? You know, we're giving him

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<v Speaker 2>two siblings. We're renovating our house. Does it fit another room?

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<v Speaker 2>Do we have to get a new car? You know?

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<v Speaker 2>Three car seats? What does this mean for our family?

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<v Speaker 2>And this wasn't on the cars, This wasn't planned. We

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<v Speaker 2>wanted like this normal kind of two parents, two kids,

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<v Speaker 2>and very quickly we're outnumbered three like that, And.

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<v Speaker 1>To add complexity to this twin pregnancy, which is already

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<v Speaker 1>a challenge, you know, we know that sort of risks

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<v Speaker 1>increase with multiples. With a twin pregnancy. You actually had

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<v Speaker 1>a very rare type of twins and they're called MCDA twins.

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<v Speaker 1>Now I won't try and pronounce the actual name of it,

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<v Speaker 1>but basically you told me that that means that they

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<v Speaker 1>had a single placenter with two amniotic sacs, which means

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<v Speaker 1>that they were sharing nutrients from one placenter, correct, can

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<v Speaker 1>you tell us what the doctors told you about what

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<v Speaker 1>that actually means.

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<v Speaker 2>So in that first stating scan, ob very clearly could

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<v Speaker 2>see the type of twins that they were and very

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<v Speaker 2>quickly said, look, this is a high risk twin pregnancy.

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<v Speaker 2>They're sharing a placenter. Drew diagrams and kind of drew

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<v Speaker 2>what it looked like. But effectively positive news is that

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<v Speaker 2>they're in two separate amniotic sacs and there was the

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<v Speaker 2>membrane between them. However, sharing a placenta, as you say, like,

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<v Speaker 2>they're sharing nutrients from that one plus center with two

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<v Speaker 2>umbilical cords, and so there's a potential risk. I mean

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<v Speaker 2>a lot of risks for twins, but one of the

0:12:37.693 --> 0:12:40.813
<v Speaker 2>most concerning ones they worry about is twin to twin

0:12:40.893 --> 0:12:44.693
<v Speaker 2>transfusion syndrome, which is where one twin gets more nutrients

0:12:44.773 --> 0:12:47.533
<v Speaker 2>than the other and it's really a problem for both twins.

0:12:47.933 --> 0:12:50.733
<v Speaker 2>Because of that, I had to be monitored and scanned

0:12:50.853 --> 0:12:53.733
<v Speaker 2>every fortnight from I think week fifteen, just to make

0:12:53.773 --> 0:12:55.773
<v Speaker 2>sure that the babies are growing kind of normally and

0:12:55.813 --> 0:12:59.533
<v Speaker 2>healthy and equally and they're kind of getting equal amount

0:12:59.733 --> 0:13:02.453
<v Speaker 2>of nutrients, of which they were very fortunate and I

0:13:02.653 --> 0:13:06.133
<v Speaker 2>never had They call it t TTS twin to twin

0:13:06.213 --> 0:13:07.373
<v Speaker 2>transfusion syndrome.

0:13:07.693 --> 0:13:10.733
<v Speaker 1>Basically that could mean that one twin's growing much faster

0:13:10.813 --> 0:13:12.653
<v Speaker 1>the other ones not getting any nutrients, and you can

0:13:12.693 --> 0:13:18.093
<v Speaker 1>really risk the life of the baby yourself. It's pretty serious. Yes,

0:13:18.453 --> 0:13:21.293
<v Speaker 1>So obviously that's a big concern for you throughout pregnancy.

0:13:21.333 --> 0:13:24.093
<v Speaker 1>And I also understand that you were very unwell through

0:13:24.213 --> 0:13:26.813
<v Speaker 1>your pregnancy as well. So what was it like, sort

0:13:26.813 --> 0:13:31.693
<v Speaker 1>of juggling a toddler, a high demand position at work,

0:13:32.213 --> 0:13:33.293
<v Speaker 1>being pregnant with twins.

0:13:33.613 --> 0:13:36.653
<v Speaker 2>It was rough. It was really rough, And I compare

0:13:36.653 --> 0:13:38.813
<v Speaker 2>in contrast, I think a lot to my first pregnancy

0:13:38.893 --> 0:13:41.852
<v Speaker 2>that I was told was very boring, a very normal pregnancy,

0:13:42.453 --> 0:13:46.852
<v Speaker 2>not many issues, and this song was just very, very challenging.

0:13:46.933 --> 0:13:51.893
<v Speaker 2>I was nauseous, severely nauseous for mass every day. I

0:13:51.933 --> 0:13:54.573
<v Speaker 2>was fortunate I didn't throw up at all. But it

0:13:54.613 --> 0:13:57.453
<v Speaker 2>was just like, think of the worst hangover you've ever had,

0:13:58.253 --> 0:14:01.893
<v Speaker 2>mixed with travel sickness and motion sickness. It was rubbish.

0:14:01.933 --> 0:14:04.453
<v Speaker 2>It was really rubbish. And looking after my toddler, who's

0:14:04.653 --> 0:14:08.173
<v Speaker 2>two at the time, and here, you know, Terrible twos

0:14:08.493 --> 0:14:12.293
<v Speaker 2>was challenging, and then work and then travel to Sydney,

0:14:13.133 --> 0:14:15.453
<v Speaker 2>and yeah, it was a lot.

0:14:15.613 --> 0:14:18.093
<v Speaker 1>Did you have anything any particular foods or drinks that

0:14:18.173 --> 0:14:20.253
<v Speaker 1>really got you through when you were feeling nauseous?

