WEBVTT - The Mum Whose Twins Were Born Two Very Different Ways

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<v Speaker 1>You're listening to a MoMA Mia podcast. Mama Mia acknowledges

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<v Speaker 1>the traditional owners of land and waters that this podcast

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<v Speaker 1>is recorded on. We pay our respects to elders past,

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<v Speaker 1>present and emerging, and feel privileged to continue the sharing

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<v Speaker 1>of birth stories and knowledge that has been a fundamental

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<v Speaker 1>part of Indigenous culture.

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<v Speaker 2>Hi.

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<v Speaker 1>I'm Cassenya Lukij and this is Diary of a birth.

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<v Speaker 1>We've all heard the stories of women not planning on

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<v Speaker 1>getting pregnant then whoops, positive pregnancy test. But imagine thinking

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<v Speaker 1>you were done having kids and whoops, twins.

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<v Speaker 2>I showed him the photo that had the two sacks

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<v Speaker 2>on the screen and he just said, no, no, show

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<v Speaker 2>me the real photo. And I said, this is the

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<v Speaker 2>real photo, and then we both just started laughing. And

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<v Speaker 2>we've just sort of been laughing our way through ever since.

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<v Speaker 1>I pose. And while we know that pregnancy with multiples

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<v Speaker 1>often ends in a C section, today's mum was relieved

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<v Speaker 1>to find out she was cleared to attempt a vaginal delivery.

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<v Speaker 2>They basically said because I had had a successful vaginal

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<v Speaker 2>birth previously and have twin a head down, that I

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<v Speaker 2>was a great candidate to attempt a vaginal twin birth.

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<v Speaker 1>So let's meet today's mum.

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<v Speaker 2>Hi. I'm Cassie Jackson and this is my birth story

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<v Speaker 2>with my twins, Charlie and Luna.

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<v Speaker 1>Seeking a quieter life with acreage, Cassie and Scott moved

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<v Speaker 1>up to Mackay from Brisbane for Cassie's teaching job.

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<v Speaker 2>So life before the twins we were going through a

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<v Speaker 2>massive change within our family. We had just sold our

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<v Speaker 2>house in Brisbane to move up to MacKaye, taking a

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<v Speaker 2>bit of a gamble on a opportunity for me to

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<v Speaker 2>get a teaching position in a rural area where we

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<v Speaker 2>were very fortunate to get relocation and teacher subsidized housing

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<v Speaker 2>and those sorts of things in place so that we

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<v Speaker 2>could work towards our dream of buying an acreage property,

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<v Speaker 2>which we knew was never going to happen if we

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<v Speaker 2>stayed in Brisbane. We wanted to have that slower pace

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<v Speaker 2>of life for our kids.

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<v Speaker 1>With a thirteen year old step son and three year

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<v Speaker 1>old daughter she shared with Scott, Cassie was looking forward

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<v Speaker 1>to a fresh start in far North Queensland.

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<v Speaker 2>Yeah, we weren't planning to have any more children. Within

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<v Speaker 2>a space of a few weeks, I lost both of

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<v Speaker 2>my grandfathers on my side of the family. And it

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<v Speaker 2>was only a couple of weeks after that, during one

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<v Speaker 2>of my grandfather's funerals, that I knew that there was

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<v Speaker 2>just something else sort of going on, And so I

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<v Speaker 2>took a test that night and it came up very

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<v Speaker 2>very strong straight away. And I would have only been

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<v Speaker 2>about three and a half weeks or so at that

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<v Speaker 2>point in time, so it was definitely a bit of

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<v Speaker 2>a shock, but also something that I sort of felt

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<v Speaker 2>in my bones that there was some sort of other

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<v Speaker 2>change that was still to come after all of the

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<v Speaker 2>loss that we had just gone through. When I told Scott,

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<v Speaker 2>my husband, that we were having twins, we just laughed

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<v Speaker 2>our way through. It was during COVID time, so I

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<v Speaker 2>had to go to the dating scan by myself as

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<v Speaker 2>he had to stay home with our other children. And

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<v Speaker 2>I saw those two sacks up on the screen, saw

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<v Speaker 2>those two heartbeats, and we had had a little joke

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<v Speaker 2>the night before as well that wouldn't it be funny

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<v Speaker 2>if there was two heart beats, And so I showed

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<v Speaker 2>him the photo that had the two sacks on the screen,

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<v Speaker 2>and he just said, no, no, show me the real photo.

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<v Speaker 2>And I said, no, this is the real photo. And

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<v Speaker 2>you know then very sternly, no, where is the real photo?

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<v Speaker 2>And I said, this is the real photo. And then

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<v Speaker 2>we both just started laughing, and we've just sort of

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<v Speaker 2>been laughing our way through ever since. I suppose.

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<v Speaker 1>Given the added risk of multiples, Cassie was monitored closely,

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<v Speaker 1>but by thirty six weeks and a very hot summer,

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<v Speaker 1>Cassie was ready to meet her twins.

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<v Speaker 2>From about my twenty week scan TWINB she liked to

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<v Speaker 2>flip all over the place, but that was pretty common

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<v Speaker 2>for a twin bee, and so they basically said, because

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<v Speaker 2>I had had a successful vaginal birth previously and have

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<v Speaker 2>twin a head down, that I was a great candidate

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<v Speaker 2>to attempt a vaginal twin birth. From about thirty six

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<v Speaker 2>and a half weeks, I was definitely ready for these

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<v Speaker 2>babies to come out. It was the middle of a

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<v Speaker 2>very hot summer in North Queensland. We had set everything up,

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<v Speaker 2>the beds, nursery, all of those scenes. We were ready

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<v Speaker 2>for these babies to come.

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<v Speaker 1>Usually twins don't make it to full term, so hats

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<v Speaker 1>off to Cassie for keeping those little ones in there

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<v Speaker 1>till thirty eight weeks, but now it was time.

