Multiple Pregnancy

Multiple pregnancy is the occurrence of more than one baby at a time. It can be achieved naturally or through fertility treatments, such as in vitro fertilization (IVF). Multiple pregnancies are much more common today than they have ever been before due to advances in reproductive technology and an increase in fertility treatments. The rate of multiple births has steadily increased since the late 1980s and now accounts for nearly 3% of all live births in the United States. While multiple pregnancies are often associated with joy, they can also bring higher risks than those associated with singleton pregnancies, including an increased chance of preterm labor and delivery, gestational diabetes, preeclampsia, and postpartum hemorrhage. Additionally, mothers carrying multiples may experience intense fatigue and discomfort throughout their pregnancy due to carrying extra weight and hormones that cause more rapid growth of their babies. Despite these risks, many women carrying multiples are able to have successful pregnancies and deliver healthy babies. Please keep reading for details on the following topics:

Causes of a multiple pregnancy

Complications of a multiple pregnancy

Self care management for a woman with a multiple pregnancy

An ultrasound image showing twin fetuses inside the womb, positioned side by side in a clear black-and-white view. The outlines of the fetuses are visible, with their heads, spines, and limbs distinct, surrounded by the amniotic sac within the uterus.

CAUSES OF A MULTIPLE PREGNANCY

Use of fertility treatments

In vitro fertilization- several fertilized eggs are inserted in the uterus at the same time

Age 35 or older

African descent

History of having multiple pregnancy before

Family history of multiple pregnancy

COMPLICATIONS OF A MULTIPLE PREGNANCY

It is important to know when to seek urgent medical care, as delaying appropriate treatment can lead to further health complications. If you experience any of the following symptoms, you should seek medical help immediately. If you have any doubts about whether you should seek medical care, it is always better to err on the side of caution and consult with your doctor.

High blood pressure (preeclampsia)

Diabetes in pregnancy (gestational diabetes)

Delivery of the babies too early (preterm birth)

Fetal death (miscarriage or stillbirth)

Birth defects

Problems with the placenta, (placenta abruptio or placenta previa)

Low blood count (Anemia)

Too much amniotic fluid in the uterus (polyhydramnios)

Urinary tract infection (UTI)

Heavy blood loss after delivery (postpartum hemorrhage)

SELF CARE MANAGEMENT FOR A WOMAN WITH MULTIPLE PREGNANCY

A couple outdoors enjoying quality time together, standing in a grassy field surrounded by nature. They are smiling and facing each other, with a warm, golden sunset in the background, creating a peaceful and intimate atmosphere

Eating a balanced diet containing enough nutrients

Avoiding alcohol, cigarettes and caffeine

Avoiding physically demanding exercise

Getting plenty of rest

Accepting help from friends and family

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