Originally published on Norwalk Ohio News January 23 and re-posted with permission.
Dr. James Kasten experienced déjà vu this week at Fisher-Titus Medical Center.
Twenty-eight years ago, the Norwalk obstetrician-gynecologist delivered a set of twins, with the second baby being breech.
Two days ago, Kasten delivered another set of twins, again with the second baby being breech. The mom this time was the very same breech baby from 28 years ago — Celeste (Duncan) Dunn.
"It was a déjà vu kind of thing," said Kasten, who has delivered more than 13,000 babies during his 37 years of practicing.
Among those 13,000-plus were all five children of Norwalk residents Bob and Sherry Duncan — including the aforementioned twins, Carissa and Celeste, in 1992.
"We lived in Mansfield, and I drove back for all four of my deliveries with Dr. Kasten. But we're from Norwalk originally," Sherry Duncan said.
Her husband, Bob, served as Norwalk High School principal from 2000 to 2008 and retired in December 2014 after 30 years in education — 19 of those in the Norwalk district. Duncan then became a corrections officer at the Huron County Jail.
Celeste, meanwhile, graduated from Norwalk High School in 2010 and earned a degree from Bowling Green State University in 2014.
She married Paul Dunn on Sept. 8, 2018. Both work in the education field — Celeste as a seventh grade intervention specialist at Tiffin Middle School and Paul as a teacher and head boys basketball coach at Mohawk High School.
Last year, when the couple learned they were expecting, she chose to stick with Kasten as her OB-GYN, even though they live in Tiffin.
"It's a comfort," she said. "I've been going to him for a while, and that's where we decided to go."
The Dunns later learned they were going to have twins.
"I was very shocked. Very shocked," she said. "But it was exciting at the same time because the bond that my sister and I have, they hopefully will have that too."
Celeste was induced Tuesday. The first baby was born at 7:36 p.m. and the second one at 7:41 p.m.
Dr. Kasten described the birthing experiences of both Celeste and her mom.
"Sherry had come 28 years ago and had twins through my office," Kasten said. "I followed her through the course of the pregnancy in a pretty similar program. She got to 38 weeks gestation. But we knew she was vertex and the second twin was breech.
"Usually, in my rules, if the first twin is vertex, then we allow vaginal delivery of the twins.
We had the delivery of the first twin vertex, which is head down. And the second twin is always the more challenging one from an obstetrical standpoint.
"With Sherry, as well as with Celeste, the second twin was breech," Kasten continued. "We were able to obstetrically maneuver the infant's legs and body out — a full breech extraction is what they call that."
Briggs Dunn weighed 4 pounds and 8 ounces, and Barrett Dunn weighed 5 pounds and 7 ounces. Both were 18 inches long.
The twin boys are smaller than the twin girls Sherry Duncan delivered.
Carissa, whose last name is now Luxon, weighed 6 pounds and 10 ounces, and Celeste weighed 6 pounds and 1 ounce. Their lengths were similar to those of Briggs and Barrett, Sherry Duncan said.
Sherry's babies were born three minutes apart, while Celeste's were five minutes apart.
"We gave a couple minutes to let Celeste and her husband enjoy the first delivery, put the baby on the chest and get some pictures and let Dad cut the cord, and stuff like that," Kasten said.
"We're a little more into the holistic thing. I don't remember that Bob cut the cord," Kasten joked.
Bob quickly replied, "No."
"We try to include the dad in most everything we can nowadays," the doctor responded.
Breech births happen when the baby's buttocks or feet are to be delivered first. About one in every 25 births have breech presentation, according to americanpregnancy.org.
"Many obstetricians nowadays will deliver all breeches by Cesarean section," Kasten said. "I have quite a bit of experience with breech deliveries so that doesn't bother me too much — especially if it's the second twin."
Kasten shared details about delivering twins.
"The first twin dilates up the mom's cervix and that leaves the path open for the second twin. So it's much safer because the cervix has already been opened," he said. "Always with breeches, you worry about the cervix contracting down around the baby's neck, not allowing the baby's head to come out. But since Baby A dilates that up and makes that looser — plows the path so to speak — Baby B is a lot easier to navigate through the cervix. There's a window of opportunity on a twin delivery to do sequential, rapid delivery like that."
To make the week even more special, Celeste's older sister, Kayleigh Ringle, had a baby boy Monday at Fisher-Titus, also delivered by Kasten.
With both sisters pregnant in the fall and early part of the winter, the race was on to see which one would deliver first.
It was "very intense," Sherry Duncan said.
In the span of a few days, the Duncans doubled their number of grandchildren from three to six.
Celeste and her twins were expected to be discharged from Fisher-Titus today.