06/29/2026
This momma and her partner had already experienced two beautiful home births when they learned at their 18-week anatomy ultrasound that they were expecting DiDi twins. Their trusted CPM could not attend a twin home birth, so they connected with Midwife360 and carefully discussed the risks, including postpartum hemorrhage, cord prolapse, and increased risks for Twin B.
With informed consent, a healthy pregnancy, strong home support, and a prepared birth team, they chose to birth at home. The team had two warming and resuscitation stations ready, along with oxygen, medical air, neonatal resuscitation tools, suction, monitoring equipment, and blankets.
Baby A was breech and Baby B was transverse. Labor moved quickly after Baby A’s membranes released. When mama began feeling pressure, a cord prolapse was identified. 911 was called, she was moved from the tub, and Baby A was closely monitored. The cord remained full, and fetal heart tones stayed in the 100s. Fadwah performed a breech extraction, and Baby A responded quickly to resuscitation with a 5-minute APGAR of 8.
Baby B was then assessed by ultrasound and confirmed breech. Soon after, a dropping heart rate and heavy bleeding suggested possible placental abruption. Mama stood to help bring Baby B down, and Fadwah performed a second breech extraction. Baby B was born 13 minutes after her brother and responded well, with a 5-minute APGAR of 9.
Paramedics were present and on standby while the birth team worked, but once momma and both babies were stable, they were able to leave. This birth was possible because of Fadwah’s training in vaginal breech birth, twin birth, and complex physiologic birth.
This story opens an important conversation about informed choice, access, risk, and poses the question of how do we get more families access to skilled midwives in home or hospital settings for breech and twin births.
Birth team:
Photographer: .agency