Nowadays, with the widespread use of assisted reproductive techniques, the number of multiple pregnancies is increasing. Although multiple pregnancies carry some risks, it is possible to spend the pregnancy period comfortably with some precautions. Memorial Sisli Hospital Obstetrics and Gynecology Department Op. Dr. Dr. Altuğ Semiz, gave information about the points to be considered about multiple pregnancies.
Factors that increase the probability of twin pregnancy
In order to increase the chance of success in assisted reproductive techniques, the choice of twin embryo transfer or the drugs used increases the probability of twin pregnancy. In addition to those receiving treatment, later maternal age of women is also effective in twins. It should also be kept in mind that the chance of having a twin pregnancy increases especially when the birth control pill is used and quit. Relatives with twin pregnancies on the maternal side, mothers who have had twin pregnancies once, and multiple pregnancies are more frequent in some regions such as Japan and Africa.
Multiple pregnancy cause of premature birth
The female uterus is normally suitable for carrying a single baby. Each added infant increases the delivery time by about four weeks. Therefore, a single baby is born in 40 weeks, while twin babies can be born in 36 weeks. If the pregnancy is triplet, the delivery time can be reduced to 32 weeks and to 28 weeks if it is quadrupled. The process can be more challenging with multiple pregnancies, especially if the mother is at high risk of premature birth or miscarriage.
Cervical insufficiency threatens pregnancy
The most important problems that mothers can experience in multiple pregnancies are the leading of the baby's placenta and cervical insufficiency. If the cervix, which is in charge of holding the baby, cannot provide its own resistance, the fall may occur. Therefore, cervical follow-up of twin pregnancies should be paid great attention. In risky situations, the birth of babies with a rope around the cervix should be prevented. In order to determine this, especially in the 15th-20th. weeks between the cervix review and ultrasound tracking is very important.
Increasing the chance of life of the baby with special techniques
In case of a health problem in the womb in twins, one of the babies can be taken and the other can continue the pregnancy adventure. This condition is called “delayed interval delivery.. What is important here is that the mother should go to the doctor as soon as she feels the risk of miscarriage and the sac is not infected. If one of the infants falls, the other baby's timely intervention can continue until the 36th week of development. For this purpose, the cord and placenta of the other baby is placed gently in the sac, the cervix is bent and sewed like a coin sac and treatment is applied to stop the pain in the mother's mother. This condition is called fetocyte. To do this, first of all, a needle is made to the umbilical cord according to the week. After this baby's heart is stopped, the other pregnancy continues to live normally. The embryo whose heart is stopped also weakens inside and opens up space for the other baby.
Recommendations for expectant mothers
• Care should be taken for controls as there is a possibility of miscarriage and preterm birth. Even if there is no risk, especially after the 23rd week, a doctor should be consulted for two weeks • The dual test between 11-14 weeks of pregnancy becomes more important in multiple pregnancies. This test is more important both to measure the nuchal thickness of two babies and to determine which of them may be at risk for disease because they will be in separate DNA in twins • Detailed ultrasound should be performed by specialist physicians in multiple pregnancies. • Although urinary tract infection and upper respiratory tract infection can trigger premature birth, especially in twin pregnancies, normal births are not preferred too much in multiple pregnancies. If a normal birth is to be performed, the team must be well equipped and experienced. Even if one of the babies is normal, the other one may be implanted and a sudden cesarean section may be needed • Scientific researches have shown that if the mother's peace cannot be ensured in a pregnancy, the likelihood of having problems with the health of the baby increases significantly. Therefore, it is very important for the mother to feel good: • The choice of hospital is very important at birth. Pregnancy follow-up should be performed under the guidance of perinatologist and care should be taken to ensure that the neonatal intensive care unit of the hospital is very good.