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<v Speaker 2>I made it to thirty eight weeks. It was a Sunday.

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<v Speaker 2>I knew that day that we were going into the

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<v Speaker 2>hospital to have our next sort of check in. I

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<v Speaker 2>was not leaving that hospital without them out of me.

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<v Speaker 2>Really done by that stage. We went with the plan

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<v Speaker 2>of getting induced, so they started the process of doing

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<v Speaker 2>the induction. I stayed in the birthing sweet overnight that night,

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<v Speaker 2>which was really great because Scott was able to stay

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<v Speaker 2>with me. They set up a little cot for him

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<v Speaker 2>in the side of the birthing sweet room. Because it

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<v Speaker 2>was getting towards midnight. I was getting some really intense

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<v Speaker 2>cramping pain, contraction type pain, which I think is quite

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<v Speaker 2>common when it comes to the tape form of action.

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<v Speaker 2>They were able to give me some morphine and that

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<v Speaker 2>sort of slowed everything back down, and then the doctors

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<v Speaker 2>all came in and manually broke my waters and started

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<v Speaker 2>the whole process from there.

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<v Speaker 1>Cassie's team had a loose birth plan, but things don't

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<v Speaker 1>always go as expected.

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<v Speaker 2>They were sort of checking on how bubbs were doing

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<v Speaker 2>by having both of their heart rates monitored. They did

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<v Speaker 2>an ultrasound to see where they were positioned to once

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<v Speaker 2>again make sure that Twin A was still head down

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<v Speaker 2>and to see what position Twin B was in. At

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<v Speaker 2>that point in time she was breached. She was feet first.

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<v Speaker 2>So we had reassessed and made sure that we knew

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<v Speaker 2>what our plan was, and it was to attempt a

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<v Speaker 2>vaginal birth for my twins in a way that's called

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<v Speaker 2>a trial by theater birth. That basically just means that

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<v Speaker 2>we were going to have the babies in the theater

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<v Speaker 2>room so that if anything was to happen, we were

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<v Speaker 2>already there. As where the birthing suite to the theater

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<v Speaker 2>at the Mackay Base Hospital is very far away from

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<v Speaker 2>each other, and they wanted to make sure that we

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<v Speaker 2>were there just in case anything went wrong.

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<v Speaker 1>Coming up. Charlie and Luna have their own birth plan.

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<v Speaker 2>So I had the epidural. I am a teacher myself,

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<v Speaker 2>so I am always open to allowing student doctors or

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<v Speaker 2>junior doctors the opportunity to learn and practice. I did

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<v Speaker 2>the same thing with my first pregnancy. He did have

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<v Speaker 2>a couple of cracks at it and didn't quite get there,

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<v Speaker 2>so the scene doctor took over and finished off the epidural.

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<v Speaker 2>At that point in time they had done a quick

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<v Speaker 2>dilation check and I was sitting at about three and

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<v Speaker 2>a half centimeters dilated, and then it was just a

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<v Speaker 2>waiting game to see how long it would take before

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<v Speaker 2>I was in active labor and close to that ten

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<v Speaker 2>centimeter dilation mark for us to move across to the

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<v Speaker 2>theater rooms.

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<v Speaker 1>With her epidural in place but patchy at best, Cassie

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<v Speaker 1>was moving through labor the best that she could.

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<v Speaker 2>After a couple of hours, I suppose my pain levels

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<v Speaker 2>started to increase quite dramatically. So it turns out that

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<v Speaker 2>the epidural that I had was patchy. That's the way

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<v Speaker 2>that they described it, and essentially that just meant that

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<v Speaker 2>I was feeling the entire body's worth of contractions in

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<v Speaker 2>one spot, just in my right groin area. So I'm

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<v Speaker 2>curled over, screaming in so much pain, feeling like this

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<v Speaker 2>is it. I'm not going to survive this pain, and

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<v Speaker 2>telling them I've had an epidural before. I know that

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<v Speaker 2>there is something wrong here. This is not right. I

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<v Speaker 2>need the anethesis to come back and have another look.

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<v Speaker 2>I felt like if I tried to lay down flat,

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<v Speaker 2>that my body was going to explode or something. It

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<v Speaker 2>just felt like I needed to stay in that curled

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<v Speaker 2>up fetal position to stay alive. At that point, the

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<v Speaker 2>midwives managed to convince me that the anethesis was on

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<v Speaker 2>his way, that he was going to check the epidural.

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<v Speaker 2>They said that they needed to check my cervix now.

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<v Speaker 2>They managed to get me to lie down and the

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<v Speaker 2>midwives said to me, look, you're probably not going to

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<v Speaker 2>be much further past three and a half centimeters looking

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<v Speaker 2>at the screens. You're only having two contractions every ten minutes.

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<v Speaker 2>You're not even inactive labor, but we just need to check.

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<v Speaker 2>I will never forget the midwives voice when she said, okay,

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<v Speaker 2>so we're ten plus one, and then really all hell

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<v Speaker 2>broke loose from there. I don't think anyone was expecting

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<v Speaker 2>me to be anywhere close to ten centimeters, let alone

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<v Speaker 2>thinking that I was even going to be five centimeters.

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<v Speaker 2>So I think the doctors all thought that they had

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<v Speaker 2>hours and hours and hours before anything was going to happen.

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<v Speaker 2>And I think that because everything happened so much quicker

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<v Speaker 2>than expected, it definitely led to a lot of the

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<v Speaker 2>further complications coming up because we just weren't prepared in

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<v Speaker 2>the way that we sort of should have been.

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<v Speaker 1>I suppose Cassie's medical team sprang into action with the

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<v Speaker 1>drama worthy of a script written by Shonda Rhimes.

