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In the last 15 years, there has been an increase in the use of assisted reproductive techniques in multiple pregnancies. The sex, genetic and physical characteristics of babies formed in monozygotic twins are the same. Although two eggs are fertilized simultaneously by two sperm, this is called double egg twins (dizygotic). Dizigotiks may be the same or different sexes. A woman with double twins has a 10-fold greater chance of repeating the same possibility at the next birth than any expectant mother. Genetic transmission is important here and the father has little contribution to it. Between 35-40 years twin birth lucki is more.
Long-term contraceptive pill with the drug rebound effect twin increases. The time of division of the fertilized egg is extremely important, and after the 15th day of the division, conjoined twins are formed. In twin twins, if the placenta is single, twin to twin transfusion syndrome may occur. This is undesirable, as it adversely affects both babies. In 20% of twin pregnancies, one of the fetuses may disappear spontaneously and the pregnancy lasts singly. Clinically, the uterus is larger than expected in twin pregnancies.
The mother may have excessive weight gain. Excess amniotic fluid increases by 10 times compared to normal. Multiple pregnancies The risk of fetal anomaly is 3 times higher than that of singular ones. Premature birth, membranes opened, amniotic fluid comes early and perinatal mortality rate is higher. Preeclampsia and eclampsia, known as pregnancy poisoning, are more common in multiple pregnancies. Maternal carbohydrate metabolism disorder and related diabetes are more common. In addition to this, maternal urinary tract infection is more common than anemia.
Multiple pregnancy This is a very special condition for both the mother and the fetus, and it is necessary to be more careful both during pregnancy and during delivery. The follow-up of expectant mothers should be more frequent than normal. Vitamin, iron, folic acid supplementation should be sufficient. Fetuses should be carefully examined for possible malformations. The rate of developmental retardation in fetuses has increased and is around 17%.
In half of the cases, both fetuses are head and head. In 33% of the cases, one was in the head, the other was in the position of the breech, 10% of the patients were in the lateral position, and 10% of the patients were in the position of breech presentation. Sometimes the first baby is born by vaginal route, and an emergency caesarean section may be necessary for the baby coming from behind. Cord prolapse is 4 times higher in multiple pregnancies. Due to birth neonatal intensive care unit and operating room. In general, triplets are delivered by caesarean section with exceptions. The average birth week for twin pregnancies is 36-37 weeks, 33 weeks for triplets and 31 weeks for quadruplets.
In comprehensive perinatology units, care is provided for the care of premature babies born as a result of multiple pregnancy. More than 90% of babies born after 28 weeks survive. Central nervous system disease and respiratory system diseases are more common in the second baby in twins. Both twins If the weight difference between his wife is more than 300 grams of monozygotic twins older than the IQ water will also be more. If the birth weight is more than 20% of the other one, she will never catch her twin.
Multiple pregnancy In order to minimize the risks and prevent premature birth, the mother should rest abundantly, be stress-free and take plenty of fluids. Particular attention should be paid to nutrition, but does not lose weight but should consume balanced, protein-weighted foods.