1 ) What is Plural Pregnancy?
The fertilized egg cell is divided to make the embryo, sometimes 2, sometimes 3 cells are separated. Then, each of them begins to evolve to create a creature independent of each other. Sometimes multiple eggs are released from each of the ovaries and each is fertilized separately. As a result of this procedure, twins, triplets or more pregnancies are encountered. In this way, multiple babies at a time to get pregnant, plural pregnancy is called.
2 ) What is the Plural Pregnancy Rate? How often does it occur?
Plural pregnancies are high risk pregnancies in terms of mothers and fetuses. With advances in assisted reproductive methods such as IVF and the increase in births at later, the rate of multiple pregnancy has increased significantly in the last 10 years. The frequency of twin pregnancy is about 15 in 1000 pregnancies. With the application of assisted reproductive methods such as IVF, this rate increased to 25 out of 1000. While the proportion of multiple pregnancy with 3 and more fetuses is around 12 out of 10,000, the majority of this rate occurs with treatment and auxiliary reproductive methods that stimulate ovulation. The frequency of triplets pregnancy, which occurs with natural pathways, is 3.7 per 10,000.
3 ) What is the number of twin pregnancies?
Twin pregnancies can occur in 2 different groups among themselves, including single eggs and identical twins. Approximately 2/3 of twin pregnancies are double egg twins and 1/3 are identical twins. The sex of identical twins can be the same or different. Single egg twins, the condition is always the same sex. Twin twins are affected by factors such as twins in the family, race, mother’s age and the amount of pregnancies of the mother. Although ovulation-stimulating treatment methods often increase the frequency of double twins, identical twins also increase their frequency.
Double egg twins are caused by fertilization of two different eggs by two different sperms. Identical twins, however, pregnancy, which occurs after a single egg is fertilized by a single sperm, occurs by dividing the product. Depending on the time of the split, identical twins show diconoryonic-diamnionic, monocoronic-monoamnionic and monocoronic-diamniotic placenta shapes. These are the classifications made by looking at the shape of the poums and placentas around fetuses.
The placentas of identical twins are always dictated-diamniotic. The risk of identical twins is higher than double twins. The most feared problems in plural pregnancy situations are premature birth and development allotment in infants. 50% of twin pregnancies are 37, which has a pre-pregnancy limit. was born earlier than a week. This rate is over 90% in triplets. In terms of pregnant mothers, the risks of anemia, hypertension and pregnancy-related diabetes have become more and more.
4 ) Follow-up in Multiple Pregnancy
Expectant mothers with plural pregnancy should be monitored more than normal in the second half of pregnancy. After week 20, every three weeks, 26 to 28. after the week, it should be checked with a break of 1 or 2 weeks. Pregnant mothers with plural pregnac should receive between 200 and 300 kCal per day in addition to each fetus. If twin pregnancy is found, a daily diet of 2700 kcal is recommended. At the same time, pregnant mothers with plural pregnancy should regularly use iron and folic acid daily.
5 ) Training on the Prevention of Prematureity:
Expectant mothers with plural pregnancy should learn the signs and signs of premature birth earlier. Expectant mothers should be able to follow up on their own contraction, and if there is pain and contraction that does not pass through rest, they should contact their doctor or hospital. In case of any bleeding or early water, the doctor should also be notified.
6 ) Physical Activity:
The effectiveness of bed rest to prevent premature birth has been proven. But it’s more like the 28th century. After the week, the motion restriction can be useful to the mother candidate. During pregnancies with triplets or more fetuses, it is recommended to avoid too much physical activity and stressful environmental conditions. In case the body remains immobile with long-term bed rest, there are also complications such as tendency to clotting in the veins and bone loss.
From the second half of pregnancy, examination of the cervix as ultrasonography during examination can be beneficial for the risk of premature birth. The fact that the length of the cervix is 3.5 cm lower indicates that the risk of premature birth increases. In multiple pregnancies, the risk of hypertension increased with preeclampsia. For this reason, it is once again stated how important blood pressure monitoring and unsalted diet are.
7 ) Premeterm birth
50% of mothers with twin pregnancies are 37. she gives birth weeks before. The smaller the pregnancy week during childbirth, the greater the risk that fetuses are at risk. For this reason, expectant mothers who have birth symptoms due to men should be admitted to the hospital, and if necessary, stop-delivery treatment should be started.
8 ) Pregnancy Reduction
To minimize the risk of premature birth, in pregnancies, which usually contain 4 or more fetuses, 10 to 11. one or more of the fetuses die per week, trying to minimize the risk of premature birth and increase their chances of life. In relation to this process, the low risk is also around 10%. For this reason, it is recommended that the operations to be carried out by experienced experts.