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Multiple Pregnancy

When more than one foetus simultaneously develops in the uterus, it is called multiple pregnancy. Two foetus are twins and the commonest.

They are of 2 types: 
Binovular twins (fraternal, dizygotic)- This results from fertilization of 2 ova (eggs), by two different sperms during same ovarian cycle. The babies bear only fraternal resemblance to each other (That of brother & sister of different birth). They have two separate placenta & membranes.
Uniovular twins (identical, monozygotic)- Twinning occurs at different periods after fertilization. The placenta & membranes are one. Uniovular twins are always of same se
Incidence
Of twins depends upon- race, hereditary, advancing age of mother, as the number of children increase the chances of twins increase, ovulation inducing drugs (as in infertility treatment). The commonest presentation & lie of the foetus is longitudinal (like in normal pregnancy). But malpresentations are quite common

Diagnosis:
Persons having history of taking ovulation inducing drugs (treatment for infertility) and family history of twins. Mild ailments of pregnancy are exaggerated like increased vomiting, breathing difficulty, swelling of legs, unusual rate of abdominal enlargement, excessive foetal movements. On examination abdomen is enlarged more than what it should be at that month, multiple foetal parts are felt. Two distinct foetal heart is heard.
Sonography confirms the diagnosis.

Complications:
Anaemia, pre-eclampsia, hydramnios, antepartum haemorrhage, malpresentation, preterm labour, mechanical distress, early rupture of membrane, prolonged labour, postpartum haemorrhage. As far as foetus is concerned chances of abortion, prematurity, intrauterine death and still birth are seen.

Management:
During antenatal period a good diet, supplement therapy of iron, calcuim, vitamin & folic acid, avoid physical & mental stress, regular & frequent antenatal check ups are a must. If position of the babies are longitudinal (normal) normal delivery is of choice. Both babies are delivered one by one. As the babies are relatively small there is no difficulty in delivering them.
Indication of Caesarean Section:
Problems associated with pregnancy like small pelvis, low lying placenta (placenta previa), severe toxaemia, previous caesarean section etc.
Malpresentation, abnormal position of the twins or twins which are attached to each other will require caesarean section.

 
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"my painless delivery was conducted by Dr Harpreet kaur by epidural , it was a wonderful experience as I was expecting severe pain & wht I got was a cute baby born absolutely painless that too 3.8 kgs ! 
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Mrs suman , siligudi ."


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Thanks to Dr Harpreet kaur & her team I was able to deliver painlessly ! 
Mrs jyoti tanwar , ghaziabad , Delhi ncr "


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I underwent surgery , & was discharged in 2 days and was back to normal work in a week ! 
Thanks to Dr  Harpreet & laparoscopic surgery otherwise I would never had got operated ..
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and many more....
 
MEDICAL INFORMATION
Plan Your Pregnancy
Anaemia in Pregnancy
Ectopic Pregnancy
Heart Disease
Multiple Pregnancy
Vomiting in Pregnancy
Caesarean delivery
Labour
Confirming Pregnancy
Breech Delivery
Overdue Baby
Normal Delivery
Overdue Pregnancy
Pregnancy Counselling
Labour Analgesia
Normal Puerperium
Understanding Conception
IUI
Hysteroscopy
Laparoscopy
Myomectomies
Uterine Fibroids
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Breast Cancer
Ovarian cyst
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