Multiple pregnancy follow-up, delivery and postpartum

Multiple pregnancies account for about 3% of all pregnancies. The majority of these are fraternal twins and about 1/250 are identical twins. These rates may vary according to races and ethnic origin. Studies have shown that it is more common in those who have more than 2 births in pregnancies between the ages of 35-40, in those who are tall and do not eat well, in those who use folic acid, and in those who receive infertility treatment, especially in those whose mothers have twin pregnancies. The rate of being a girl increases in multiple pregnancies compared to single babies. Ultrasonographically, it is difficult to determine whether it is a single egg or a double egg. Twins of different sexes are almost always double-egg.
Generally, the changes in the mother are more severe than in a singleton pregnancy. There is often more nausea and vomiting. Blood cell counts and hemoglobin levels are lower. This is called “physiological anemia”. The need for iron and vitamins is higher. Blood loss at birth is also higher. The physical discomfort is greater as the abdomen will reach a larger volume earlier. The last trimester is particularly difficult for these pregnant women, as there is more pressure on the lungs. Pregnancy stress and the risk of maternal complications are always higher. Miscarriage rates are higher. The risk of malformations is higher (2% major, 4% minor). Low birth weight and preterm delivery are characteristic. It is known that one baby may be born with a significant difference in weight and development, with more blood than the others. It is recommended that more than two babies are converted to twin pregnancies before 12 weeks of gestation by a procedure called reduction.
The gestation period, which normally lasts 40 weeks, is accepted as 38 weeks for multiple pregnancies. After 38 weeks, weight loss may start in multiple pregnancies. While the pregnancy continues, sometimes one or more of the multiple pregnancies may die in the womb. While such a situation does not pose a significant risk for the mother in the early period, it may lead to clotting disorders in the mother in the following months. The daily need for vitamins and folic acid increases during pregnancy. The incidence of hypertension increases to 15%. Pregnancy is monitored more closely with tests such as Doppler ultrasound and fetal monitor. Bed rest is recommended to prevent premature birth. Cortisone treatment is recommended for lung development. The physician will decide on vaginal or caesarean delivery according to the position of the babies.
Since multiple pregnancies are risky pregnancies, they must be followed by a specialist physician and delivered in a hospital with a neonatal intensive care unit.
Popular Topics

1st Trimester

2nd Trimester

3rd Trimester

Air Travel during Pregnancy

Amniocentesis

Antidepressant Medication Use in Pregnancy

Bed rest during pregnancy

Birth Control Methods

Changes that occur during pregnancy

Depression in Pregnancy

Development of the Mother’s Body According to the Months of Pregnancy

Diabetes in Pregnancy

Diabetes in Pregnancy (Gestational Diabetes)

Ectopic pregnancy

Exercise in Pregnancy

Femilift

Foot swelling during pregnancy

Genetic Diseases

High Blood Pressure in Pregnancy and Preeclampsia

How Does Pregnancy Start?

How Should Weight Gain Be During Pregnancy?

How to know when labor has begun

Hygiene during Pregnancy

Identification of Genetic Diseases in Pregnancy

If you no longer want children

Infectious Diseases in Pregnancy

Maternal Psychology During Pregnancy and Puerperium

Medicines in Pregnancy

Miscarriage During Pregnancy

Mole Pregnancy

Multiple pregnancy follow-up, delivery and postpartum

Nausea – Vomiting in Pregnancy

Normal Birth, Cesarean Birth, Water Birth, Hynobirthing

Nutrition Guide during Pregnancy

Placement of the Placenta Down (Plazenta Previa)

Placenta Previa

Postnatal care

Postoperative patient information

Postpartum Depression

Postpartum Exercise