Twin Pregnancy (TWIN PREGNANCY)

TWIN BABY

Multiple pregnancies are the most common in twin pregnancies. Twin pregnancies occur in 1 of every 80 pregnancies is formed by natural means. This ratio is in the area of ​​drug treatment for pregnancy and especially in vitro fertilization increases even more work.

Gemini twins (monozygotic) and fraternal twins (dizygotic) is divided into two parts. MZ to "their (identical)," DZ to "brother (fraternal)" is given in the name. All of them are monozitotik twin one twin.

Dizygotic twins (fraternal twins) here at the same time two egg cells are fertilized by two sperm. Their genetic makeup is not the same, so the sex, appearance may be different. Located in the womb at the same time are like two brothers. Fraternal twins >>

It always has two placenta. Placenta and amniotic fluid are different.

Monozygotic twins (identical twins): Here is fertilized by sperm 1 egg 1 as singleton pregnancies, but later split. Sex is always the same. Genetic makeup is the same. If this division fertilization after in the first 3 days diamniotic dichorionic (two amniotic sacs, two placenta), if 4-8 days diamniyonik monokoryotik (two amniotic sac, one placenta), no matter of 9-13 days monoamniotic monochorionic (one amniotic sac, one placenta) twins would pregnancies. The most common is seen diamniotic monokoriyoni. 13. If the result of dividing the day after Siamese twins (conjoined twins) occurs. Identical twins >>

one or two follow-up of twin pregnancy the placenta (monochorionic-dichorionics) is very important. This distinction is made for around 11-15 week ultrasound can be very useful.

twins, twin pregnancy
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increased risks of multiple pregnancies:
- Abortion (low) are more risk.
- Premature births are more common.
- High blood pressure during pregnancy (preeclampsia and eclampsia) are more common.
- Nausea and vomiting are more common.
- Plesent anomalies are more common. Placenta previa the placenta abruption ...
- Anemia is more common.
- Congenital (birth) abnormalities have a higher risk (monozygotic in even more)
- Cerebral palsy (spastic disabled) is more common in babies.
- Twin-twin transfusion syndrome may occur.
- Vanishing Twin Syndrome (vanishing twin syndrome) may occur.
- In Monoamniotic twin cord entanglement and high associated risk of fetal death.

the twin-triplet pregnancies are more common in the Who?
- Some breeds are more frequent (about 5% in Nigeria)
- Pregnancies that occur in older age (peaking at 37 years of age): At this age it is difficult to conceive than younger women but that is more than the rate of pregnancy when most thick.
- Twins increases the chance of pregnancy if the mother's family history (valid for dizygotic twins)
- It does not affect the father's family to be twins.
- Multiparity
- In countries more exposed to sunlight in summer
- Tall and overweight women
- Clomiphene citrate (about 10%) or gonadotropin therapy in pregnant women with the rest (20-30%)
- Monozygotic twins (monozygotic) twins are not affected by any chance occurred factor in markets around the world at a certain rate is fixed (1/250) is only increasing rates of IVF.

Did you do a normal cesarean birth ?
The approach in recent years has generally followed cesarean delivery, except where it starts every two babies. In cases where both babies start it can vary according to the normal findings or decision of caesarean birth.
In pregnancy it is preferred that no more than two babies always cesarean section.

Fetal reduction (fetal reduction) What is it?
Reduction in fetal uterus usually 3 or more pregnancies where the fetus in multiple pregnancies due to premature birth, the attempt to reduce the number of fetuses to reduce some risks, such as low birth weight. The ultrasound-guided potassium chloride into the heart of one or more of the fetuses (KCl) from the belly of the mother is given by substances called a fine needle. When standing in the heart of the fetus (which may be 4-5 weeks) shrinks and disappears. There is no damage to other babies transaction. There is a risk of miscarriage completely finalized in the pregnancy process together with 4-5% of all pregnancies the fetus.
This process is the most appropriate time period between 10-12 weeks of gestation for. The reasons they were not made in earlier weeks "if the development potential is to wait for the end itself of pregnancy can be terminated or low self" if .For the next weeks if it seems a particular problem in one or two of the baby and thought that is incompatible with life, this process is applied.

One of the dead is living the other of the twins - twins wife intrauterine death (Twin ex wife)
One twin died in the womb of the situation. It occurs in 3-5% of twin pregnancies. The fact that one of the dead baby can create some risks in terms of live babies.
In this case, particularly in twins monokoryoniks (if you have two babies one common placenta) are more at risk to the live baby and live with serious neurological damage in infants than in dizygotic twins is composed of more than 3-4 times. Birthday's get to decide that when this situation is difficult, situations such as the absence of the live baby is several weeks and has completed the development will affect this decision. monochorionics of twins (two babies have a single placenta) or also be dichorionics (having two separate baby's placenta) are a benchmark decision will affect the birth. Gemini is one of the dead does not mean that you always need to be delivered live babies immediately decided that vary according to the situation in obstetric patients. But more generally delivered without waiting for the baby to be at higher risk of living in monochorionic twins, it is necessary for the risk of damage to the baby while living in dichorionic twin births is less further delayed.