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Usually. Baby a,b,c etc are determined by the lowest presenting baby/sac in the beginning of the pregnancy. ironically toward the end, b can be lower than a. my baby b was hte highest the last few weeks of my triplet pregnacny. but as the babies are born, they will call the first baby, baby a, even if it was not the "original" baby a kwim? Our fear because we have all girls is that they would be born in a differnt order than how we had known them to be. We had named them according to postition and letter. Our dr was made aware of our concren and thankfully htey all cam out in the proper order and we know based on size and such.