Defining pregnancy with twins
The twin pregnancy is also termed as multiple gestations. It refers to the pregnancy involving more than one fetus. For most specialists, this condition is considered as a form of maternal complication because the patientвЂ™s body must adjust to the effects of the multiple fetuses. The increased use of fertility drugs has led to the dramatic doubling of the incidence of multiple gestations.
Based on the theory, twin pregnancy is the result of the fertilization of one ovum forming a zygote that divides into two identical ones or the fertilization of two or more ova. The increasing use of fertility drugs for assisted reproductive methods has led to a rise in number of this case.
Diagnostic tests for pregnant mother who is expecting twins
The diagnostic test results for twins pregnancy help determines the condition. This includes elevated level of alpha-fetoprotein (AFP), evidence of multiple gestational sacs on ultrasound and, possibly, evidence of multiple amniotic sacs early
Assessment findings for twin pregnancy symptoms
Most pregnant women who are having twin pregnancy week by week condition are most likely to possess increased size of uterus which is bigger than singleton mothers. This manifestation can lead to succeeding compression of the nearby organs. The bladder will be compressed, thus it can cause frequent urination. However, this manifestation can occur to singleton mom as well. The expanding uterus pushes the abdominal wall that can compress the stomach. This manifestation can lead to feeling of fullness even if the pregnant mother who has twin pregnancy canвЂ™t sufficiently eat foods.
As the twin pregnancy week by week progresses, the uterus expands too. This can also affect the heart which may alter the blood circulation. Most pregnant mother who is having twins may suffer from lung compression too. This can be manifested by pregnant mother who reports difficulty of breathing. Furthermore, it can also affect the circulation of oxygen supply to the fetuses which can predispose the mother for preterm labor.
Another symptom that can be manifested by twin pregnancy week by week changes involves the severity of bodily discomfort. Fatigability is felt by the mother because of the increasing weight. This can affect the sleeping pattern since the mother canвЂ™t acquire the best position for sleeping. There are several sleeping aids that can help the pregnant mother who are having twins. These aids include the type of pillow that can accommodate and support the body including the back, neck, and lower extremities.
Complications, such as listed here are common to mother who has twins pregnancy. Because the babies are usually small, form head engagement may not occur, which increases the risk of cord prolapse after the rupture of the membranes. The uterine dysfunction from a long labor may occur. An overstretched uterus may result and could cause ineffective labor. Preterm labor is very common for pregnant women who have more than one fetus. This can lead to preterm birth which usually takes place before the 37th weeks of gestation.
Anemia and pregnancy-induced hypertension (PIH) occur at higher than-usual incidences in multiple gestations. Hematocrit and blood pressure should be monitored closely during the labor. After the birth, the uterus canвЂ™t contract, placing the woman at risk for hemorrhage from uterine atony. Separation of the first placenta may cause loosening of the additional placentas. If a common placenta is involved, the fetal heart sounds of the other fetuses immediately register distress. Careful FHR monitoring is essential. If separation occurs, the fetuses must be delivered immediately to avoid fetal death. The premature separation of the placenta after the birth of the first child is more common in twin pregnancy. When separation occurs, thereвЂ™s sudden, profuse bleeding at the vaginal wall, causing a risk of hemorrhage for the mother. Because of the multiple fetuses, abnormal fetal presentation can occur.
Postpartum care for multiple gestation
Mothers should keep in mind that these points after the birth of multiple neonates, the neonates need careful assessment to determine their true gestational age and if twin-to-twin transfusion has occurred. Some parents worry that the hospital will confuse their neonates through improper identification.
The mother who has twins pregnancy are reviewed with appropriate measures that are taken to ensure correct identification. Despite of the preparations for a multiple birth, the woman may have difficulty believing she has given birth to multiple neonates. She may find it helpful to discuss her feelings with you as well as view all her neonates together to become accustomed to the idea.
The parents may be unable to inspect the neonates thoroughly immediately after the birth because of low birth weight and the danger of hypothermia (low level of body temperature). Bonding time should be promoted as soon as possible to dispel any fears they have that the babies are less than perfect.