Thanks to antenatal care and medical advances, twin pregnancy today tends to progress without major setbacks and reach a successful conclusion. As long as you are a healthy woman, you’re not at serious risk, but if you require more care. These are some of the complications that you can face:
Anemia, dehydration and malnutrition. Among more babies, greater need for certain nutrients, such as the folic acid, calcium, protein, iron, vitamin C and vitamin D. From there the importance that you take your prenatal vitamins. That Yes, takes a dose a day; dupliques it not only because you have two babies. You are looking for natural sources of these nutrients in your food, following the recommendations for diet in pregnancy.
Preeclampsia. Women with twin pregnancies are twice as likely to develop pre-eclampsia and often develop it early in pregnancy. This complication may require caesarean section and the premature birth of babies.
Gestational diabetes. Pregnancy with twins also make you more susceptible to suffer from gestational diabetes, which is the excess of glucose during pregnancy, either. Apparently, the placenta is responsible for this risk, since if you have two of them or a single larger, they also increase your hormone levels and insulin resistance. Gestational diabetes puts you at risk for complications in labor, preeclampsia and developing diabetes in the future. Babies can be very large for gestational age, which is one problem in twin pregnancies.
Hyperemesis Gravidarum. The high level of hormones in a twin pregnancy can cause nausea, extreme, taking you to dehydration and malnutrition. These symptoms require immediate attention, you can can affect the development of your baby and putting your health at risk.
Problems with the placenta. The twins can share a single placenta, or you have one each. A twin pregnancy puts you at greater risk for placenta praevia, where the placenta blocks the opening to the cervix, forcing you to have a c-section. In other cases, also you can have a Placental Abruption of the placenta, which forces the anticipated birth of babies.
Preterm. More than half of twins are born preterm (before week 37 of pregnancy). Partly it is a matter of simple law of gravity: the more weight load on your belly, more difficult is for your uterus to keep them. By this you can you have premature rupture of membranes (amniotic sac) or entering of labor. If you run this risk, your doctor may recommend that you keep the rest of your pregnancy in bed.
The vanishing twin syndrome. The possibility of any of fertilized eggs do not prosper in multiple pregnancies. If this happens at the beginning of the pregnancy, it can be reabsorbed by the body, or you can have symptoms of an early loss, as a vaginal bleeding. In general, the other baby develops without problems. When the loss more advanced pregnancy, you can require surgical intervention, because it could affect the development of another baby. If your doctor thinks that it is not necessary, you can wait until the birth.
Risks for babies
Preterm birth. A typical twin pregnancy usually lasts between 35 and 37 weeks, but infants can be born before if there are complications. Between more premature birth, to be higher risk are babies of additional complications in the short and long term. One of the biggest concerns is the lack of development of its organs, such as the lungs and brain. The premature birth of babies also puts them at risk of long-term additional complications, such as respiratory problems, vision or hearing, and developmental delays.
Low birthweight. Given that the majority of twins are born premature, her weight at birth is low: 5.5 pounds on average.
Twin-to-twin (fetus-fetal) transfusion syndrome. If identical twins share the same placenta, can have veins that connect to the circulatory systems of both. So the blood can pass from one twin to another, leaving one with too much blood and the other with failure. Both babies are at risk, and they usually require birth as soon as they are feasible.
Intrauterine growth restriction. There comes a time in your pregnancy where there are simply no more space for to grow multiple babies. This, together with competition for nutrients, may affect their growth, especially from 30 weeks of pregnancy.
I have Caesarean section if I’m pregnant with twins?
Not necessarily. Today, 50% of twins are born by natural delivery. Everything depends on the position of the babies, location of placentas, your health and that of the babies, gestational age and other complications.
Babies can be born by vaginal delivery if:
- The mother does not have additional (such as preeclampsia or gestational diabetes) complications
- They have more than 32 weeks of gestation
- The first baby to go out is the largest
- The first baby out is in the correct position (head down)
- There are signs of fetal distress
Sometimes, you can give birth to the first baby by vaginal delivery and require caesarean section for the second.
In a vaginal delivery, the time between the birth of the first baby and the second is usually less than an hour.
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