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<v Speaker 2>It was absolute chaos. There were people everywhere, So I

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<v Speaker 2>had the midwives, my doctors, the assistants all getting ready

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<v Speaker 2>to wheel me up to the theater room and to

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<v Speaker 2>get up there straight away. It was the quickest way

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<v Speaker 2>to get to the theater room from the birthing suite

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<v Speaker 2>at the Mackai Hospital is to go through the public corridors.

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<v Speaker 2>So here I am legs up, crowning with my boy

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<v Speaker 2>Charlie and getting run through these corridors while I am

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<v Speaker 2>still having these intense contractions, you know, screaming in pain.

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<v Speaker 2>While there are people who are just going about their

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<v Speaker 2>normal day to day business at the hospital. I'm sure

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<v Speaker 2>that they would have had the shock of their lives.

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<v Speaker 2>And I'm turning to Scott and I'm saying to him,

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<v Speaker 2>they can all see, they can all see what's going on.

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<v Speaker 2>And you know, he was turning to me and saying, no, no,

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<v Speaker 2>they can't see anything. It's all okay, come on, we're

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<v Speaker 2>going to go. We're going It's all going to be

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<v Speaker 2>okay now. And it was a couple of weeks after.

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<v Speaker 2>He said to me when we were reliving it all,

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<v Speaker 2>he said, yeah, they probably could see some stuff, but

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<v Speaker 2>I wasn't going to tell you that then.

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<v Speaker 1>And there sometimes lies are for the best.

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<v Speaker 2>We're getting closer and closer towards the theater room and

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<v Speaker 2>exiting I suppose the public section of the hospital, and

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<v Speaker 2>it really was a scene like straight out of Grey's Anatomy.

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<v Speaker 2>So Charlie was twin a he was head down, he

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<v Speaker 2>was good to go. He had engaged, so they were

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<v Speaker 2>really ready for him to come straight out. As soon

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<v Speaker 2>as we got up there, I come into the theater

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<v Speaker 2>room and there are just people everywhere. Now I'm talking

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<v Speaker 2>forty to fifty people in this room. Because we had

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<v Speaker 2>my whole team of doctors, we had the theater team

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<v Speaker 2>of doctors. We had two sets of pedutricians for each

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<v Speaker 2>baby and their teams. So I've got all these people

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<v Speaker 2>coming up to me, putting their faces right up close

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<v Speaker 2>to my head. Turns out that there was some miscommunication

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<v Speaker 2>between my doctor team and the theater doctor team. In

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<v Speaker 2>the theater's mind, I was coming up for an emergency

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<v Speaker 2>C section for both twins, so in their head they

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<v Speaker 2>needed to replace my epidural with a full spinal tap.

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<v Speaker 2>They did do the spinal tap on me. My midwife

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<v Speaker 2>all of a sudden appeared Scott was next to me, thankfully,

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<v Speaker 2>and my midwife, she was the first one to put

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<v Speaker 2>two and two together that, oh, they think that she's

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<v Speaker 2>here for a C section. She literally body blocked me

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<v Speaker 2>when the doctor was coming in ready to cut twin

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<v Speaker 2>a out. So my midwife turned to them and said,

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<v Speaker 2>she's here to push. She's here to push, And then

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<v Speaker 2>it was put two and two together. Oh, well, she's

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<v Speaker 2>had a spinal tap, so that's going to make things

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<v Speaker 2>extremely difficult. But we're going to try this. We're going

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<v Speaker 2>to try to push him out. We will use fourceps

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<v Speaker 2>if we need to, but he is ready to go.

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<v Speaker 2>Let's see if we can get him out still in

0:14:57.613 --> 0:15:00.653
<v Speaker 2>the way that we wanted to with having a full

0:15:00.733 --> 0:15:04.933
<v Speaker 2>spinal tap. I could not feel a single thing from

0:15:04.973 --> 0:15:08.373
<v Speaker 2>my neck down. I could have been just grinning a

0:15:08.693 --> 0:15:13.533
<v Speaker 2>ginormous smile. I can't feel a single thing. I don't

0:15:13.573 --> 0:15:16.573
<v Speaker 2>know if I'm even pushing. Then they decided to get

0:15:16.573 --> 0:15:20.253
<v Speaker 2>the forceps out and were able to get Charlie out

0:15:20.813 --> 0:15:24.213
<v Speaker 2>with forceps and they put him straight onto my chest.

0:15:24.973 --> 0:15:28.373
<v Speaker 2>When he was on my chest, he was quite a

0:15:28.373 --> 0:15:32.533
<v Speaker 2>bluish color. He wasn't crying. They ended up taking him

0:15:33.013 --> 0:15:36.493
<v Speaker 2>off of my chest and straight over to his pediatric team,

0:15:37.013 --> 0:15:41.613
<v Speaker 2>where I then didn't know what was happening. No one

0:15:41.653 --> 0:15:46.733
<v Speaker 2>gave me any updates of whether he was okay. I

0:15:46.773 --> 0:15:50.613
<v Speaker 2>still couldn't hear him crying. There was a lot of commotion,

0:15:51.893 --> 0:15:56.093
<v Speaker 2>and I kept saying, is he okay? My husband, Scott

0:15:56.253 --> 0:15:59.853
<v Speaker 2>kept turning to me and saying, okay, we need to

0:15:59.893 --> 0:16:02.173
<v Speaker 2>get our girl out now. We need to focus on

0:16:02.213 --> 0:16:05.213
<v Speaker 2>getting our girl out and making sure that I was

0:16:05.293 --> 0:16:09.533
<v Speaker 2>ready to go again. Could get Luna to Quinn b

0:16:09.813 --> 0:16:14.293
<v Speaker 2>out safely, But in my head, I was petrified, and

0:16:14.333 --> 0:16:18.533
<v Speaker 2>I think more than that, I was so overwhelmed with

0:16:18.893 --> 0:16:23.253
<v Speaker 2>everything that had all happened and everything that I knew

0:16:23.373 --> 0:16:27.253
<v Speaker 2>was still to come. I felt like I had that

0:16:27.493 --> 0:16:31.493
<v Speaker 2>tunnel vision of just needing to know that he was okay.

