twin pregnancy risks

Complications of Multiple Pregnancy

Being pregnant with more than one baby is exciting. It is often a happy event for many couple. But multiple pregnancies have a higher risk for complications. The most common issues listed below.

More than 3 in 5 twins and nearly all higher level multiples premature (born before 37 weeks). The higher the number of fetal pregnancy, the greater the risk for premature birth. Premature babies born before their bodies and organ systems have fully mature. These babies are often small, with low birth weight. This means less than 5.5 pounds (2,500 grams). They may need help breathing, eating, fighting infection, and keep warm. Very premature babies are those born before 28 weeks. they are mainly susceptible. Many organs they may not be ready to live outside the mother's womb and perhaps too mature to work well. Many babies born a few will need care in neonatal intensive care unit (NICU).

Women with fetal more than twice as likely to develop high blood pressure pregnancy. Health problems are often developed earlier and worse than in pregnancy with one baby. It can also increase the chance of early detachment of the placenta (placenta abruption).

Women with multiple fetuses are more likely to get gestational diabetes.

Anemia is more than twice as common in multiple pregnancies as in a single birth.

Some of the babies born have about twice the risk for problems present at birth (congenital) such as spina bifida and other neural tube defects, and gastrointestinal problems tract and heart.

A phenomenon known as disappearing twin syndrome are more likely in some pregnancies. It's when more than one fetus was found, but it is missing (or miscarriage). It is often occur in the first trimester. It may come with bleeding. pregnancy risks higher loss in later trimesters as well.

Twin-to-twin transfusion syndrome (TTTS) is a condition of the developing placenta just as identical twins who share a placenta. blood vessels connected in placenta and divert blood from one twin to the other. It happened at about 3 in 20 twins with TTTS placenta.In together, the blood is driven from one fetus to the other through blood vessel connections in a shared placenta. Over time, the recipient fetus too much blood. This can overload the cardiovascular system and cause too much amniotic fluid to develop. That a smaller donor fetus does not get enough blood and has a low amount of amniotic fluid. TTTS can be treated during pregnancy by pulling some extra fluid with needles or surgery in the placenta. Sometimes, the twins may need to be submitted early.

amniotic fluid problem is more common in twin pregnancies, especially for twins the shared placenta.

The cord for the twins who share the amniotic sac can become entangled. In these cases, the fetus may need to be monitored frequently during the third trimester.

abnormal fetal positions increase the likelihood of C-section.

The area large placenta and over-distended uterus place a mother at risk for bleeding after giving birth.

Medical Reviewer:

© 2020 University of Rochester Medical Center, Rochester, NY

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