0:14:20.773 --> 0:14:23.533
<v Speaker 2>Yes, Oh my god, ginger and just ginger beer and

0:14:23.973 --> 0:14:24.693
<v Speaker 2>fresh ginger.

0:14:25.053 --> 0:14:27.773
<v Speaker 1>Okay, so let's move along. You're feel naughtously, feeling horrible,

0:14:27.813 --> 0:14:29.893
<v Speaker 1>But family's obviously very excited.

0:14:30.573 --> 0:14:33.093
<v Speaker 2>Yes, yes, And in fact it was interesting because no

0:14:33.133 --> 0:14:37.213
<v Speaker 2>one knew were pregnant. We hadn't told anyone until we know,

0:14:37.213 --> 0:14:39.493
<v Speaker 2>had that dating scan, and so it was like double

0:14:39.493 --> 0:14:43.373
<v Speaker 2>the news, like oh we're pregnant and we're having twins,

0:14:43.773 --> 0:14:46.453
<v Speaker 2>kind of two in one, yeah, I think. Yeah, both

0:14:46.453 --> 0:14:48.893
<v Speaker 2>sides of the family very very happy. A bit of

0:14:48.893 --> 0:14:51.853
<v Speaker 2>a shock obviously, because as I said, like, twins don't

0:14:51.893 --> 0:14:55.133
<v Speaker 2>run in the family either side, and again it's not

0:14:55.173 --> 0:14:57.893
<v Speaker 2>a genetic thing at all. Yeah, a lot of excitement

0:14:57.893 --> 0:14:58.533
<v Speaker 2>from the family.

0:14:58.853 --> 0:14:59.053
<v Speaker 3>Yeah.

0:14:59.213 --> 0:15:03.253
<v Speaker 2>I remember actually one early on in the pregnancy justice,

0:15:03.253 --> 0:15:05.693
<v Speaker 2>we found the news and as I told my sister,

0:15:06.013 --> 0:15:10.773
<v Speaker 2>as remember crying, crying with her, Yeah, because I was

0:15:10.813 --> 0:15:14.013
<v Speaker 2>still processing the news and still processing what it meant

0:15:14.333 --> 0:15:17.853
<v Speaker 2>and again it wasn't planned, and she just held me

0:15:17.893 --> 0:15:20.733
<v Speaker 2>and I just cried. It was a beautiful moment, but

0:15:20.813 --> 0:15:23.613
<v Speaker 2>it was still hard to kind of come to terms

0:15:23.893 --> 0:15:26.853
<v Speaker 2>with it. Yeah, yeah, it still is a little bit.

0:15:26.893 --> 0:15:29.373
<v Speaker 2>I know the voice that over a year, but it's

0:15:29.453 --> 0:15:31.373
<v Speaker 2>wild to think we've had.

0:15:31.253 --> 0:15:33.013
<v Speaker 1>Twins coming up.

0:15:33.573 --> 0:15:37.373
<v Speaker 2>I was already a few centimeters dilated and Raley's feet

0:15:37.693 --> 0:15:38.453
<v Speaker 2>were coming.

0:15:38.253 --> 0:15:44.693
<v Speaker 1>Out well, I mean, one is still so little. Like

0:15:44.733 --> 0:15:46.573
<v Speaker 1>I feel like once you get through that first year

0:15:47.133 --> 0:15:49.053
<v Speaker 1>it is, that'll sort of start to get a little

0:15:49.053 --> 0:15:52.773
<v Speaker 1>bit easier. But true first birthdays should be the celebration

0:15:52.893 --> 0:15:55.373
<v Speaker 1>of mum and dad, particularly mum, but mum and dad.

0:15:55.413 --> 0:15:56.613
<v Speaker 2>Oh, I agree for sure.

0:15:57.413 --> 0:16:01.613
<v Speaker 1>Obviously with twins again high rise pregnancy of twins often

0:16:01.853 --> 0:16:05.653
<v Speaker 1>gestation is often a little bit shorter. But your doctor

0:16:06.173 --> 0:16:08.373
<v Speaker 1>didn't want you to go past a certain time. Can

0:16:08.413 --> 0:16:09.693
<v Speaker 1>you talk to us about that.

0:16:09.973 --> 0:16:13.093
<v Speaker 2>With the twins, kind of coming to term is around

0:16:13.133 --> 0:16:15.853
<v Speaker 2>thirty seven weeks. For the type of twins I had,

0:16:15.893 --> 0:16:18.533
<v Speaker 2>it was about thirty seven weeks, and we had a

0:16:18.693 --> 0:16:22.773
<v Speaker 2>planned cesarean. Well, no, we had planned for a vaginal delivery,

0:16:22.933 --> 0:16:25.493
<v Speaker 2>and my ov was very happy for that. Given the

0:16:25.573 --> 0:16:28.853
<v Speaker 2>kind of the first physiological vaginal delivery with my first son.

0:16:29.093 --> 0:16:31.973
<v Speaker 2>We're working towards that and aiming towards that. It was great,

0:16:32.333 --> 0:16:36.853
<v Speaker 2>all on board. However, at week thirty two, my first son, Riley,

0:16:37.093 --> 0:16:40.613
<v Speaker 2>twin one, he flipped, so from being head down he

0:16:40.733 --> 0:16:43.973
<v Speaker 2>was now fit down and breach. And as soon as

0:16:43.973 --> 0:16:47.413
<v Speaker 2>that happened, that through, you know, a vaginal birth plan

0:16:47.573 --> 0:16:50.013
<v Speaker 2>alt the window because there's not much you could do

0:16:50.053 --> 0:16:52.453
<v Speaker 2>with like I know, with one spinning babies and you

0:16:52.493 --> 0:16:54.013
<v Speaker 2>can kind of get them to try and flip again.

