4.5 • 631 Ratings
🗓️ 4 June 2025
⏱️ 90 minutes
🧾️ Download transcript
This week Dr. Stu and Midwife Blyss do a deep dive into mono-chorionic twin pregnancies, with a focus on debunking common myths about mono-mono twins. Drawing on recent research and personal experiences, they explore topics like the risks of twin-to-twin transfusion syndrome (TTTS), cord entanglement, and the overall safety of vaginal deliveries for mono-mono twins.
Resources
Between a Shot and a Hard Place, by Joel Warsh
Jama Article: Pregnancy Related Deaths in the US 2018 to 2022.
Twin home birth: Outcomes of 100 sets of twins in the care of a single practitioner, by Stu Fischbein and Rixa Freeze
Documentary: Heads Up: The Disappearing Art of Vaginal Breech Delivery
Obstetrics and Gynecology Journal: Cord entanglement and perinatal outcome in monoamniotic twin pregnancies
In This Episode
Introduction to Monochorionic Twins
Debunking Myths About Twin Pregnancies
Case Studies and Rare Anomalies
Challenges and Interventions in Twin Pregnancies
The Overuse of Ultrasound in Twin Pregnancies
Misuse of Growth Charts for Twins
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Connect with Dr. Stu and Blyss
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0:00.0 | Welcome to the Burling Instincts Podcast. I'm Dr. Stuart Fishbein, community-based practicing |
0:07.7 | obstetrician and longtime advocate for birth choices. And I'm Bliss Young, a licensed midwife. |
0:13.0 | Join us in our conversational style podcast where we talk about everything birth. |
0:17.5 | Sometimes we laugh, sometimes we cry, but we're happy that you're here. So here we go. |
0:23.8 | Good morning, good afternoon, good evening, good middle of the night to everybody. |
0:29.1 | Bliss and I together and it's just Bliss and I today. So that's very exciting. How are you doing? |
0:35.3 | I'm good. My client from Fiji just arrived yesterday. So we had a nice long visit today. |
0:44.8 | She's hoping to have a be back. And I'm going to tell you something. And then I want you to tell me how I might be feeling about it. |
0:53.5 | So her sister, her mom, and her friend are all going to be |
0:58.8 | there. I don't even said the most part, but, and her husband did not get, his visa didn't get |
1:06.9 | approved. So he's not going to be able to make it. And her mom, her sister cried |
1:14.2 | talking about how nervous she is about it. And her mom is talking about, are you going to be monitoring |
1:19.7 | her? When do you come? La, la, la. So how am I feeling about this woman's birth right now? |
1:28.4 | You're a little on the edge because, um, You're a little on the edge because you'd like to tell this family to go out for pizza and not come back. |
1:34.9 | But, uh, right. |
1:38.2 | Right. |
1:39.3 | You know, I'm just still thinking about the poor husband who, you know, you just can't walk into Mexico and walk |
1:47.2 | across the border like you could a couple months ago, but you should have just flowed to Mexico. |
1:52.1 | But now it's a little harder to get in. That's tragic. I don't understand why somebody from |
1:57.6 | Fiji can't get a visa, but that's another story. I want to go there. |
2:01.6 | I'm sure you're not happy about this. I'm sure you'd love to talk to this woman privately. |
2:06.6 | This was your, this was your meeting today, and they were all there. Yeah, they were all there. |
... |
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