The article was consulted professionally by Specialist Doctor II Nguyen Thi Phuong Loan – Obstetrician and Gynecologist – Obstetrics and Gynecology Department – Share99 Hai Phong International Health Hub
Twin pregnancies are a high-risk pregnancy, throughout the course of pregnancy until labor. However, twin pregnancies can still be born by vaginal birth with the inherent benefits if you master the following needs to know.
1. What is twin pregnancy?
Multiple pregnancies refer to more than one fetus living in the uterus. In particular, twin pregnancies are the most common two fetuses with a rate of 1 to 1.5% in natural pregnancies. This rate tends to increase with the number of births and the age of the maternity.
Twin pregnancies in particular and multiple pregnancies in general are an abnormal pregnancy but not a pathology, classified as high-risk pregnancies because of the 14 to 20% chance of permantal mortality.
Based on pathogenesis and anatomy, double pregnancy is divided into two types: twin-egg pregnancy (or heterogenic twin pregnancy) and one-egg double pregnancy (or homous twin pregnancy).
2. How to support twin pregnancies?
For a twin pregnancy that is already a high-risk pregnancy, regular monitoring is extremely important to properly assess the condition of the pregnancy as well as to choose how to go into labor. Another reason is that twin pregnancies are always more likely to be born earlier, usually before 38 weeks. In fact, less than half of twin births last longer than the 37-week mark.
About a third of all twins can be born by vaginal falls, and the process is the same principle as at the birth of a pregnancy, which is only labor once but up to two babies are born. If there is a pre-2015 vaginal delivery plan, the maternity should be prescribed an injection of analgesic drugs to relieve pain, making labor easier and faster, supporting the birth usually effectively when the mother has received good pain relief.
The process of monitoring labor is generally the same as for the birth of a child but for twin fetuses, the frequency of evaluation is usually tighter. To do this, the maternity is attached tracking devices connected to an electronic screen, recording the frequency, time and degree of the muscles of the uterus as well as the moment of amniotic rupture. Because twin pregnancy labor is often prolonged, the pregnancy book is slow due to a weak uterus mound, most women will be given infusions of birth pills from this time.
For maternity childbirth so, twinpregnancies are usually two longitudinal houses with two heads, one head with one buttock or two buttocks. For multi-maternity or child compared to those with uterus malformation, the throne of a twin pregnancy can be a vertical house, a horizontal house or both houses in the same direction or in the opposite direction.
Once the cervical opening is open, each pregnancy will have separate stages of pregnancy. This means that maternity will need two effective cycles of birth. However, the second pregnancy push, if the throne is favorable and has ruptured the amniotic fluid, will be somewhat easier than the first, which may be due to the favorable inheritance on the vaginal fall that has fully hatched during the previous twin pregnancy.
After the birth of the first fetus, the doctor or midwife needs to thoroughly check the second fetus for the throne, and so on through a vaginal examination as well as a re-listening of the fetal heart. If the same throne is the same, the average natural birth waiting time between the birth of the first and second babies is usually between 15 and 30 minutes. However, if the monitor monitors indicators that the second baby is still doing well then there is no need to over-accelerate. Even during this waiting period, the doctor can re-ultrasound to confirm the location of the second twin pregnancy and make a decision on the best way to give birth.
If the contractions stop or weaken after the first birth, the maternity needs to be given an increased infusion of the drug with the hormone oxytocin to restart the cycle of the uterus mound. If the pregnancy has been presented but the book is difficult, the book is slow, it is necessary to support the pregnancy with suction or forceps to help give birth. If the star is horizontal, the doctor can intervene by destroying the amniotic fluid, then applying an internal procedure to rotate the pregnancy in the uterus and the pregnancy pull if qualified.
Finally, the book and the appendix, usually only once for both pregnancies. It is necessary to double check each other to assess actually a double pregnancy or a double pregnancy of one egg because the risk of periantal death of these two types of twins is completely different. Besides, detecting deformities of each other's cakes may suggest related to fetal malformations,early detection and handling orientation.
In addition, after twin pregnancy labor, the smooth muscles of the uterus are very susceptible to phlegm, and the maternity is prone to post-birth blood bandage complications. Accordingly, it is necessary to continue the infusion of oxytocin to prevent this event, ensuring the uterus recovers well into a strong mass palpable on the hypothxia.
3. What to watch after a double pregnancy?
Immediately after birth, the doctor or midsaesarean section will examine and examine two babies to determine which twins are born as well as to be screening for common malformations in newborns and twins in particular. At the same time, the mother's vaginal fall also needs to be checked, excluding traumas and conducting interventions and stitches if any. When there are direct procedures in the uterus, women need to take broad-spectrum antibiotics of the whole body, reducing the risk of post-production infection later.
In the case of premature labor, it is possible that a child or both children will need a certain period of time to be cared for in a special environment before being handed over to the family.
Whenever possible, give your baby a reflex to find breastfeeding to facilitate the formation of colostrum. If only one baby can feed effectively, the mother should also milk to feed the remaining twin. Then, when your child is fully capable, practice both babies know how to breastfeed their mothers directly to encourage the production of milk to feed them both.
Other care issues on twins should generally also be followed as for one-born babies; in particular, pay special attention to hygiene, nutrition and give children a full scheduled vaccination by appointment.
Twin pregnancies are the birth of two babies. Accompanied by the joy of double 2, supporting twin pregnancies is a stressful and high-risk journey. Accordingly, regular visits during pregnancy, choosing a reputable and quality place of birth are the top things to ensure safe labor for mothers and children.
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Reference source: pregnancybirthbaby.org; nhs.uk
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