0:16:54.613 --> 0:16:57.213
<v Speaker 2>You can't do that with twins. And so every week

0:16:57.253 --> 0:16:59.373
<v Speaker 2>and every scan I was just hoping like Riley had

0:16:59.373 --> 0:17:03.133
<v Speaker 2>flipped again and flipped back to head down, but he hadn't,

0:17:03.213 --> 0:17:06.813
<v Speaker 2>and he didn't, So then we had to think about, okay, well,

0:17:07.013 --> 0:17:11.292
<v Speaker 2>plan B cesarian and we had booked a cesarian for

0:17:11.373 --> 0:17:13.733
<v Speaker 2>kind of mid March, so that was booked in and

0:17:13.812 --> 0:17:16.133
<v Speaker 2>all good and all fine. And from that moment I

0:17:16.173 --> 0:17:17.652
<v Speaker 2>did a lot of research. I spoke to a lot

0:17:17.693 --> 0:17:21.413
<v Speaker 2>of girlfriends, particularly friends with twins and who had gone

0:17:21.413 --> 0:17:23.973
<v Speaker 2>through a cesarean, spoke to a lot of friends with

0:17:24.052 --> 0:17:27.733
<v Speaker 2>both negative and positive experiences of air cesarean. I did

0:17:27.733 --> 0:17:30.213
<v Speaker 2>a lot of research, a lot of information. I spoke

0:17:30.213 --> 0:17:32.053
<v Speaker 2>to a lot of people to kind of really get

0:17:32.053 --> 0:17:35.173
<v Speaker 2>me ready and prepare me for that moment. But that

0:17:35.573 --> 0:17:39.413
<v Speaker 2>planned Cesarean date didn't happen because the boys came early.

0:17:40.053 --> 0:17:43.332
<v Speaker 2>The boys came at thirty four and four, because I

0:17:43.373 --> 0:17:47.813
<v Speaker 2>went into spontaneous labor. Well, as you'd jumped back a step, Riley,

0:17:48.013 --> 0:17:51.253
<v Speaker 2>we think it's Frailey, chicky bugger. He kicked and broke my.

0:17:51.213 --> 0:17:54.533
<v Speaker 1>Waters lot a little so and sound a little chicky

0:17:54.573 --> 0:17:56.052
<v Speaker 1>monkey had day.

0:17:56.413 --> 0:17:59.493
<v Speaker 2>No because he was fit down and he was breach.

0:18:00.293 --> 0:18:02.853
<v Speaker 2>Like my ob says to me, he probably kicked kick

0:18:02.893 --> 0:18:06.453
<v Speaker 2>too hard and broke your waters. And one afternoon, I

0:18:06.533 --> 0:18:09.052
<v Speaker 2>remember i'd you know, been that day like shopping and

0:18:09.213 --> 0:18:11.773
<v Speaker 2>washing and cooking and cleaning and all the things as

0:18:11.813 --> 0:18:14.892
<v Speaker 2>you do as a mum and managing a family. I

0:18:15.093 --> 0:18:17.893
<v Speaker 2>had like a five minute break, and I remember lying

0:18:17.973 --> 0:18:21.173
<v Speaker 2>on my bed with my husband and my son and

0:18:21.253 --> 0:18:23.453
<v Speaker 2>we put on like Bluey or something for my son

0:18:23.493 --> 0:18:26.653
<v Speaker 2>to watch it. Oh perfect, I can literally just lie down,

0:18:26.733 --> 0:18:29.253
<v Speaker 2>get off my feet and watched this with him for

0:18:29.293 --> 0:18:31.853
<v Speaker 2>like half an hour and lye in bed. Within literally

0:18:31.973 --> 0:18:35.453
<v Speaker 2>like two minutes of putting on that show, my water's

0:18:35.493 --> 0:18:40.532
<v Speaker 2>broke and water went everywhere all over the bed My

0:18:40.693 --> 0:18:43.093
<v Speaker 2>husband actually was talking to another friend who's a twin

0:18:43.213 --> 0:18:46.853
<v Speaker 2>dad at the time on the phone, and Yanni had

0:18:46.853 --> 0:18:50.213
<v Speaker 2>thought I had actually like wet my pants all like

0:18:50.693 --> 0:18:53.092
<v Speaker 2>worse because I was holding my bump like I was

0:18:53.133 --> 0:18:56.532
<v Speaker 2>holding my backside. I was on the bed and I

0:18:56.653 --> 0:18:59.453
<v Speaker 2>like literally said, oh, and how my backside. He's like,

0:18:59.493 --> 0:19:02.453
<v Speaker 2>oh my god, have you like wet yourself or what's happened?

0:19:02.893 --> 0:19:04.253
<v Speaker 2>He was on the phone and he's like, oh, mate,

0:19:04.253 --> 0:19:06.693
<v Speaker 2>I'm gonna have to like drop off because I think

0:19:06.893 --> 0:19:10.133
<v Speaker 2>Lauren's just her waters are broken. Got off the phone call.

