Written by Dr.M.D.Mazumdar, MD
Twin pregnancy is the commonest type of multiple pregnancy, accounting for more than 98% of all multiple childbirths.
The other types e.g. triplets (three babies), quadruplets (four babies), quintuplets (five babies), sextuplets (six babies) become less common as the number of babies inside the uterus increases.
Women with a family history of twins or women who have undergone artificial reproductive therapy (ART) for infertility are more likely to have a twin pregnancy.
While most twin pregnancies can have an uncomplicated course and end in a normal delivery, there are certain problems that can occur in this type of pregnancy.
Different Types of Twin Pregnancies
Since development is from a single egg, the babies are always of the same sex and same blood group. Conjoint twins, where the babies are fused at some part of their bodies are monozygotic and occur due to late division of the zygote.
Signs and Symptoms of Twin Pregnancy
Most of the problems in multiple pregnancies are due to the large size of the uterus:
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Management/Treatment of a Twin Pregnancy
During the Pregnancy
During labor: Ideally an USG must be done at 36 weeks to determine the relative positions of the fetus to each other, and then determine whether the patient could be allowed to go for normal delivery or should be put up for elective Cesarian Section. Intensive clinical monitoring must be carried out.
Problems during labor
If USG at 36 weeks makes the doctor suspect that this condition may occur in labour, it is wiser to go for Cesarian Section before the onset of labour.
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