0:16:31.973 --> 0:16:34.573
<v Speaker 2>The doctors were saying to Scott, we need to get

0:16:34.613 --> 0:16:37.933
<v Speaker 2>her to refocus now. Scott ended up turning to me

0:16:37.973 --> 0:16:40.013
<v Speaker 2>and saying, like, yep, they gave me the thumbs up.

0:16:40.053 --> 0:16:43.253
<v Speaker 2>He's fine, He's good to go. Let's do this now.

0:16:43.653 --> 0:16:46.533
<v Speaker 2>He told me again later that that was the second

0:16:46.533 --> 0:16:49.373
<v Speaker 2>time that day that he lied to me because he

0:16:49.493 --> 0:16:53.493
<v Speaker 2>had absolutely no idea, but he knew that I wasn't

0:16:53.533 --> 0:16:57.173
<v Speaker 2>going to be able to focus on getting our girl

0:16:57.253 --> 0:17:00.213
<v Speaker 2>out safely if I thought that there was anything going

0:17:00.253 --> 0:17:02.573
<v Speaker 2>on untoward with Charlie.

0:17:03.013 --> 0:17:06.773
<v Speaker 1>And just like that, baby Charlie was born, but Cassie

0:17:06.893 --> 0:17:07.733
<v Speaker 1>wasn't done yet.

0:17:08.292 --> 0:17:12.133
<v Speaker 2>He had been told the morning of that the plan

0:17:12.493 --> 0:17:16.213
<v Speaker 2>was once Charlie was out, that we would have an

0:17:16.292 --> 0:17:21.532
<v Speaker 2>ultrasound done to locate and see what position twin B

0:17:21.812 --> 0:17:26.572
<v Speaker 2>or lunar was in. If she was still feet first,

0:17:26.853 --> 0:17:31.292
<v Speaker 2>we would be attempting what's called a foot extraction, where

0:17:31.373 --> 0:17:37.213
<v Speaker 2>the doctor puts their hand up through the vagina and

0:17:37.493 --> 0:17:41.532
<v Speaker 2>into the uterus and will grab the baby by the

0:17:41.693 --> 0:17:46.853
<v Speaker 2>feet and pull them back through the canal to deliver safely.

0:17:47.293 --> 0:17:50.493
<v Speaker 2>There are a couple of risks involved with that. The

0:17:50.533 --> 0:17:52.973
<v Speaker 2>main one that we were told was that they could

0:17:52.973 --> 0:17:59.332
<v Speaker 2>not break her amniotic sack because twin A's placenta and

0:17:59.373 --> 0:18:01.973
<v Speaker 2>his sack and all of his fluids and his maconium,

0:18:02.493 --> 0:18:05.093
<v Speaker 2>all of those things would be in there with her,

0:18:05.333 --> 0:18:08.973
<v Speaker 2>and that could lead to serious complications and serious risk

0:18:09.053 --> 0:18:11.852
<v Speaker 2>of infection and all of those other types of things.

0:18:12.453 --> 0:18:16.973
<v Speaker 2>If she had flipped around and was headfirst, that chances

0:18:16.973 --> 0:18:21.813
<v Speaker 2>are she would engage on her own and just come

0:18:21.853 --> 0:18:26.973
<v Speaker 2>on out. The doctor put his hand up and started

0:18:27.013 --> 0:18:31.773
<v Speaker 2>searching for her feet. He is searching around, and he

0:18:31.933 --> 0:18:35.532
<v Speaker 2>turned to the other senior doctor and said, I can't

0:18:35.573 --> 0:18:39.013
<v Speaker 2>find it. You have a go. So the second doctor

0:18:39.293 --> 0:18:45.332
<v Speaker 2>came in and she went on up and was also

0:18:45.693 --> 0:18:49.733
<v Speaker 2>you know, attempting to locate Luna's feet, which they still

0:18:49.773 --> 0:18:56.453
<v Speaker 2>initially thought was feet first. The midwife, my saving grace,

0:18:56.613 --> 0:19:00.413
<v Speaker 2>my guardian angel. On that day. She was like, get

0:19:00.413 --> 0:19:04.052
<v Speaker 2>that old rasound machine over here now, and so we

0:19:04.133 --> 0:19:07.493
<v Speaker 2>did that and found that she actually had flipped around,

0:19:07.693 --> 0:19:12.013
<v Speaker 2>as she quite often did anyway, and she was head first.

0:19:12.853 --> 0:19:15.813
<v Speaker 1>I have nothing but the utmost respect for midwives. They

0:19:15.853 --> 0:19:16.693
<v Speaker 1>are heroes.

0:19:17.413 --> 0:19:21.693
<v Speaker 2>At this point in time, though, the senior head consultant,

0:19:22.053 --> 0:19:24.373
<v Speaker 2>she was starting to get a bit worried about how

0:19:24.413 --> 0:19:28.092
<v Speaker 2>things were progressing, and decided that she was going to

0:19:28.133 --> 0:19:32.332
<v Speaker 2>be the third doctor to attempt a foot extraction. She

0:19:32.533 --> 0:19:36.093
<v Speaker 2>had done it previously and said that even with her

0:19:36.173 --> 0:19:40.333
<v Speaker 2>being now head first, she was able to get all

0:19:40.373 --> 0:19:44.533
<v Speaker 2>the way up and be able to essentially pull her

0:19:44.813 --> 0:19:51.773
<v Speaker 2>around and down, so she was elbow deep in me.

