Multiple pregnancy

Causes of the appearance of twins

As multiple studies say, today exactly half of all multiple pregnancies occurs after ECO, before this procedure, as a rule, stimulate the ovary and several eggs appear from it immediately. To reduce the risk of multiple pregnancy, doctors gradually reduce the amount of carrying embryos in the woman's uterus. Now most often put on one or two embryos.

Doubles are single or monosigital, and dialing or bilay. Twins are one-way embryo, they have the same set of chromosomes and develop from one egg, which one spermatozoa fertilized. Children are born very similar to each other, and they are always alone. Double kids have a chromosome set slightly different. They develop in the uterus in parallel from two different eggs. They are called «twins» they are similar among themselves, can be in general and half of common genes. Double twins may result in such reasons:

1. If occurred ovulation with two eggs that ripen in two ovaries.
2. If an ovulation of eggs, which ripen in one follicle.
3. If there is a fertilization of eggs with different men.

Single-mounted twins are obliged to their origin to such a coincidence of circumstances:

1. Multi-core eggs were fertilized by several spermatozoa.
2. The first embryo cells were divided into two embryo.

Triples can be both single and bilayer, can be two twins and one independent fruit. Four can be two twins, triple and one fruit.

Features of multiple pregnancy

Identify multiple pregnancy can a gynecologist on the first inspection. The fact is that initially the size of the uterus in this case will be greater than with one fruit. At the end of the first trimester, the difference becomes very tangible. To confirm your diagnosis, the gynecologist sends a patient to an ultrasound study. This is usually happening at 8 weeks. Sometimes it happens that there are several fruits on the first ultrasound, and on the subsequent only one, if the second measurement. It also happens on the turn, the fruit can hide after another, and then at the second ultrasound Mom expects «surprise».

With multiple pregnancy, the triple test that is done to identify malformations is not informative. Everything from the fact that the placenta produces much more substances than with one-bed pregnancy.

What does say about the presence of multiple pregnancy:

1. The magnitude of the uterus does not match the term of pregnancy.
2. If two fetas are located in a longitudinal position, the uterus can take a saddled shape.
3. The volume of the uterus is much larger than the presets.
4. In different parts of the abdomen, large parts of the fetus are determined.
5. Ultrasound.
6. Listening to several heartbeats at the same time.
7. Simultaneous fetal movements in different places of belly.
8. When palpation with fingers Detection of multiple heads.
9. Biochemical tests.

Pregnancy and childbirth

With multiple pregnancies to the gynecologist come to inspection often. If everything is fine, then from the second trimester, pregnant walks every 10 days for a consultation. And in the third trimester - every week. Close attention is directed not only to the results of the analyzes, but also on the weight of mommies, the pregnancy does not have to exceed 15 kg.

If there are some deviations in the health of the patient, the woman immediately hospitalized. With the normal course of pregnancy, the woman is hospitalized two weeks before the DA.

Conducting birth depends on the situation in which children and their alleged weight are. It is considered dangerous to carry out natural childbirth, if the first child is in a pelvic preview, because children can cling to the heads and then the delivery will be impossible.

To speed up the childbirth of the second child, he revealed the fetal bubble ahead of time and introduces drugs that cause contractions. If there is a risk for mother or fetus, then spend cesarean section.

Birth with multiple pregnancy takes place ahead of time. Such children ripen earlier, so at birth they can breathe independently. After childbirth, one-time twins feel worse than twins, they often have problems with breathing, swelling and jaundice syndrome. The most favorable time for the passing of birth at twins - 38 weeks, and for triple - 36 weeks.

Births begin with an influence of spindle water or bouts. They pass at Epidural anesthesia, which allows at any time to move from natural genera to surgical intervention. Often the feminine put a dropper in which the physius is located in order to start entering medicines through it at any time. The time between the birth of the first and second child depends on the dyghe, the more intense they go, the less time for childbirth. Single twins are usually born with an interval of 10 minutes, and the bike can be born with a difference per hour.

After giving birth, mommy is with the twins as much in the hospital, how much and the fever with one child. If everything is fine, then in a few days, kids are handed to a happy large-scale dad.