0:19:10.493 --> 0:19:12.812
<v Speaker 2>I was lying bed still with my son. All of

0:19:12.853 --> 0:19:14.853
<v Speaker 2>a sudden, we were like up and off the bed,

0:19:14.933 --> 0:19:17.213
<v Speaker 2>but there was water everywhere and it kept gushing and

0:19:17.253 --> 0:19:21.453
<v Speaker 2>gushing and gushing. Went to the toilet, waters coming. I've

0:19:21.493 --> 0:19:25.013
<v Speaker 2>got a like a maternity pad, put that in my underwear,

0:19:25.693 --> 0:19:28.973
<v Speaker 2>and very quickly I just said, okay, it's on like

0:19:29.093 --> 0:19:31.493
<v Speaker 2>waters are broken. We need to get to hospital.

0:19:31.773 --> 0:19:35.573
<v Speaker 1>And this is a Sunday too, Sunday afternoon. Yeah, so

0:19:35.733 --> 0:19:37.973
<v Speaker 1>you basically had to call the whole new team in Yes.

0:19:38.293 --> 0:19:42.133
<v Speaker 2>Yes, so my obi wasn't on call that weekend, and

0:19:42.253 --> 0:19:44.773
<v Speaker 2>I got a whole new team because it ended up

0:19:44.773 --> 0:19:48.973
<v Speaker 2>becoming an emergency s asaian and a whole new team

0:19:49.253 --> 0:19:52.173
<v Speaker 2>greeted us in hospital and you pay all the penalty

0:19:52.253 --> 0:19:54.773
<v Speaker 2>rates because it's a Sunday afternoon. So that was fun,

0:19:55.333 --> 0:19:57.333
<v Speaker 2>all new people. But look, we knew the hospital, we

0:19:57.413 --> 0:20:00.213
<v Speaker 2>knew the plan. My Obi. I was very lucky because

0:20:00.253 --> 0:20:02.253
<v Speaker 2>I spoke to him on the phone actually in hospital

0:20:02.293 --> 0:20:06.093
<v Speaker 2>about what was about to happen, and the saesarean and

0:20:06.533 --> 0:20:08.693
<v Speaker 2>you know, as discussed, you know we're going to be

0:20:08.733 --> 0:20:11.773
<v Speaker 2>doing s Y and zaid, So did have continuity of

0:20:11.813 --> 0:20:15.093
<v Speaker 2>care from him, and I knew what I was going

0:20:15.093 --> 0:20:17.453
<v Speaker 2>into and it was still to plan. It was just

0:20:17.653 --> 0:20:18.413
<v Speaker 2>a little bit early.

0:20:18.893 --> 0:20:22.132
<v Speaker 1>Yeah, you get in there, get spinal tap, you're in

0:20:22.133 --> 0:20:26.572
<v Speaker 1>the theater and they take out the first baby. Yes,

0:20:27.053 --> 0:20:29.292
<v Speaker 1>what was that experience like? Did they have to go

0:20:29.333 --> 0:20:30.253
<v Speaker 1>straight to special care?

0:20:30.333 --> 0:20:33.253
<v Speaker 2>They did shock again, a lot of shock because it

0:20:33.293 --> 0:20:36.333
<v Speaker 2>happened I think so quickly from when my waters broke

0:20:36.573 --> 0:20:40.013
<v Speaker 2>to then going into labor to then arriving.

0:20:40.333 --> 0:20:42.573
<v Speaker 1>How long was it between when your waters broken when

0:20:42.573 --> 0:20:43.293
<v Speaker 1>the babies came?

0:20:43.853 --> 0:20:45.013
<v Speaker 2>About three hours?

0:20:45.093 --> 0:20:45.813
<v Speaker 1>It's very quick.

0:20:45.933 --> 0:20:50.052
<v Speaker 2>Yeah, it's pretty fast. We got off pretty quick. And

0:20:50.093 --> 0:20:52.733
<v Speaker 2>then what they were hoping to do, was hoping to

0:20:52.773 --> 0:20:54.733
<v Speaker 2>keep me in for another day or two, even though

0:20:54.773 --> 0:20:57.373
<v Speaker 2>my water said broke. They were hoping I wouldn't start

0:20:57.413 --> 0:21:00.613
<v Speaker 2>contracting and kind of go into labor. But I did,

0:21:00.933 --> 0:21:04.333
<v Speaker 2>and I went pretty quickly, and the contractions wrapped up

0:21:04.733 --> 0:21:09.173
<v Speaker 2>bloody fast and hard, and boy, I didn't have my

0:21:09.213 --> 0:21:13.852
<v Speaker 2>Tenis machine or pain relief or anything planned, and gosh,

0:21:13.933 --> 0:21:16.653
<v Speaker 2>it just brought me back very quickly to that first

0:21:16.893 --> 0:21:21.332
<v Speaker 2>labor of my son, very quickly, ye three hours. And unfortunately,

0:21:21.333 --> 0:21:24.173
<v Speaker 2>because I then contracted when to labor, there was no

0:21:24.293 --> 0:21:27.093
<v Speaker 2>choice but to get the babies out because basically their

0:21:27.133 --> 0:21:29.493
<v Speaker 2>hope would have been to put steroids in to help

0:21:29.493 --> 0:21:31.853
<v Speaker 2>with GN development, to try and grow the lungs a

0:21:31.893 --> 0:21:34.572
<v Speaker 2>little bit faster. So their hope was to try and

0:21:34.653 --> 0:21:38.053
<v Speaker 2>keep those babies in for maybe a day or so extra. Yeah,

0:21:38.053 --> 0:21:40.133
<v Speaker 2>but because you started contracting, you had to go straight

0:21:40.173 --> 0:21:41.933
<v Speaker 2>to theater. I had to go straight to theater.

