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Home Feel Good Health What you do not know about multiple pregnancy

What you do not know about multiple pregnancy

Multiple pregnancies have always been interesting. For some expectant mothers, it seems like a better idea to bring multiple babies into the world at the same time than to get pregnant many times. But according to us obstetricians, this is not the case. The increased risk of pregnancy by having a multiple pregnancy is greater than the number of babies. Twin pregnancy more than doubles these risks, and triplets increase these risks more than three times.

How does twin pregnancy occur?

Twin pregnancies occur in two ways. In the first, multiple egg cells are fertilized and developed separately within the same menstrual cycle, and the resulting embryo is buried in the uterus (double egg twin). In the second, it is pregnancies (identical twins) that occur when a single embryo is fertilized into two or more equal parts, each of which continues to develop into individual embryos.

What's the difference between a couple and identical twins?

Two-thirds of all twin pregnancies occur in the form of twin twins, and a third occur in the form of identical twins. Since identical twins are formed as a result of the merging of separate egg cells with separate sperm cells, embryos and babies to be born have separate chromosomal properties. Therefore, double egg twins can have different blood type, eye and hair colors, or even of different sex. In summary, twin brothers are as similar to each other as two siblings who have been at different times from the same parents, and are actually siblings of the same age. Identical twins have common hereditary characteristics such as blood type, sex, eye color. However, these twin brothers may not look exactly alike; Their development may be different in the intrauterine period, but as they age, the similarities between the characteristics of nutrition and other environmental factors and identical twins may disappear even more prominently.

When is the diagnosis of multiple pregnancies?

The diagnosis of multiple pregnancies can be easily made by ultrasound evaluation. However, multiple pregnancy sacs may not be visible or overlooked during early gestational weeks. The follow-up of multiple pregnancies throughout the entire pregnancy varies according to singular pregnancy. Especially from the second half of pregnancy, almost all obstetricians recommend follow-up at daily intervals of two weeks. The biggest gain of frequent follow-up is early recognition of all risks, especially the threat of preterm birth, which are likely to occur in multiple pregnancies.

Twin pregnancy and childbirth

In the presence of twin pregnancies, there may be obstetricians who recommend a direct caesarean section to terminate the pregnancy, or there are those who want to try vaginal delivery when certain conditions are met. The two most important factors that determine whether there is a possibility of vaginal delivery in twin pregnancy by having a C-section for triplets and more are the suitability of the bone structure of the expectant mother and the way babies stand in the womb. The most common posture in twins is that both babies are in an upside-down position, in which case vaginal delivery is possible. If the first baby is inverted (breech), there is no possibility of vaginal delivery. As the first baby can be recommended by caesarean section when upside down and the other in reverse (breech), after the first baby is born, the obstetrician can reach the uterus from the vagina to grab the baby by the feet and deliver the second baby.

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