A multiple pregnancy may be a twin, triplet or more pregnancy. If there is more than one egg that is released by the ovaries and each of these eggs are fertilized by a sperm, this further results to the growth and development of more than one embryo, further resulting to twins. A single fertilized egg can split into two, further resulting to the growth and development of identical twins. Identical twins are less common than fraternal twins.
Multiply pregnancy may give rise to fraternal twins, identical twins or triplets or higher order multiples.
Fraternal twins
These are twins that grow from two separate eggs. The babies are siblings who share a similar uterus; they may seem to be similar or different and may either be a similar gender or of various sexes. A pregnancy with fraternal twins has a low risk since each child has its own placenta and amniotic sac.
Identical twins
Identical twins are created when a single fertilized egg is split down the middle. Every half is genetically indistinguishable, so the infants share a similar DNA. That implies the infants will share numerous attributes. In any case, if their appearance is affected by the environment and by qualities, identical twins can look different. Identical twins may have a similar placenta and amniotic sac, or they may have their own placenta and amniotic sac.
Triplets and ‘higher order multiples’ (HOMs)
Triplets, quadruplets, quintuplets, sextuplets or more can be a mix of fraternal or identical twins. For instance, triplets can be either fraternal from 3 individual eggs that are fertilized and embedded in the uterus; or they can be identical, when one egg separates into 3 embryos; or they can be a mix of both.
Women who are pregnant with more than one baby may have more extreme morning symptoms than women who are bearing just one baby. They likewise may put on weight more rapidly. Twin pregnancies are often diagnosed by an ultrasound.
DIAGNOSIS
Every woman may have somewhat unique symptoms. In any case, the most widely recognized symptoms of multiple pregnancy are:
TREATMENT
Your doctor or midwife will choose the best care for you based of your pregnancy, general health, and medical history. Care will likewise be based on the quantity of babies.
Multiple pregnancy care may include:
Increased nutrition
If you are pregnant with two or more babies, you will require more calories and other nutrients like folic acid and iron. You will likewise put on more weight.
More frequent check-ups
If you are carrying more babies, there may be complications. More visits may help discover issues early to more readily treat and oversee them. Your nutritional status and weight will likewise be observed more intently.
Referrals
You may require a referral to a perinatologist. He or she may do special testing or ultrasound assessments and to deal with complications.
Maternal and fetal testing
This is done to check for pregnancy complications for both mother and babies.
Tocolytic medicines
You might be given tocolytic medications if preterm labor occurs. These drugs may slow down or stop contractions of the uterus. You may take the medicines by mouth (orally), as a shot, or through an IV. Magnesium sulfate is one such medicine frequently utilized.
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