0:21:42.093 --> 0:21:42.333
<v Speaker 3>Yeah.

0:21:42.373 --> 0:21:44.613
<v Speaker 2>They would have liked another day or two, which would

0:21:44.613 --> 0:21:46.253
<v Speaker 2>have been good because my ov would have been back,

0:21:46.813 --> 0:21:50.053
<v Speaker 2>but it didn't happen, and luckily I was in hospital,

0:21:50.053 --> 0:21:53.292
<v Speaker 2>and luckily we got there quickly because in theater, I

0:21:53.413 --> 0:21:57.573
<v Speaker 2>was already a few centimeters dilated and Raley's feet were

0:21:57.613 --> 0:21:58.133
<v Speaker 2>coming out.

0:21:59.013 --> 0:22:00.893
<v Speaker 1>And can you imagine if you had tried to deliver

0:22:00.973 --> 0:22:04.013
<v Speaker 1>vaginally you would have that would have been really really dangerous.

0:22:04.293 --> 0:22:09.213
<v Speaker 2>Yeah, there's a thing. It's called twin blocking centro and

0:22:09.693 --> 0:22:13.813
<v Speaker 2>it's a really really dangerous and risky procedure where they

0:22:13.893 --> 0:22:15.653
<v Speaker 2>try and deliver. Well, I don't think they do it

0:22:15.773 --> 0:22:19.533
<v Speaker 2>or even attempt it where twin one. So twin one

0:22:19.653 --> 0:22:22.573
<v Speaker 2>is the twin close to your cervix meant to come

0:22:22.613 --> 0:22:25.973
<v Speaker 2>out vaginally first. That's an issue that they can't feed

0:22:26.053 --> 0:22:29.213
<v Speaker 2>first breach because the head can get locked with the

0:22:29.253 --> 0:22:32.773
<v Speaker 2>other twins head anyway. So they don't even attempt that

0:22:33.013 --> 0:22:35.572
<v Speaker 2>at all, and that was never an option and hence

0:22:35.653 --> 0:22:38.852
<v Speaker 2>the cesarean Yeah, that wouldn't have been an option and

0:22:38.933 --> 0:22:40.533
<v Speaker 2>it's very dire outcomes.

0:22:40.693 --> 0:22:43.092
<v Speaker 1>Yeah, okay, so the boys come out and they go

0:22:43.213 --> 0:22:46.773
<v Speaker 1>straight to special care. How big were they They were little?

0:22:47.013 --> 0:22:50.813
<v Speaker 2>So thirty four and four premature. There are about two

0:22:50.893 --> 0:22:51.533
<v Speaker 2>kilos each.

0:22:51.853 --> 0:22:52.693
<v Speaker 1>That's pretty good.

0:22:53.373 --> 0:22:57.092
<v Speaker 2>Yeah, look for their gestation age, it's not bad. I

0:22:57.133 --> 0:22:59.973
<v Speaker 2>think one was just over two killers. One was just

0:23:00.133 --> 0:23:04.092
<v Speaker 2>under two killers, but like literally fifty grams apart, pretty

0:23:04.133 --> 0:23:04.613
<v Speaker 2>equal weight.

0:23:05.133 --> 0:23:07.053
<v Speaker 1>No, that's not. I mean I've heard people with full

0:23:07.133 --> 0:23:08.973
<v Speaker 1>term babies were at two and a half killers, so

0:23:09.013 --> 0:23:10.893
<v Speaker 1>it's not that's not. I know, five hundred gram is

0:23:10.933 --> 0:23:13.893
<v Speaker 1>a lot in the space of a baby, but I

0:23:13.933 --> 0:23:15.892
<v Speaker 1>mean you did an amazing job to keep them in

0:23:15.973 --> 0:23:17.973
<v Speaker 1>that long, and you know they got a little bit

0:23:18.013 --> 0:23:19.493
<v Speaker 1>extra support their special care.

0:23:19.653 --> 0:23:21.133
<v Speaker 2>Yeah, well you think about it, but it's like a

0:23:21.173 --> 0:23:24.973
<v Speaker 2>four kilo baby, yeah, exactly, and the placenta and.

0:23:25.293 --> 0:23:27.653
<v Speaker 1>Yeah, so how long were the boys in special care?

0:23:28.373 --> 0:23:31.493
<v Speaker 2>They were in for nineteen nights? Wow, so five nights

0:23:31.573 --> 0:23:33.773
<v Speaker 2>we were in there with them, and then we had

0:23:33.813 --> 0:23:37.893
<v Speaker 2>to go home, which look is hard obviously living your

0:23:37.933 --> 0:23:40.773
<v Speaker 2>babies at the hospital while you go home, but also

0:23:40.773 --> 0:23:43.532
<v Speaker 2>okay too, because it meant that I could recover and

0:23:43.573 --> 0:23:47.413
<v Speaker 2>I could actually, you know, recover and heal from emecessaria,

0:23:47.453 --> 0:23:50.213
<v Speaker 2>which was major surgery, and I could rest at home

0:23:50.493 --> 0:23:52.733
<v Speaker 2>and be in my own bed and see our son

0:23:53.213 --> 0:23:55.653
<v Speaker 2>and be home and really recover.

0:23:56.053 --> 0:23:59.853
<v Speaker 1>It was your son, like, where are these babies, Mum,

0:23:59.853 --> 0:24:00.493
<v Speaker 1>what's going on?

