Lesson 19 – Multiple Pregnancy

Sometimes, a young couple came to visit and expressed a cute wish "I like twins, the two look alike ... really like it!". Those "less young" (ie think more serious) "extreme once finished doctor".
There is no right - wrong here, no good - bad here. Only "when making such a decision, have I had enough information?". So as usual, if I don't have the same opinion, I will stop here! I don't think there is anything absolutely good or utterly ugly, it's all about opinion and choice


What is a multiple pregnancy?
Is when there is more than one baby in the abdomen.


Lesson 19 - Multiple Pregnancy

Two, three, four, even five babies share the small house of Mother's womb. Natural pregnancy also; After infertility treatment also. Siding with the doctor, sincerely only one mother was expected to carry ONE baby in the womb. That is the most natural, the least risky.
Why "so unusual"?
Natural pregnancy: sometimes two (or more) eggs fall at the same time, and then the two sperm run to the destination at the same time, so the two babies form. These two babies can be different sex, maybe not the same at all, medicine called "egg-like twins". In the second case, an egg fertilizes a sperm, then the embryo splits into another version
Two babies are born exactly the same as two drops of water - called identical twins.


Lesson 19 - Multiple Pregnancy


Postpartum pregnancy supports fertility: because there is stimulation of the ovaries, many eggs fall out at the same time, many sperm fertilize at the same time. For in vitro fertilization, more than 2 embryos are transferred, and all embryos develop into fetuses.
How do I know if I am pregnant?
Lose weight fast
Severe morning sickness
The uterus grows faster and is bigger than those of the same period of pregnancy
Antenatal check-up: the doctor sees more than one baby (equal to the exact most will determine the exact number of pregnancies around 12 weeks)
What are the risks I may have when getting pregnant?
Be mentally prepared! I just like to write something fun and light so we can be happy while pregnant. However, forced to tell the truth. When you have multiple pregnancies, be prepared, these can happen at any time:
: is a baby born before 37 weeks. About 50% of mothers with 2 pregnancies and 90% of mothers with 3 pregnancies will give birth prematurely !!! The fewer weeks the baby stays in the womb if the pregnancy is greater. Babies who are born prematurely are more likely to be ill, physically and mentally disabled if born early, and if too young, may not survive.
: the risk of this disease is higher than that of a single pregnant mother.


Lesson 19 - Multiple Pregnancy


t (the name of the pathology associated with hypertension).
Fetal growth retardation: 25% of twins and 60% of 3 pregnancies - babies born smaller than single babies of the same gestational age.
One of the babies is very small: it may be due to the problem of placenta, medical problems or twin blood transfusions.
What should I do to limit the risk?
Prevention of preterm birth: This is for your doctor, but your pregnancy will give you more work to do. Currently, the methods to prevent preterm birth in multiple pregnancies are still unclear, so you need to have a prenatal check-up, and your doctor will monitor you to find a possible method. I list some of the current methods of prophylaxis, which one should your doctor decide: cervical loops, etc.
: you need over 600 calories a day if you are pregnant with twins. A glass of skim milk and half a sandwich = 300 calories.


Lesson 19 - Multiple Pregnancy

That is, not so much that every day 8 cups of rice, 8 cups of soup, 8 glasses of milk and 1kg of fruit (that's the truth!). It is important to eat a safe, healthy diet and not to indulge yourself.
Do I need to stay in bed, or stay in the hospital safely?
If it is not accompanied by any other medical condition or designation, local immobilization or hospitalization may not reduce the risk of preterm birth. Moreover, it is even more harmful. Lying in one place, increasing the risk (that is, having a blood clot in the blood vessel), and the unsafe hospital environment, increases the risk of infection for the mother and fetus.
Being caesarean often safer?
The choice of birth method depends on:
Location, fetus
Weight per pregnancy
Maternal health - the health of the fetus
There is no method that is absolutely safer than one, and it is the doctor's responsibility to discuss and choose the appropriate method.
It is important that you choose a safe place for prenatal check-up and delivery, facilities to care for mothers and premature babies.
What do I need to prepare for myself and my family when I know I am pregnant?
Finance: how much does it cost to raise a child? Then 2-3 children keep multiplying! Expenditure plans, accruals, contingencies, insurance are things to do.


Lesson 19 - Multiple Pregnancy


: be confident if given the right instructions, you are completely capable of exclusive breastfeeding.
The help of relatives
Stress, fatigue and postpartum depression: caring for a baby is too tired, more than one baby will be more than that tired. Look for books to support pregnant and breastfeeding mothers; Learn ways to organize your life, rest and care for yourself. Consider you have to leave your job, which means the burden of raising the whole family will be on your partner's shoulders.
Children - they are born to bring joy and happiness to life.

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