Multiple pregnancy does not occur very often. Very often twins are born. At the same time, children can be born as very similar to each other (often indistinguishable), and does not like. And this is not surprising - it all depends on whether one or several eggs were fertilized.

Causes of multiple pregnancy

When multiple pregnancy in the uterus develops multiple fetuses. This usually occurs twins, at least - of triplets, even rarer - an increasing number of fruits. The cause of multiple pregnancy are most often hereditary characteristics of the mother or (to a lesser extent) father. There are families in which the generations are born twins.

Multiple pregnancy may be different. Most often it develops in the fertilized eggs of different - as a result of fraternal twins are born, which can be totally alike.

Another type of a multiple pregnancy, as a result of fertilization of one egg is produced as the fruit - such twins have absolute similarity between them.

How is

If multiple pregnancy has evolved as a result of fertilization of multiple eggs, each fertilized egg after the introduction of the mucous membrane of the uterus forms its fetal membranes, of which later formed a separate placenta with an independent network of blood vessels. How much will these fruits, so many placentas. The partition between the mnogoyaytsovymi fruits consists of four layers, that is, it is simply connected to two fetal membranes or bag (each shell consists of two layers).

Do identical twins can be a common envelope or bag (amnion) or separate envelope for each fetus. But at the same placenta they have one common and partition between fruit consists of two sheets, that is, it is the partition, rather than a separate amnion.

The flow of a multiple pregnancy

The course of multiple pregnancies when two fetuses often normal, especially if it is a hereditary characteristic of the woman. If there are more than two fruits, the pregnancy is difficult, as the load increases on the woman's body. In this case, due to a significant increase in the size of the uterus in women appear lethargy, weakness, shortness of breath. Can strengthen the unpleasant symptoms such as heartburn, constipation, bloating, frequent urination.

Sometimes multiple pregnancy can result in miscarriage or premature birth Premature birth - Recognize the signals of the body in time . Quite often occur early and late toxicosis of pregnancy.

The fruits develop in the uterus for the most part evenly. But in some cases the development of the fetus can prevail. There is the presence of communication between the vessels of the placenta of the fruit. In this case, more nutrients and oxygen will be supplied to the fetus, which is more intensive cardiac activity. A second fetus will lag behind in development, sometimes it dies during pregnancy or immediately after birth.

How do you know of a multiple pregnancy

Today it is not a problem. During the ultrasound (US) in a few weeks after conception Conception - as the emerging life   there are signs of fetal heart. When multiple pregnancy will be a few heartbeats. In the future, ultrasound will show the development of each fruit.

How are birth

Usually birth in multiple pregnancies proceed normally, without any deviation, since preliminary examination of the woman allows the doctor to prepare a plan for the management of labor and to avoid possible surprises. After the disclosure of the cervix first child is born, and then the next.

However, as in all lineages, and sometimes there are complications. Multiple pregnancies often gives complications such as delayed rupture of membranes, uterine inertia forces due to distension of the uterus, fetal hypoxia (lack of oxygen), premature detachment of the placenta after the birth of the second fetus first, belated second rupture of membranes fetal bleeding.

Management of labor in multiple pregnancies

After the disclosure of the cervix fetal bladder of the fetus first opened cautiously and slowly release the amniotic fluid. Deliveries usually do not stimulate, trying to make sure that everything went naturally. Induction of labor is carried out only when there is a threat of complications from the mother or the fetus.

Approximately 15 minutes after the birth of their first child opened the second fetal bladder and just try not to stimulate the process of natural childbirth What is natural childbirth Intervening only in extreme cases.

Multiple pregnancy requires regular monitoring obstetrician-gynecologist of female consultation. This will allow time to identify complications take measures to eliminate them.

Galina Romanenko

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