0:19:53.173 --> 0:19:56.773
<v Speaker 2>We had no curtain up or anything like that because

0:19:56.813 --> 0:19:59.493
<v Speaker 2>it wasn't a C section at this point in time,

0:20:00.093 --> 0:20:02.733
<v Speaker 2>And so I could look down and see this woman's

0:20:02.813 --> 0:20:07.333
<v Speaker 2>face as she is searching around for my daughter's feet

0:20:07.373 --> 0:20:12.053
<v Speaker 2>inside of me. I could see the panic in her

0:20:12.173 --> 0:20:17.812
<v Speaker 2>eyes when the monitors were going off saying that baby

0:20:17.933 --> 0:20:21.333
<v Speaker 2>was in distress, and she said, I just need one

0:20:21.333 --> 0:20:23.333
<v Speaker 2>more goal at this, I just need one more goal

0:20:23.373 --> 0:20:27.933
<v Speaker 2>with this to try to do the foot extraction. But unfortunately,

0:20:28.093 --> 0:20:34.013
<v Speaker 2>during that process, her amniotic SAP was broken, her stats plummeted,

0:20:34.093 --> 0:20:37.572
<v Speaker 2>her heart rate was down into the sixties, and my

0:20:37.693 --> 0:20:40.333
<v Speaker 2>midwife said to me the next day she knew at

0:20:40.333 --> 0:20:44.373
<v Speaker 2>that point there was absolutely no other option. We had

0:20:44.453 --> 0:20:49.453
<v Speaker 2>to do the emergency C section straight away as Luna's

0:20:49.493 --> 0:20:51.293
<v Speaker 2>life was in danger.

0:20:57.933 --> 0:21:01.173
<v Speaker 1>So how did Cassie feel after her emergency sea section?

0:21:02.133 --> 0:21:06.693
<v Speaker 2>For all intents and purposes, the sea section was done flawlessly.

0:21:07.853 --> 0:21:11.533
<v Speaker 2>I have recovered really, really well. I didn't have any

0:21:11.613 --> 0:21:16.052
<v Speaker 2>issues in regards to infection or scarring and all of

0:21:16.053 --> 0:21:20.532
<v Speaker 2>those sorts of things. But when Luna came out, her

0:21:21.413 --> 0:21:26.613
<v Speaker 2>at birth Apgar score was two. One is the lowest

0:21:26.613 --> 0:21:30.613
<v Speaker 2>that you can go. So they got her out. They

0:21:30.653 --> 0:21:35.413
<v Speaker 2>put her straight into the incubator. Her pediatric team said

0:21:35.453 --> 0:21:39.453
<v Speaker 2>we need to go now. They turned to Scott who

0:21:39.573 --> 0:21:42.813
<v Speaker 2>was right by my side, and they said to him, Dad,

0:21:42.853 --> 0:21:45.613
<v Speaker 2>are you coming. He turned to me and he said,

0:21:45.973 --> 0:21:48.292
<v Speaker 2>what do you want me to do? And I said,

0:21:48.373 --> 0:21:52.853
<v Speaker 2>go with them. So he got up straight away, gave

0:21:52.893 --> 0:21:55.653
<v Speaker 2>me a big kiss, said you've got this, and he

0:21:55.693 --> 0:21:59.733
<v Speaker 2>went off with both Charlie and Luna straight down to

0:21:59.773 --> 0:22:02.653
<v Speaker 2>the special care nursery, so that he was there with them,

0:22:03.013 --> 0:22:07.253
<v Speaker 2>and it made me feel obviously a big pang of

0:22:07.333 --> 0:22:11.413
<v Speaker 2>jealousy that he was with them, but I knew that

0:22:11.453 --> 0:22:13.933
<v Speaker 2>they weren't alone, and they had one of us there,

0:22:13.973 --> 0:22:16.013
<v Speaker 2>and that was the most important thing to me at

0:22:16.013 --> 0:22:20.532
<v Speaker 2>that point in time. Charlie had recovered. I suppose by

0:22:20.573 --> 0:22:24.413
<v Speaker 2>that stage he's doing really, really well, but it was

0:22:24.493 --> 0:22:26.133
<v Speaker 2>Luna that we were worried about.

0:22:26.493 --> 0:22:30.933
<v Speaker 1>After a truly traumatic and dramatic birth. Cassie was eager

0:22:30.973 --> 0:22:33.573
<v Speaker 1>to spend time with both her babies and make sure

0:22:33.573 --> 0:22:34.253
<v Speaker 1>they were okay.

0:22:34.973 --> 0:22:38.853
<v Speaker 2>I knew that Luna was not doing well at all.

0:22:39.573 --> 0:22:41.333
<v Speaker 2>They had told me that they needed to get her

0:22:41.413 --> 0:22:45.493
<v Speaker 2>down straight away and get her onto the cepat machine,

0:22:45.493 --> 0:22:48.533
<v Speaker 2>the bubbles and all of those other things, because her

0:22:48.573 --> 0:22:52.133
<v Speaker 2>life was still in grave danger. She had been deprived

0:22:52.173 --> 0:22:56.372
<v Speaker 2>of oxygen for a period of time throughout the birthing process,

0:22:57.333 --> 0:23:00.253
<v Speaker 2>and I was being, let's just say, a bit of

0:23:00.293 --> 0:23:04.413
<v Speaker 2>a pain in the ass, saying, how are my babies?

0:23:04.533 --> 0:23:07.253
<v Speaker 2>Can we get an update on the babies? Are they okay?

0:23:07.653 --> 0:23:11.693
<v Speaker 2>Is Luna okay? They kept telling me to just have

0:23:11.773 --> 0:23:14.933
<v Speaker 2>a rest. Your body has been through so much. Have

0:23:15.053 --> 0:23:18.532
<v Speaker 2>a sleep, You'll feel so much better. Just kept saying,

0:23:19.173 --> 0:23:21.413
<v Speaker 2>I'm not going to rest. I need I need to

0:23:21.453 --> 0:23:24.453
<v Speaker 2>see them. I need to know that they're okay. There

0:23:24.493 --> 0:23:27.853
<v Speaker 2>was one nurse in particular. She turned to me, she said,

0:23:28.013 --> 0:23:31.613
<v Speaker 2>you're not going to sleep, are you? I said, no chance.

