Multiple pregnancy – twins, treble-rings, quadruplets

Multiple pregnancy

A multiple pregnancy in which two or more children grow up in pregnancy is very rare. When can be recognized, […]

A multiple pregnancy in which two or more children grow up in pregnancy is very rare. When can it be known if a woman with twins, triplets or quadruplets is pregnant? What must be considered during pregnancy? Here you will be answered the most important questions.

What is a multiple pregnancy?

Multiple births are two or more children who develop at the same time and are born in quick succession.
For a twin pair only 30% are one. Identical children have the same blood type, the same sex and hardly differ from the outside. Identical twins are formed by coincidence during cell division, the occurrence of dizygotic twins is often hereditary.
Multiple pregnancies with triplets, quadruplets or more babies can consist of different combinations of monozygotic and dizygotic babies.

What is the probability of getting pregnant with twins, triplets or quadruplets??

According to the so-called slip-rule, the probability for a twin pregnancy is 1 to 85%. One in 7,000 pregnancies is a triplet pregnancy and one in 600,000 is a quadruplet pregnancy.
However, the number of multiple pregnancies has increased significantly in recent decades. This is due to increased hormone treatments and artificial insemination.
According to the Federal Statistical Office, there were eleven quadruplet births in 2015.

Women older than 35 years of age who have already given birth to a child or multiple births are more likely to have multiple pregnancies (again).

Signs of a multiple pregnancy

Many women wonder if they notice a multiple pregnancy. Although there are no specific signs of multiple pregnancies, there are some indications, however, that suggest it. Thus, in a multiple pregnancy significantly more HCG in the blood of the woman, which often leads to a very early nausea. Also, the weight gain in pregnancy with twins, triplets or even more babies takes place earlier.

How is a multiple pregnancy??

Multiple pregnancies are classified by physicians as a high-risk pregnancy because the course of pregnancy poses certain risks for multiples. The multiple pregnancy also represents a much greater burden for the expectant mother.

What complications can occur in multiple pregnancies?

It is very common for a multiple pregnancy by premature rupture of the bladder or cervical insufficiency often to a premature birth.

There are also differences in how long a woman is pregnant with multiple births. While a simple pregnancy lasts an average of 267 days, it shortens to 262 days for twins and 247 days for triplets.

Furthermore, it can be used in a multiple pregnancy too
– growth disorders
– miscarriages
– Malformations
– an intrauterine fetal death or
– A rare blood circulation and nutritional disorder come (fetofetales transfusion syndrome, FFTS).

At FFTS, one unborn baby develops at the expense of the other. The weaker ones are left behind in their development.

What treatment options are there for a woman with a multiple pregnancy?

If a woman is pregnant with two or more children, she receives particularly intensive medical treatment and care. For example, the check-ups are carried out at a shorter distance. This allows a doctor to intervene more quickly if complications occur.

Doctors generally try to maintain a multiple pregnancy as long as possible so that the children are well developed at birth. In many cases, however, a birth at an earlier point in time can not be avoided, for example, when a child is not sufficiently cared for or contractions occur early. Medications can help to make the baby‘s lungs mature faster. This allows babies to breathe better after giving birth.

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Christina Cherry
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