Royal birth order question for our doctors

[kenny]

http://www.bbc.co.uk/news/uk-20589896

SNIP:
"Commenting on the duchess's condition, Dr Peter Bowen-Simpkins, medical director at London Women's Clinic, told BBC 5 Live: "People who get it get intractable vomiting and may lose as much as 10% of their body weight and become very dehydrated.

"When this occurs the simple treatment is to get fluids into them - and usually they feel considerably better."

Dr Bowen-Simpkins also said the condition was "more common with a multiple pregnancy," adding the couple "would know by now whether there were twins there or not"."

This BBC link mentions a heightened chance Kate may be carrying more than one.
Aside from the gender issue mentioned in the article, natural birth order determines which is next in line to the throne.

But what if a cesarian section is required?
Isn't the order of "birth", and thereby the throne, chosen by the doctor?
If so, and there is one boy and one girl, might the doctor be pressured to pull out the boy first - or mighty there be a royal coin flip?
Or are they positioned in there so one is closest to the scalpel, and no decision is made by the doctor?

 

[HopeDream]

My DH assists with cesarians all the time, I'll as him how the surgeon chooses which twin to pull out.

I think they usually just try to get in and get out as quickly as possible - the quicker the c-section, usually the better the outcome for the patient.

 

[rosetta]

The doctor will pull out whichever one is closer to the inscision. It'll be as quick as possible.

The chances of this being twins is very small.

 

[Dandi]

I scrub for caesarians on a daily basis and we deliver lots of twins. The baby that is lower, or closer to the cut, comes out first. I don't know that it would be possible (or safe!) to dig around for the other twin first. You're right HopeDream, quickest is best, for mother and babies! As for speculating if her hyperemesis gravidarum is, in her case, due to twins, for crying out loud, give the girl a break, tabloids! Plently of singleton pregnancies end up with HG.

 

[justginger]

Of course she'll likely only have one - but the thought of twin royals is so exciting, who can resist giving it consideration?!

 

[neatfreak]

Yep, the future ruler of England would depend on whichever one implanted lower if she was carrying multiples.

I have twins and we knew for months which one would be born first during my c-section.

And as someone else alluded to earlier...just because the likelihood of this condition increases in multiple pregnancies still does not make it likely she is carrying twins. Assuming she has no history of fraternal twins in her family, and didn't use any reproductive assistance to get pregnant, the chance of a random twin pregnancy is only 3 percent-ish...which includes risk factors for some people of being tall (which Kate is) or old (which she is not). So very slim!

But hey it happens, I was around her age, short, with no history of twins and now I have two four year olds!

 

[iheartscience]

Interesting! I suppose they'd go by birth order, but the A twin is usually bigger than the B twin. And conventional twin wisdom dictates that the B twin is feistier because they fight for food/space in the womb.

I think the A twin is usually born first if the birth is vaginal, but not sure on that. That was the case for me and my sister, though-my twin sis is the A twin and she was born first. And as the B twin, I'm definitely feistier and have been since birth!