05/07/2026
Midwife360 | Fadwah Halaby writes: “This momma and her partner had already experienced two successful home births. When they learned at their 18-week anatomy ultrasound that they were expecting twins, they thoughtfully explored their options.
Their trusted CPM could not attend a twin home birth, which they deeply desired, so they connected with Midwife360.
After discussing the risks of twin birth at home, including the same potential emergencies as singleton birth, such as postpartum hemorrhage and cord prolapse, plus increased risks for Twin B, including placental abruption, they chose to birth their Didi twins at home.
Mama was healthy, active, well-nourished, and supported at home. We prepared carefully with two warming/resuscitation stations, oxygen, medical air, a T-piece respirator, BVM, iGel LMA, DeLee suction, pulse ox, stethoscopes, and blankets.
The planned team included two CNMs, two CPM students, and a doula. Baby A was breech and Baby B transverse.
Labor began after Baby A’s membranes released, and contractions followed quickly. As mama began feeling pressure and urges to push, we identified a cord prolapse.
We called 911, got her out of the tub, monitored Baby A closely, and began efforts to help the baby be born. 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.
We then assessed Baby B. Fetal heart tones were initially good, and ultrasound confirmed Baby B would also present breech.
Soon after, we heard a decreasing heart rate and heavy bleeding, suggesting a possible placental abruption. Baby A’s cord was cut about 11 minutes after birth, and mama stood so gravity could help bring Baby B down.
A second breech extraction followed, and Baby B was born 13 minutes after her brother. She responded well to resuscitation, with a 5-minute APGAR of 9.
Paramedics had arrived before Baby A’s birth and watched on standby as the birth team continued until babies and momma were stable.
This outcome was possible because of Fadwah’s training in vaginal breech birth with Breech Without Borders and her experience with twin and breech”
