It's hard to carry a baby for nine months, of course. It's much harder to expect two babies. Consequently, the problems awaiting expectant mothers are changing. We also this week on the problems faced by expectant mothers who live twin pregnancy Gynecology and Obstetrics Specialist Assoc. Dr. We interviewed with Cem Fıçıcıoğlu.
: Can you define the multiple pregnancies?
Assoc. Dr. View Cem's Full Profile It can be defined as the formation of more than one fetus in the uterus. These may be in the form of twins, where a single egg is divided into two after fertilization by a sperm, or twins formed by sperm fertilization of two separate eggs. Twins may be of the same genetically loaded and identical sex, while twins may be separate or of the same sex.
: What is the incidence of twin pregnancies? Who is likely to be seen?
Assoc. Dr. View Cem's Full Profile Twin pregnancies occur every 85 births. The chance of twin pregnancy increases if the mother or father is a twin partner. Of course, there is a chance of multiple pregnancy in those who use egg enhancers or in vitro fertilization.
: What are the risk factors for expectant mothers in twin pregnancies?
Assoc. Dr. View Cem's Full Profile Maternal burden increased in twin pregnancies, nausea and vomiting complaints increased in early pregnancy and the risk of miscarriage was higher. Risks such as anemia, pregnancy hypertension, threat of preterm birth, preterm birth, difficulties at birth are more threatening to the mother.
: What are the risk factors affecting the baby in twin pregnancies?
Assoc. Dr. View Cem's Full Profile The risk of premature birth due to preterm birth is lower in twin pregnancies compared to single infants. There is a risk that one of the twins will have more risk of feeding the other and less of the birth, especially the mishaps in the management of the birth of the second baby.
: Why do abnormal conditions (eg conjoined twins) occur in twin pregnancies?
Assoc. Dr. View Cem's Full Profile It can be in the form of twins or twin twins formed by fertilization of two separate eggs by sperm, in which the single egg is divided into two after fertilization by a sperm. It is important for single egg twins that are formed by fertilizing a single egg with a sperm and dividing it into two at the cleavage stage, where delaying brings about the possibility of conjoined twins.
: What are the points to be considered in the examination of the doctor in twin pregnancies
Assoc. Dr. View Cem's Full Profile Twin pregnancies are high-risk pregnancies. Here the pregnant should be followed regularly. Apart from this order, it is important that the maternal nutrition is used regularly to prevent anemia. Especially in the case of preterm labor, the experience and competence of the administration and the center to give birth gain importance.
: What is the most appropriate mode of delivery?
Assoc. Dr. View Cem's Full Profile The most appropriate mode of delivery varies from mother to candidate. If the generalization is to be done in very large babies. If there is a mismatch between the babies and the second baby is larger than the first baby, if the first baby comes from the foot or breech, cesarean section is preferred if the health status of the mother or the womb status of the babies are not suitable for normal birth.