0:24:00.853 --> 0:24:02.853
<v Speaker 2>I don't think he could put two and two together

0:24:02.973 --> 0:24:04.892
<v Speaker 2>at the time. I think of all the positives, right,

0:24:04.933 --> 0:24:07.613
<v Speaker 2>and I think we came home without them we could

0:24:07.613 --> 0:24:09.092
<v Speaker 2>spend one or one time with him, and he got

0:24:09.133 --> 0:24:11.733
<v Speaker 2>a lot of attention and quality time with us. He

0:24:11.773 --> 0:24:15.693
<v Speaker 2>didn't know any different, and we got used to basically

0:24:15.933 --> 0:24:18.533
<v Speaker 2>caring for three kids, but with a lot of help

0:24:18.573 --> 0:24:20.373
<v Speaker 2>and support while they're in special care.

0:24:20.973 --> 0:24:23.773
<v Speaker 1>And how is life now with your three babies? The

0:24:23.813 --> 0:24:25.493
<v Speaker 1>boys are now just over one?

0:24:25.813 --> 0:24:29.773
<v Speaker 2>It is wild? Yeah, chaos and crazy. It is nuts.

0:24:29.893 --> 0:24:32.892
<v Speaker 2>I swear three kids, it's beautiful. You just leave them

0:24:32.933 --> 0:24:36.773
<v Speaker 2>and they play together. They hold each other's hands, they hug,

0:24:36.933 --> 0:24:39.213
<v Speaker 2>they cuddle. They also you know, rip the hair and

0:24:39.373 --> 0:24:43.213
<v Speaker 2>pull the shirt and whack each other and literally crawling

0:24:43.213 --> 0:24:45.933
<v Speaker 2>over one another for like a toy, and they take

0:24:46.013 --> 0:24:49.373
<v Speaker 2>in stell toys. Again, there's beauty and there's chaos. It

0:24:49.493 --> 0:24:50.812
<v Speaker 2>we get both worlds.

0:24:51.013 --> 0:24:52.812
<v Speaker 1>Okay, I can't let you go before I ask you

0:24:52.853 --> 0:24:55.533
<v Speaker 1>the typical twin questions, which I know that I'm sure

0:24:55.573 --> 0:24:58.453
<v Speaker 1>you get asked all the time. Did you mix them

0:24:58.533 --> 0:25:00.933
<v Speaker 1>up by any point when you first brought them home?

0:25:01.453 --> 0:25:05.373
<v Speaker 2>Oh? Constantly, constantly? Who's who? I still do it?

0:25:06.093 --> 0:25:07.852
<v Speaker 1>You can obviously tell the difference now, I'm sure your

0:25:07.853 --> 0:25:10.453
<v Speaker 1>partner can. Is there anyone that is like still struggling

0:25:10.493 --> 0:25:12.453
<v Speaker 1>like you're in laws or your parents.

0:25:12.613 --> 0:25:14.532
<v Speaker 2>Oh look, most people when they come over, they're just

0:25:14.533 --> 0:25:17.213
<v Speaker 2>still a bit of a check, like, oh, this month's Friday.

0:25:17.413 --> 0:25:17.613
<v Speaker 3>Right.

0:25:18.253 --> 0:25:19.893
<v Speaker 2>Half the time they're right, half the time they're wrong.

0:25:19.933 --> 0:25:22.173
<v Speaker 2>But look fifty so well that's it.

0:25:22.213 --> 0:25:23.693
<v Speaker 1>That's your probability though, isn't it.

0:25:23.813 --> 0:25:26.853
<v Speaker 2>Yeah, yeah, yeah. We do tend to dress like Alex

0:25:26.893 --> 0:25:30.933
<v Speaker 2>in a particular color, generally like blues, and Riley in

0:25:31.013 --> 0:25:32.773
<v Speaker 2>kind of greens or red orange.

0:25:32.853 --> 0:25:34.893
<v Speaker 1>They've got a color Palada, which I love that they do.

0:25:35.293 --> 0:25:35.653
<v Speaker 2>They do.

0:25:37.533 --> 0:25:40.413
<v Speaker 1>Well, Laura, Thank you so much for sharing your story.

0:25:40.613 --> 0:25:42.733
<v Speaker 1>Fascinating to hear about this kind of twin.

0:25:43.093 --> 0:25:45.453
<v Speaker 2>Thank you. Yes, it's a crazy ride and I think

0:25:45.813 --> 0:25:48.853
<v Speaker 2>it's nuts every day, and we are blessed every day. Really,

0:25:48.893 --> 0:25:51.653
<v Speaker 2>it is a gift to have twins, and they're beautiful

0:25:51.693 --> 0:25:55.173
<v Speaker 2>and healthy and well. And Lucas is very lucky boy.

0:25:55.213 --> 0:25:58.052
<v Speaker 2>He gets two brothers. Yeah, two for the price of one.

0:25:58.253 --> 0:26:00.613
<v Speaker 1>Thank you so much for joining us today, Laura, thank

0:26:00.653 --> 0:26:10.293
<v Speaker 1>you so much for having me on the show. Now,

0:26:10.413 --> 0:26:13.453
<v Speaker 1>given today's birth was a very technical one, we wanted

0:26:13.453 --> 0:26:17.213
<v Speaker 1>to bring in our resident expert obstitution and gynecologist, doctor

0:26:17.253 --> 0:26:20.773
<v Speaker 1>Bromin Devine to give us some insights. So what can

0:26:20.853 --> 0:26:23.733
<v Speaker 1>doctor Devine tell us about MCDA twins?

