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Your name: is required Error: This is required. Your email: is required Error: This is required Error: Not a valid value. Send to: is required Error: This is required Error: Not a valid value. How do 'higher order multiples' occur? Extra care during a multiple pregnancy If you are carrying triplets or more, you can expect the same early pregnancy symptoms that you would experience if pregnant with one baby, but they are likely to start sooner and be more severe.
Carrying multiple babies puts you at higher risk of: pre-term labour — going into labour early anaemia — not having enough red blood cells, usually caused by iron deficiency gestational diabetes hypertension or pre-eclampsia — potentially dangerous forms of high blood pressure hyperemesis gravidarum — severe morning sickness polyhydramnios — having too much amniotic fluid around the baby miscarriage or stillbirth — sometimes one of the babies may die in the womb Postpartum depression also known as postnatal depression, and perinatal anxiety and depression postpartum haemorrhage — heavy bleeding after the birth Talk to your healthcare team if you have any concerns while you are pregnant.
Looking after yourself during multiple pregnancy If you are carrying triplets or more, you will grow bigger more quickly than with a normal pregnancy. When are multiple babies born? Where to find more information If you are expecting higher order multiples, it's common to worry about possible pregnancy complications, how big you will get, how your other children will cope, and what help you will need. You can also call Pregnancy, Birth and Baby on for advice or support 7 days a week.
Back To Top. Types of multiple pregnancy Multiple pregnancies, including triplets and more, are rare but require lots of support. Call us and speak to a Maternal Child Health Nurse for personal advice and guidance. Need further advice or guidance from our maternal child health nurses? Support for this browser is being discontinued for this site Internet Explorer 11 and lower We currently support Microsoft Edge, Chrome, Firefox and Safari.
Cerebral palsy. A disorder causing damage to one or more specific areas of the brain usually occurring during fetal development; before, during, or shortly after birth; or in infancy. Cerebral palsy is characterized by an inability to fully control motor function, particularly muscle control and coordination. Other problems that may arise are difficulties in feeding, bladder and bowel control, problems with breathing, skin disorders, and learning disabilities. The lower, narrow end of the uterus that connects the uterine cavity to the vagina.
Clomiphene citrate. An oral anti-estrogen drug used to induce ovulation in the female. A condition due to abnormal production of insulin resulting in abnormally elevated blood glucose sugar levels. Di - two; zygote - fertilized egg. Two separate eggs fertilized by separate sperm in a single pregnancy. Fraternal twins. The earliest stage of human development arising after the union of the sperm and egg fertilization.
Follicle ovarian. A fluid-filled sac located just beneath the surface of the ovary containing an egg oocyte and cells that produce hormones. The sac increases in size and volume during the first half of the menstrual cycle and at ovulation the follicle matures and ruptures, releasing the egg. As the follicle matures, it can be visualized by ultrasound. Referring to inherited conditions, usually due to the genes located on the chromosomes.
Gestational diabetes. Elevated blood sugar levels in the mother while she is pregnant. During pregnancy, the placenta normally produces hormones that antagonize insulin. Gestational sac amniotic sac. The fluid-filled sac surrounding an embryo that develops within the uterine cavity. Ultrasound can detect the sac in the uterus at a very early stage of pregnancy. FSH and LH may be purified or synthetically produced to be used as ovulatory drugs.
Substances secreted from organs of the body, such as the pituitary gland, adrenal gland, or ovaries, which are carried by a bodily fluid such as blood to other organs or tissues where the substances exert a specific action.
Infertility is the result of a disease of the male or female reproductive tract that prevents the conception of a child or the ability to carry a pregnancy to delivery. The duration of unprotected intercourse with failure to conceive should be about 12 months or more before an investigation is undertaken, unless medical history, age, and physical findings dictate earlier evaluation and treatment. In vitro fertilization IVF.
A method of assisted reproduction that involves combining an egg with sperm in a laboratory dish. IVF is generally performed in conjunction with medications that stimulate the ovaries to produce multiple eggs in order to increase the chances of successful fertilization and implantation.
IVF bypasses the fallopian tubes and is often the treatment choice for women who have badly damaged or absent tubes. The naturally occurring expulsion of a nonviable fetus and placenta from the uterus; also known as spontaneous abortion or pregnancy loss. Mono - one; zygotic - fertilized egg.
One egg fertilized by a single sperm that divides into two embryos. Identical twins. Multifetal pregnancy reduction. Also known as selective reduction. A procedure to reduce the number of fetuses in the uterus. As the risk of miscarriage spontaneous abortion and other problems increases with the number of fetuses present, this procedure may be performed in an attempt to prevent the entire pregnancy from aborting or delivering very prematurely.