0:23:32.013 --> 0:23:36.332
<v Speaker 2>So she went and got me a yellow zoopa dupa

0:23:37.133 --> 0:23:39.653
<v Speaker 2>to get my sugar levels back up because she could

0:23:39.693 --> 0:23:42.733
<v Speaker 2>see how hard I was fighting the sleep when my

0:23:42.853 --> 0:23:46.413
<v Speaker 2>whole body was obviously just craving it, but my mind

0:23:46.733 --> 0:23:52.893
<v Speaker 2>was never going to let that happen. So eventually, after

0:23:53.053 --> 0:23:57.013
<v Speaker 2>I'd say a couple of hours in the recovery ward,

0:23:57.773 --> 0:24:01.532
<v Speaker 2>my beautiful midwife came back up, and she was up

0:24:01.573 --> 0:24:04.613
<v Speaker 2>to get me to take me back down. I had

0:24:04.773 --> 0:24:08.132
<v Speaker 2>gotten enough movement in my feet and my body at

0:24:08.133 --> 0:24:10.092
<v Speaker 2>that point for them to be happy for me to

0:24:10.213 --> 0:24:13.453
<v Speaker 2>leave the recovery ward. And as soon as she turned

0:24:13.493 --> 0:24:16.052
<v Speaker 2>the corner, I could see the smile on her face,

0:24:16.173 --> 0:24:18.853
<v Speaker 2>and I just knew that everything was going to be okay.

0:24:19.453 --> 0:24:23.973
<v Speaker 2>And she told me that Charlie was doing fantastic, that

0:24:24.093 --> 0:24:27.053
<v Speaker 2>he was having some skin to skin time with Dad,

0:24:27.733 --> 0:24:30.893
<v Speaker 2>and that Luna was off the bubble machine, but she

0:24:31.093 --> 0:24:33.733
<v Speaker 2>was just staying in the incubator for a little bit longer,

0:24:33.853 --> 0:24:37.813
<v Speaker 2>just to make sure that everything was still going okay.

0:24:37.893 --> 0:24:41.813
<v Speaker 2>But she was definitely out of that mortal danger side

0:24:41.853 --> 0:24:45.333
<v Speaker 2>of things by that point in time. So she wheeled

0:24:45.373 --> 0:24:49.013
<v Speaker 2>me down, wheeled me down to the Special Care nursery,

0:24:49.493 --> 0:24:52.813
<v Speaker 2>and Charlie was still having some beautiful skin to skin

0:24:52.933 --> 0:24:57.213
<v Speaker 2>time cuddles with Dad, and he was right next to

0:24:57.293 --> 0:25:01.013
<v Speaker 2>the incubator with Luna in there. They had said that

0:25:01.053 --> 0:25:05.132
<v Speaker 2>she was a feisty little thing and ripped the dummy

0:25:05.173 --> 0:25:07.733
<v Speaker 2>out of her mouth and threw it straight through the

0:25:07.773 --> 0:25:10.173
<v Speaker 2>little hole in the side of the incubator. They said,

0:25:10.173 --> 0:25:12.693
<v Speaker 2>she's got to be a basketball player or a netball

0:25:12.693 --> 0:25:17.613
<v Speaker 2>player or something when she gets older. Once I was

0:25:17.693 --> 0:25:20.253
<v Speaker 2>down there and they had given me those little updates

0:25:20.973 --> 0:25:23.653
<v Speaker 2>that it was time for Charlie to come over to

0:25:23.733 --> 0:25:26.532
<v Speaker 2>have some skin to skin cudd all time with me,

0:25:27.213 --> 0:25:30.092
<v Speaker 2>and that Luna would be ready very soon. They just

0:25:30.093 --> 0:25:32.773
<v Speaker 2>wanted to do one last check on her. So I

0:25:32.813 --> 0:25:36.013
<v Speaker 2>had some cuddles with Charlie and it was just so beautiful,

0:25:36.133 --> 0:25:39.292
<v Speaker 2>you know, having Luna right there next to me. I

0:25:39.373 --> 0:25:41.453
<v Speaker 2>was still able to put my hand in and touch

0:25:41.453 --> 0:25:46.132
<v Speaker 2>her and everything like that. Obviously she was fully cooked,

0:25:46.333 --> 0:25:49.653
<v Speaker 2>I suppose at thirty eight weeks, so it was fully

0:25:49.693 --> 0:25:52.453
<v Speaker 2>safe to do all that had Charlie on me, and

0:25:52.493 --> 0:25:57.532
<v Speaker 2>it just felt so much relief that after everything that

0:25:57.573 --> 0:26:01.053
<v Speaker 2>we had gone through over those past couple of hours,

0:26:01.773 --> 0:26:05.373
<v Speaker 2>and really there was thirteen minutes between the two berths,

0:26:05.893 --> 0:26:09.133
<v Speaker 2>so what felt like hours and hours and hours of

0:26:09.333 --> 0:26:13.133
<v Speaker 2>all of these crazy things happening was really over only

0:26:13.213 --> 0:26:16.013
<v Speaker 2>on the space of you know, half an hour. The

0:26:16.053 --> 0:26:18.653
<v Speaker 2>doctors came and did another check on Luna and they

0:26:18.693 --> 0:26:21.573
<v Speaker 2>said that she was fine to come out to the incubator.