0:26:24.253 --> 0:26:29.173
<v Speaker 3>So MCDA twins are always identical twins. They are the

0:26:29.253 --> 0:26:33.693
<v Speaker 3>identical twins that occur when the split of an embryo

0:26:34.573 --> 0:26:39.093
<v Speaker 3>occurs relatively early in embryo development, so somewhere between about

0:26:39.173 --> 0:26:44.013
<v Speaker 3>day two and day six of post fertilization life, round

0:26:44.013 --> 0:26:47.292
<v Speaker 3>about day three to day five, the embryo starts to

0:26:47.413 --> 0:26:50.373
<v Speaker 3>form its placenter part and its baby part, which is

0:26:50.413 --> 0:26:54.293
<v Speaker 3>known as the inncel mass. And MCDA twins form when

0:26:54.333 --> 0:26:57.693
<v Speaker 3>the inncell mass splits into two, so that you end

0:26:57.773 --> 0:27:01.092
<v Speaker 3>up with two separate babies that are genetically identical, but

0:27:01.213 --> 0:27:05.053
<v Speaker 3>they share a placenta and they share a big membrane

0:27:05.053 --> 0:27:07.693
<v Speaker 3>called the choreon, So they're in one choreonic sack, but

0:27:07.733 --> 0:27:11.173
<v Speaker 3>they're in two separate amniotic sacs because there are two membranes,

0:27:11.213 --> 0:27:14.093
<v Speaker 3>the choreon and the amnion. The amnions the inner membrane,

0:27:14.493 --> 0:27:18.413
<v Speaker 3>and so these twins have two separate inner membranes. They're

0:27:18.413 --> 0:27:21.853
<v Speaker 3>in their own little inner membrane sack. They share a placenter,

0:27:22.253 --> 0:27:25.733
<v Speaker 3>and because they share a placenter, you can get connections

0:27:25.733 --> 0:27:28.493
<v Speaker 3>of blood vessels between the two and that's quite common,

0:27:29.013 --> 0:27:32.852
<v Speaker 3>but with a particular type of blood vessel connection, you

0:27:32.933 --> 0:27:36.493
<v Speaker 3>can get a situation where one twin gives all its

0:27:36.533 --> 0:27:38.733
<v Speaker 3>blood or a lot of its blood across to the

0:27:38.773 --> 0:27:42.173
<v Speaker 3>other twin. What that means is that one poor little

0:27:42.213 --> 0:27:44.653
<v Speaker 3>twin ends up giving all its blood and the other

0:27:44.733 --> 0:27:48.052
<v Speaker 3>twin receives all the blood. So the twin that's the

0:27:48.093 --> 0:27:51.693
<v Speaker 3>giver the donor can end up very small and skinny

0:27:51.733 --> 0:27:55.853
<v Speaker 3>with hardly any amniotic fluid around it, and the recipient twin,

0:27:56.053 --> 0:27:59.253
<v Speaker 3>which is often the sicker twin, ends up with way

0:27:59.293 --> 0:28:02.813
<v Speaker 3>too much blood, way too much amniotic fluid. Its poor

0:28:02.813 --> 0:28:05.453
<v Speaker 3>old kidneys get over profuse and it makes a lot

0:28:05.493 --> 0:28:10.253
<v Speaker 3>of urine, and its poor old heart gets really overloaded

0:28:10.293 --> 0:28:13.493
<v Speaker 3>with fluid and they can go into heart failure. So

0:28:14.053 --> 0:28:17.333
<v Speaker 3>twin twin transfusion occurs about a third of the time

0:28:17.493 --> 0:28:24.213
<v Speaker 3>in monochoreonic twin pregnancies, certainly twin pregnancies, and of those third,

0:28:24.613 --> 0:28:28.213
<v Speaker 3>about half of them are associated with really severe outcomes.

0:28:28.413 --> 0:28:30.812
<v Speaker 3>So it's one of the reasons why we need to

0:28:30.813 --> 0:28:35.253
<v Speaker 3>deliver MCDA twins earlier, but also twins can come earlier

0:28:35.293 --> 0:28:38.133
<v Speaker 3>as well, that people can go into labor earlier with twins,

0:28:38.613 --> 0:28:40.973
<v Speaker 3>they can up to their membranes early and things like that.

0:28:41.693 --> 0:28:44.933
<v Speaker 3>So twin twin transfusion can be quite mild and we

0:28:44.973 --> 0:28:46.613
<v Speaker 3>can just keep an eye on it, or it can

0:28:46.653 --> 0:28:48.973
<v Speaker 3>be very severe and there are things we can do

0:28:49.453 --> 0:28:53.253
<v Speaker 3>to help it. But when we see people come to

0:28:53.333 --> 0:28:56.693
<v Speaker 3>us with MCDA twins, we usually warn them quite early.

0:28:57.013 --> 0:28:59.413
<v Speaker 3>You'll be having a lot of ultrasounds every two weeks.

0:28:59.453 --> 0:29:01.213
<v Speaker 3>We're going to be keeping an eye on these bubs

0:29:01.253 --> 0:29:04.093
<v Speaker 3>and keeping an eye on the fluid difference between them.

0:29:04.653 --> 0:29:06.933
<v Speaker 3>And there are certain very subtile things that we can

0:29:06.973 --> 0:29:09.413
<v Speaker 3>see very early on that give us an indication that

0:29:09.493 --> 0:29:12.093
<v Speaker 3>twin twin transfusion might be developing.