Ovulation induction. The administration of hormone medications ovulation drugs that stimulate the ovaries to develop a follicle and ovulate. A disk-shaped vascular organ attached to the wall of the uterus and to the fetus by the umbilical cord. It provides nourishment to the fetus and carries away waste.
A disorder occurring during pregnancy that affects both the mother and the fetus. Preeclampsia is characterized by high blood pressure, swelling, and protein found in the urine.
This disorder, also know as toxemia, can restrict the flow of blood to the placenta. Respiratory distress syndrome RDS. A lung disease that affects premature infants and causes increasing difficulty in breathing. The sperm head carries genetic material chromosomes ; the midpiece produces energy for movement; and the long, thin tail wiggles to propel the sperm. The administration of fertility medications in a manner intended to achieve development and ovulation of multiple ovarian follicles.
Superovulation is often combined with intrauterine insemination as an infertility treatment. Thread used to close an incision made during surgery. It generally is absorbable or self-dissolving. Tocolytic agents. Medications that may slow or stop premature labor. Also called sonogram. In many respects, moms of triplets will have more intense symptoms during pregnancy.
Maria Damjan, a mother of 2-year-old triplets and a 4-year-old girl, says she felt her uterus expanding the day she found out about her triplet pregnancy. She remembers needing maternity clothes at week eight.
That was about three months earlier than she needed them with her first child. She remembers the swelling being so painful that she would not let anyone touch her. Showers gave her temporary relief. Water retention is normal.
But it can also be a sign of preeclampsia , a life-threatening condition. Some women choose to wear maternity belts for extra support. You may need to take frequent breaks from activity. One of his patients, Laurena Liu, stopped running around 18 weeks into her pregnancy. But she recalls taking a spin class the day she went to the hospital. She recommends women who are pregnant with triplets stay active for as long as they can. Damjan, who describes herself as a health nut, says she was used to exercising regularly.
But she was 47 years old and had suffered two miscarriages before. She spent the next Two of her babies went home from the hospital with her. The third one stayed in the NICU for just a few days. Options include draining some of the amniotic fluid amnidrainage from around the twin with the excess supply which seems to even out the circulation , and in-womb laser treatment of the placenta to seal off blood vessels that are diverting too much blood to one twin.
Amnidrainage may need to be repeated, whilst laser treatment is usually one treatment. These procedures are very often successful but there is a risk to your babies and a safer option, if you are further on in your pregnancy, can be to deliver your babies early. Multiple births are hard work in pregnancy but can also be tough afterwards.
Tiredness, baby blues and postnatal depression may all be more marked in mothers of multiple babies. If you are expecting twins or more you are likely to be offered a tour of the baby units at the hospital where you plan to give birth. It is sensible to do this, as it makes a strange environment seem a little more familiar if you unexpectedly find yourself there.
Feeding and caring for multiple babies is a huge challenge and this won't stop when you leave hospital. You may at times feel completely overwhelmed. In addition to your partner, friends, family, midwife, GP and health visitor there are a number of support groups and organisations which focus on multiple birth and will offer ongoing help and support.
If your babies share a placenta then you will usually find this out at your first scan, when the ultrasonographer will look closely to discover whether the babies also share one amnion. If your babies each have their own, separate placenta, then they are most likely to be non-identical. There is a small chance they could be amongst the one third of identical twin pregnancies that have separate placentas. In this case you may not know during pregnancy.
After birth it may be difficult to say, just by looking, if your babies are identical. Identical twins can look different at birth. Their heads may be different shapes because they were moulded differently by their position in the womb and during labour, and one may be larger than the other.
The DNA test for twins is called zygosity determination. You take DNA samples by sweeping a cotton bud inside each baby's mouth. Cochrane Database Syst Rev. Twin Res Hum Genet. Epub Oct Multiple pregnancy: having more than one baby ; Royal College of Obstetricians and Gynaecologists, November My girlfriend took 6 at home pregnancy tests - 4 were positive. The nurse couldn't give us an exact diagnosis - only her own opinion on whether or not my girlfriend Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions.
Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. In this article What is multiple pregnancy? What is the difference between identical and non-identical twins?
What happens when an egg is fertilised? What types of twin pregnancy are there? What types of non-identical twins are there? Why does multiple pregnancy occur? How common is multiple pregnancy? Who can have a multiple pregnancy? Is antenatal care different in multiple pregnancy? When will my twins or triplets be born? Which kind of birth will I have for twins or triplets?
What is a vaginal delivery like with twins? What are the risks associated with having twins or triplets? How will I know if my twins are identical? What is multiple pregnancy? Are you protected against flu? Further reading and references. Join the discussion on the forums. Health Tools Feeling unwell?
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