0:26:22.573 --> 0:26:25.373
<v Speaker 2>She was put on my chest as well, so I

0:26:25.413 --> 0:26:28.813
<v Speaker 2>had both babies on me, had Scott right there by

0:26:28.853 --> 0:26:32.413
<v Speaker 2>my side. The midwife came in and she took the

0:26:32.413 --> 0:26:37.933
<v Speaker 2>most beautiful photo of the flour of us. I look

0:26:38.493 --> 0:26:43.572
<v Speaker 2>absolutely wrecked in this photo. I am yellow in color

0:26:44.773 --> 0:26:49.413
<v Speaker 2>in comparison to the babies. Just the amount of stress

0:26:49.893 --> 0:26:54.133
<v Speaker 2>that my body had gone through had obviously caused this

0:26:54.293 --> 0:26:57.013
<v Speaker 2>yellowing sort of color. It looked like I had one

0:26:57.253 --> 0:27:02.093
<v Speaker 2>epic spray tan. But it was all good. It was

0:27:02.133 --> 0:27:04.092
<v Speaker 2>all for the best. I look back at that photo

0:27:04.173 --> 0:27:10.013
<v Speaker 2>with such immense pride that we not only survived, but

0:27:10.173 --> 0:27:15.293
<v Speaker 2>thrived from such an awful experience, and where we are

0:27:15.373 --> 0:27:21.013
<v Speaker 2>now to that point in time, never thinking that would

0:27:21.053 --> 0:27:22.973
<v Speaker 2>be in the position that we are now to have

0:27:23.093 --> 0:27:28.573
<v Speaker 2>two such beautiful, healthy babies or toddlers. I look back

0:27:28.573 --> 0:27:31.533
<v Speaker 2>at that photo with just such immense pride in myself

0:27:31.573 --> 0:27:33.453
<v Speaker 2>and joy that I achieved that.

0:27:34.093 --> 0:27:36.573
<v Speaker 1>So what is life really like with twins?

0:27:37.853 --> 0:27:43.493
<v Speaker 2>It's a total cliche when they talk about double trouble,

0:27:44.173 --> 0:27:46.852
<v Speaker 2>and how much on the other side of it, twins

0:27:46.853 --> 0:27:50.653
<v Speaker 2>are an absolute blessing. There are days that you think,

0:27:50.853 --> 0:27:53.253
<v Speaker 2>how on earth am I going to survive another day

0:27:53.373 --> 0:27:57.773
<v Speaker 2>raising these twins, because they're just crazy. But other days

0:27:57.813 --> 0:28:01.013
<v Speaker 2>we look at them and just think it's a miracle

0:28:01.253 --> 0:28:04.653
<v Speaker 2>that they are here, and watching them giggle at each

0:28:04.653 --> 0:28:08.052
<v Speaker 2>other and laugh and play with each other is just

0:28:08.213 --> 0:28:12.053
<v Speaker 2>so beautiful, and it's just amazing being a twin mum.

0:28:12.173 --> 0:28:15.613
<v Speaker 2>I can't describe it any other way. When you talk

0:28:15.653 --> 0:28:19.613
<v Speaker 2>to people about having twins, it's the same reaction that

0:28:19.653 --> 0:28:23.773
<v Speaker 2>I would have had to years ago or three years ago, saying,

0:28:24.293 --> 0:28:26.493
<v Speaker 2>oh my goodness, I can't imagine that would be my

0:28:26.573 --> 0:28:30.413
<v Speaker 2>worst nightmare. I've had people say that to me in

0:28:30.573 --> 0:28:34.532
<v Speaker 2>front of me. It's such a journey to go on

0:28:34.693 --> 0:28:37.173
<v Speaker 2>to be a twin mom or a multiple mum. But

0:28:37.933 --> 0:28:40.653
<v Speaker 2>you know, really, at the end of the day, you

0:28:40.653 --> 0:28:43.653
<v Speaker 2>wouldn't have it any other way. They are just they

0:28:43.693 --> 0:28:48.053
<v Speaker 2>are just amazing. And Luna still has her struggles. Obviously,

0:28:48.573 --> 0:28:53.933
<v Speaker 2>she was born in a very traumatic way. She has

0:28:54.293 --> 0:28:58.373
<v Speaker 2>low muscle tone because she was deprived of oxygen at birth.

0:28:58.773 --> 0:29:02.373
<v Speaker 2>She has been diagnosed with a global developmental delay, so

0:29:02.453 --> 0:29:09.213
<v Speaker 2>she's currently receiving therapy in physioot and speech. Who knows

0:29:09.293 --> 0:29:12.413
<v Speaker 2>what would have happened if her birth wasn't the way

0:29:12.453 --> 0:29:15.253
<v Speaker 2>that it was. Will never know whether or not she

0:29:15.293 --> 0:29:18.413
<v Speaker 2>would have had the same issues, but she is thriving

0:29:18.493 --> 0:29:22.093
<v Speaker 2>in all of her therapies, and she's just doing amazing.

0:29:23.013 --> 0:29:26.973
<v Speaker 2>When she has her moments, she definitely has her moments,

0:29:27.173 --> 0:29:30.613
<v Speaker 2>But when she laughs and giggles, she's a big cuddler.

0:29:31.453 --> 0:29:36.453
<v Speaker 2>She just wants all of the culors in the world.

0:29:38.333 --> 0:29:41.973
<v Speaker 1>This week, we're lucky enough to have obstetrician Bronwin Devine,

0:29:42.093 --> 0:29:46.253
<v Speaker 1>who delivered both my babies, to explain the medical perspective.

0:29:46.653 --> 0:29:49.253
<v Speaker 1>If you're committed to a vaginal birth with twins, why

0:29:49.253 --> 0:29:51.573
<v Speaker 1>do we often need to pivot to an intervention?

