11 important things you should know for twin pregnancy
Twin pregnancy is a double blessing, but it can have more risks than singleton pregnancy.
According to research, almost three out of every 100 pregnant women give birth to twins or triplets, and according to many, the number of twin pregnancies is increasing.
Don't miss the continuation of this GCORP LLC article.
For more information about twin and multiple pregnancy, consult a gynecologist. Through GCORP LLC, you can make an appointment or online consultation with the best gynecologist in Tehran:
1... Twin pregnancy is more common in 30s and 40s.
Abdullah Al-Khan, MD, director and chairman of the Maternal-Fetal Medicine and Surgery School at Hackensack: "We all know that getting pregnant becomes more difficult with age... but age actually increases the chance of having twins."
After the age of 25 and upon reaching the age of 30 and 40, ovulation cycles are no longer regular.... In this situation, it is possible to ovulate two follicles at the same time... Twin pregnancy without the use of assisted reproductive technologies!..
2... If you have two breads in the oven, you may need additional folic acid.
Women pregnant with twins may need more folic acid to help prevent birth defects, according to Dr...Monga, professor and director of maternal-fetal medicine at the University of Texas Health Science Center in Houston.
Monga, who has twins herself, says: the recommended amount of folic acid in the pregnancy diet for twin pregnancy is 1 mg per day and for singleton pregnancy 0.4 mg... Folic acid reduces the risk of neural tube defects such as spina bifida.3.... The need of women pregnant with twins is more for the care of gynecologists and obstetricians.
Monga says: "Twin pregnancy requires more monitoring than singleton pregnancy. Compared to the anatomy scan and fetal growth scan in singleton pregnancy, multiple ultrasounds should be done in twin pregnancy."
But in addition to additional tests, there are also risks.... Ilkhan says that in twin pregnancy, the probability of miscarriage after amniocentesis is higher...
4... morning sickness may be more severe in twin pregnancy.
"One of the things that is assumed to be the cause of morning sickness is the high level of human placental gonadotropin, and we know that the level of this hormone is higher in twin pregnancies, so the rate of nausea and vomiting is higher in women pregnant with twins in the first trimester."
Alkhan: "Good news?" Most of the morning sickness decreases in the 12th to 14th week of pregnancy.. even in twin pregnancy."Monga says that this is not the whole story....complaints related to back pain, sleep problems and heartache in pregnant mothers with twins are more than other mothers..
To check the health of yourself and your children in a multiple or twin pregnancy, you should see a gynecologist....contact the best gynecologists in Tehran through GCORP LLC
5... Spotting may be more common during twin pregnancy.
Al Khan: When you have spotting in the first trimester, you may have a miscarriage, and miscarriage is more common in mothers of twins, triplets and quadruplets; Therefore, in the first trimester of multiple pregnancy, we see more spotting.But light spotting is not a reason to label a miscarriage in a twin pregnancy.... "Light spotting is comforting when there is no cramping, but when you have cramping, blood clots and active bleeding, it is a sign that something is going on and you should seek medical advice."
6.... In twin pregnancy, the embryos do not kick prematurely.
Alkhan: "In general, in twin pregnancies, fetal movements are more noticeable in weeks 18 to 20 of pregnancy, and this is also true in singleton pregnancies." When a woman starts to feel fetal movements actually depends on whether she has been pregnant before...
7... Pregnant mothers with twins may have more weight than mothers with singletons.
Alkhan: "In twin pregnancy, mothers gain more weight due to the presence of two fetuses, two placentas and amniotic fluid.", "Also, more calories are needed for twin pregnancy."
Monga says, there is still no fixed formula for weight gain in twin pregnancy... "The average weight gain for a singleton pregnancy is 11 kg and for twins 13-16... We don't want these mothers' weight change to be more than 18 kg or less than 7 kg."
Interim Institute of Medicine guidelines for weight gain in women carrying twins:
- Women with normal weight should gain 16-24 kg.
- Overweight women should gain 14 to 22 kg.
- Obese women should increase their weight by 11-19 kg.
How much weight gain is acceptable?.. The IOM recommends discussing this with your health care provider, as each pregnancy is unique.
8.... The risk of developing gestational diabetes is higher in twin pregnancies.
Monga: "The risk of gestational diabetes is higher in twin pregnancies." He also added that the biggest risk of contracting gestational diabetes is having older children and needing a cesarean delivery.
"While gestational diabetes is more common, related conditions are less common because twin babies are not big babies."
How to prevent gestational diabetes? Read this article.He says: "Mothers who get gestational diabetes during pregnancy are prone to type 2 diabetes a few years later."
Not only having multiples or its lack of effect on gestational diabetes, if you have doubts about the role of fetal gender in gestational diabetes, don't miss this article.
9... The risk of preeclampsia is higher in twin pregnancies.
Monga: "People don't really know what causes preeclampsia, but we know it's more likely in twin pregnancies." Preeclampsia is characterized by high blood pressure, protein in the urine, and sometimes swelling in the legs and arms.. This is a precursor to more serious and fatal eclampsia.
10.... Twin birth may be premature.
Al Khan: Most mothers of twins give birth at 36-37 weeks and sometimes even earlier.... He also says: "In general, if twins are born after 34 weeks, there is nothing to worry about, but a premature baby is still a premature baby.... Twins are more at risk of premature birth and their breathing rate may be higher due to twins... and such babies have more health problems than those who weigh more than 2.5 kg. have..
Premature baby causes many health problems, one of which can be meningitis.
Unfortunately, there is no evidence that bed rest alone prevents preterm labor in twin pregnancies, and the effectiveness of existing solutions to prevent preterm labor has not been proven.
11.... The probability of cesarean delivery is higher in twin pregnancy.
Alkhan: "Cesarean section is more likely in twin pregnancy.", "Also, breech condition is more common among twins than among singletons." When the baby is in the breech position, a cesarean delivery is usually performed.
Final speech
Twins or multiple fetuses require special care.... Do not ignore any of these points and have enough strategy and preparation for each one.... You can also consult the best doctor specializing in gynecology, childbirth and infertility.
Source: Webmd
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