0:29:12.013 --> 0:29:15.333
<v Speaker 1>And is there something to identical twins being more common

0:29:15.453 --> 0:29:16.653
<v Speaker 1>in IVF.

0:29:16.613 --> 0:29:20.573
<v Speaker 3>Interestingly, we have definitely moved away from putting back multiple embryo.

0:29:21.213 --> 0:29:23.533
<v Speaker 3>Sometimes people will come along and say, look, I just

0:29:23.573 --> 0:29:25.453
<v Speaker 3>want to get this all over and done with. Can

0:29:25.493 --> 0:29:27.453
<v Speaker 3>you just put two embryos back from the get go,

0:29:27.853 --> 0:29:30.813
<v Speaker 3>And we're really reluctant to do that because twin pregnancies

0:29:30.853 --> 0:29:35.093
<v Speaker 3>are definitely more complicated. Even if there's two separate sacks,

0:29:35.133 --> 0:29:39.133
<v Speaker 3>two separate percenters. So in general that means non identical twins.

0:29:39.653 --> 0:29:42.533
<v Speaker 3>But even in that situation, you're more likely to go

0:29:42.573 --> 0:29:45.773
<v Speaker 3>into labor prematurely. You're more likely to have one bubby

0:29:46.213 --> 0:29:48.093
<v Speaker 3>grow at a faster rate than the other one. Not

0:29:48.293 --> 0:29:51.293
<v Speaker 3>so the twins are always going to be more complicated.

0:29:51.733 --> 0:29:54.493
<v Speaker 3>Birth can be more complicated. You're more likely to have

0:29:54.533 --> 0:29:57.573
<v Speaker 3>an intervention like a caesar or an instrumental birth. So

0:29:57.653 --> 0:30:02.213
<v Speaker 3>we don't want to increase people's complications. So the movement

0:30:02.293 --> 0:30:05.973
<v Speaker 3>away from putting back two embryos is very well established

0:30:06.013 --> 0:30:09.293
<v Speaker 3>now in Australia, and we almost exclusively put back a

0:30:09.333 --> 0:30:13.613
<v Speaker 3>single embryo where we do IVF, but because we want

0:30:13.653 --> 0:30:16.173
<v Speaker 3>to know that the embryo we put back is a nice,

0:30:16.213 --> 0:30:19.973
<v Speaker 3>hearty embryo. We grow embryos on now till they're five

0:30:20.053 --> 0:30:23.013
<v Speaker 3>days old. Certain circumstances will put them back earlier, but

0:30:23.253 --> 0:30:25.733
<v Speaker 3>generally we'll put them back when the embryos five days

0:30:25.773 --> 0:30:29.853
<v Speaker 3>post fertilization, and embryos at that stage, as I mentioned earlier,

0:30:30.333 --> 0:30:32.453
<v Speaker 3>are starting to form. The percent of heart and the

0:30:32.453 --> 0:30:36.493
<v Speaker 3>inncel mass and the innercell mass in IVF is a

0:30:36.493 --> 0:30:39.333
<v Speaker 3>little bit more likely to split, and that might be

0:30:39.413 --> 0:30:42.173
<v Speaker 3>to do with the fact that we're culturing embryos on.

0:30:42.253 --> 0:30:43.973
<v Speaker 3>It might be to do with the culture media, it

0:30:44.053 --> 0:30:46.013
<v Speaker 3>might be to do with other things that happened. But

0:30:46.053 --> 0:30:51.413
<v Speaker 3>the chance of having monochoreonic twins is increased slightly with IVF,

0:30:52.133 --> 0:30:54.813
<v Speaker 3>So even if we put back a single embryo, there

0:30:54.933 --> 0:30:57.533
<v Speaker 3>is a slightly increased chance with IVF that you're going

0:30:57.533 --> 0:31:00.013
<v Speaker 3>to end up with a twin pregnancy if you did

0:31:00.053 --> 0:31:03.413
<v Speaker 3>have a single embryo put back and you didn't conceive

0:31:03.413 --> 0:31:06.453
<v Speaker 3>a spontaneous pregnancy at the same time, which can happen

0:31:06.493 --> 0:31:09.573
<v Speaker 3>as well. If you did put a single embryo back

0:31:09.573 --> 0:31:12.573
<v Speaker 3>and people come along with twins as long as they

0:31:12.573 --> 0:31:14.933
<v Speaker 3>didn't conceive a natural pregnancy at the same time, those

0:31:14.973 --> 0:31:17.573
<v Speaker 3>are going to be identical twins because a single embryo

0:31:17.693 --> 0:31:21.813
<v Speaker 3>is not going to make non identical Twinssolutely, IVF does

0:31:21.893 --> 0:31:25.213
<v Speaker 3>increase your risk of having monochoryonic twins.

0:31:29.093 --> 0:31:31.853
<v Speaker 1>Diary of a Birth was hosted by me Cassenia Lukitch

0:31:31.893 --> 0:31:35.413
<v Speaker 1>with expert input from Dr Bromwin Divine. If you have

0:31:35.453 --> 0:31:38.573
<v Speaker 1>a birth story, we'd love to hear from you. Details

0:31:38.573 --> 0:31:41.693
<v Speaker 1>are in the show notes. This episode was produced by

0:31:41.773 --> 0:31:45.733
<v Speaker 1>Tina Matalov and myself, Cassanie Lukitch with audio production by

0:31:45.853 --> 0:31:46.573
<v Speaker 1>Leoportos