0:29:52.173 --> 0:29:55.733
<v Speaker 3>The problem with twins is they're quite unpredictable and can

0:29:55.773 --> 0:30:01.413
<v Speaker 3>be really tricky. So while vaginal birth is definitely the

0:30:01.493 --> 0:30:06.373
<v Speaker 3>preferred mode for lots of women, sometimes you'll find with

0:30:06.573 --> 0:30:09.653
<v Speaker 3>twins what can happen is the first twin can come

0:30:09.653 --> 0:30:12.933
<v Speaker 3>out vaginally, and then once the first one is out,

0:30:12.973 --> 0:30:15.653
<v Speaker 3>the second one can do all sorts of funny things.

0:30:15.693 --> 0:30:18.773
<v Speaker 3>It can turn itself upside down, It can decide that

0:30:18.893 --> 0:30:20.733
<v Speaker 3>the right way to come out for it is to

0:30:20.773 --> 0:30:23.573
<v Speaker 3>come out shoulder first, or it can let its own

0:30:23.773 --> 0:30:28.693
<v Speaker 3>unbeliable core drop out. Sometimes the placenta can come away quickly,

0:30:29.453 --> 0:30:31.773
<v Speaker 3>or sometimes it can just take a very long time

0:30:31.853 --> 0:30:34.253
<v Speaker 3>for the second twin to get itself into a position

0:30:34.333 --> 0:30:37.253
<v Speaker 3>to be able to be borne easily. So there are

0:30:37.293 --> 0:30:41.333
<v Speaker 3>sometimes occasions with planned twin vaginal births where the first

0:30:41.333 --> 0:30:44.773
<v Speaker 3>twin comes out vaginally, and no matter how hard we

0:30:44.933 --> 0:30:47.453
<v Speaker 3>want the second one to come out vaginally, it just

0:30:47.613 --> 0:30:51.093
<v Speaker 3>isn't gonna happen that way. So we always say to

0:30:51.133 --> 0:30:53.813
<v Speaker 3>women who are planning a vaginal birth with twins, we

0:30:53.813 --> 0:30:56.493
<v Speaker 3>would aim for both bubs to come out vaginally, but

0:30:56.813 --> 0:31:00.813
<v Speaker 3>if the second one does something strange and unpredictable, it

0:31:00.933 --> 0:31:02.493
<v Speaker 3>may be that we have to go and do a

0:31:02.533 --> 0:31:03.733
<v Speaker 3>Caesar for the second one.

0:31:04.173 --> 0:31:07.853
<v Speaker 1>And doctor Devine wants to ease people's fear of forceps.

0:31:08.813 --> 0:31:11.093
<v Speaker 3>I do get a lot of people who say to me, look,

0:31:11.133 --> 0:31:14.253
<v Speaker 3>whatever you do, I'd really prefer you not to use forceps.

0:31:14.653 --> 0:31:18.773
<v Speaker 3>They sound terrible, they look scary. And I went to

0:31:18.853 --> 0:31:21.853
<v Speaker 3>my birth classes and they show you know, they showed

0:31:21.933 --> 0:31:23.773
<v Speaker 3>us a vacuum, they showed us the forceps, and I

0:31:23.933 --> 0:31:27.293
<v Speaker 3>definitely would not want to have those people. Do think

0:31:27.333 --> 0:31:30.933
<v Speaker 3>it's some relic of the eighteen hundreds, where.

0:31:31.333 --> 0:31:33.893
<v Speaker 2>It was a question of just you know, doing whatever

0:31:33.933 --> 0:31:34.853
<v Speaker 2>you can.

0:31:34.813 --> 0:31:37.413
<v Speaker 3>And you know that sort of thing. Having said that,

0:31:37.893 --> 0:31:42.293
<v Speaker 3>there are definitely instances where forceps are a very useful

0:31:42.373 --> 0:31:45.533
<v Speaker 3>instrument to use, and they're a very good instrument to use,

0:31:45.573 --> 0:31:49.893
<v Speaker 3>and some babies really dislike the pushing stage where their

0:31:49.893 --> 0:31:53.213
<v Speaker 3>head's coming down. They find that it's causing them to

0:31:53.293 --> 0:31:56.773
<v Speaker 3>have reductions in the amount of oxygen that they're getting

0:31:56.893 --> 0:31:59.773
<v Speaker 3>and they really start to complain. And if we leave

0:31:59.853 --> 0:32:02.933
<v Speaker 3>babies in that situation, they can be born in a

0:32:03.093 --> 0:32:07.493
<v Speaker 3>very bad state. Indeed, so as long as you've got

0:32:07.533 --> 0:32:11.853
<v Speaker 3>someone who's comfortable using forceps and is experienced using forceps,

0:32:11.853 --> 0:32:15.053
<v Speaker 3>and he's gentle with the forceps, then there are times

0:32:15.093 --> 0:32:19.333
<v Speaker 3>in childbirth where forceps can be the absolutely right instrument

0:32:19.373 --> 0:32:19.813
<v Speaker 3>to use.

0:32:23.773 --> 0:32:26.333
<v Speaker 1>Thank you for joining us on Diary of a Birth,

0:32:26.373 --> 0:32:29.093
<v Speaker 1>where we celebrate all the amazing ways that we as

0:32:29.093 --> 0:32:31.933
<v Speaker 1>women bring life into the world. If you'd like to

0:32:31.973 --> 0:32:34.253
<v Speaker 1>share your birth story with us, we'd love to hear

0:32:34.253 --> 0:32:37.453
<v Speaker 1>from you. Details are in the show notes. Diary of

0:32:37.453 --> 0:32:40.413
<v Speaker 1>a Birth was hosted by me Cassena Lukitch, with expert

0:32:40.453 --> 0:32:44.213
<v Speaker 1>advice from doctor Devine. This episode was produced by Tom

0:32:44.293 --> 0:32:48.653
<v Speaker 1>Lyon and myself Cassena Lukitch, with audio production by Scott Stronach.