Complications

High risk issues...
From the week we found out I was carrying quads we had non stop doctors appointments. A quadruplet pregnancy is extremely high risk to the babies and the mama.  Quads are expected to be delivered about 10 weeks early, sometimes even earlier. A uterus can only strech so far, humans arnt ment to have litters. Preterm babies are at high risk for birth defects such as brain bleeds, vision and hearing issues, heart issues, lung issues, the list goes on and on.  For mama high blood pressure/preeclampsia, blood clots, excessive bleeding and heart issues.

 Twin types....
Wyatt&Rylie: didi
Samantha&Braelynn: momo

Fraternal Twins (commonly known as "non-identical twins") usually occur when two fertilised eggs are implanted in the uterine wall at the same time that is when the mother releases two eggs and both become fertilized by two different sperms. The two eggs form two zygotes. and these twins are therefore also known as dizygotic.

Identical Twins occur when a single egg is fertilized by a single sperm to form one zygote (monozygotic) but the zygote then divides into two separate embryos. The biological mechanisms that prompt the single fertilized egg to split in two remain a mystery. The two embryos develop into foetuses sharing the same womb. Depending on the stage at which the zygote divides. identical twins may share the same amnion (in which case they are known asmonoamniotic) or not (diamniotic). Diamniotic identical twins may share the same placenta (known as monochorionic) or not (dichorionic). All monoamniotic twins are monochorionic.

The later in pregnancy that twinning occurs. the more structures will be shared. Zygotes that twin at the earliest stages will be diamniotic and dichorionic ("di-di"). Twinning between 4 to 8 days after fertilization typically results in monochorionic-diamniotic ("mono-di") twins. Twinning between 8 to 12 days after fertilization will usually result in monochorionic-monoamniotic ("mono-mono") twins. Twinning after 12 days post-fertilization will typically result in conjoined twins.

• Dichorionic/Diamniotic (didi) : each twin has his/her own placenta, chorion and amniotic sac
• Monochorionic/Diamniotic (modi) : twins share placenta and chorionic sac but have their own amniotic sac
• Monoamniotic/Monochorionic (momo): twins share placenta, chorionic and amniotic sac 

Sharing the same amnion (or the same amnion and placenta) can cause complications in pregnancy. For example. the umbilical cords of monoamniotic twins can become entangled. reducing or interrupting the blood supply to the developing foetus. Monochorionic twins. sharing one placenta. usually also share the placental blood supply. These twins may develop such that blood passes disproportionately from one twin to the other through connecting blood vessels within their shared placenta. leading to twin-to-twin transfusion syndrome. About 50% of mono-mono twins die from umbilical cord entanglement.

Monozygotic twins are genetically identical unless there has been a mutation in development. and they are almost always the same gender. (On extremely rare occasions. an original XXY zygote may form monozygotic boy/girl twins by dropping the Y chromosome for one twin and the extra X chromosome for the other.) Monozygotic twins generally look alike. although sometimes they appear as mirror images of each other. Identical twins will also share the same blood type. eye and hair colour. Examination of details such as fingerprints and teeth marks can tell them apart. As they mature. identical twins often become less alike because of lifestyle choices or external influences such as scars. While it was originally thought that identical twins do not run in families. but occur more or less randomly. some recent research has suggested that a genetic predisposition may exist. The exact cause for the splitting of a zygote or embryo is unknown.

Reduction?

In the beginning we thought Sam and Brae were modi twins but at 12 weeks it was confirmed that they were momo. Therefor our already high risk pregnancy was bumped up to ultra high risk. Most higher order pregancys are all fraternal twins, so this cirtter litter was a little on the rare side. Many doctors recommend termination of a momo twin pregnancy because of the high risk of fetal death. All of our doctors told us it would be the best idea tomreduce or termanate the entire pregnancy. We went to 6 different doctors in Texas  (we were stationed here during the early part of my pregnancy) each telling us the same thing. One of the specialists we went to went threw the statics and "numbers" with us,assuring us that there was no chance of getting threw this pregnancy with four healthy babies. if we kept the momos (Sam and Brae) they can need to come extra early and cause our "innocent bi standard" twins (Wyatt and Rylie) to suffer the effects of being born at 24 weeks instead of 30 weeks.

We were told to choose, abort two and have a chance at a normal pregnancy and healthy babies or keep all four of them and have no chance at having healthy babies. He actually told  us there no chance at having healthy babies! Now I understand that his job is to give us the facts but I feel that it was wrong of him to tell us there was no chance at having healthy babies. Any way....we concidered reduction until I was 15 weeks along, but it just didn't feel right to us. I 100% support a womans right to choose, but so far they were healthy, and god gave us these four little babies for a reason!
This was one of the most difficult times of the pregnancy, trying to decide the "right" decision. I'm so thankful we went with our hearts and didn't listen to that doctor! Not only do we have 4 beautiful healthy babies, but I went all the way to 30 weeks!!!