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Preterm delivery of multiples

Preterm delivery of multiple babies

Here is some Important information we felt you should know if you are expecting twins, triplets or more babies and the likelihood of having a premature delivery and a few problems that can arise from carrying multiples.

What is the likelihood of having a multiple pregnancy?
• Heredity: A history of multiple births on a woman's side of the family increases her chances of having a multiple pregnancy.
• Race: Women of African descent are the most likely to have multiple pregnancies.
• Number of prior pregnancies: Having more than one previous pregnancy, especially a multiple pregnancy, increases the chance of having a multiple pregnancy.
• Delayed childbearing: Older women who get pregnant are more likely to have multiples.
• Infertility treatment: Fertility drugs, which stimulate the ovaries to release multiple eggs, or assisted reproductive technology (ART), which transfers multiple embryos into the womb (such as in vitro fertilization, or IVF), greatly increase a woman's chance of having a multiple pregnancy.

statistics on Multiple Births in UK for 2007 obtained from the Office of National Statistics, General Registry Office Scotland and GRO Northern Ireland.
England & Wales
(ONS London) Scotland
(GRO Scotland) N. Ireland
(NISRA) UK
Total
Total maternities 682,999 57,202 24,186 764,387
All multiples 10,471 893 362 11,726
Twins 10,334 882 357 11,573
Triplets 135 9 5 149
Quads 1 2 0 3
Quins 1 0 0 1
Sextuplets 0 0 0 0
Twinning rate /1000
mats 15.1 15.4 14.8 15.1
Triplet rate /1000 mat 0.20 0.16 0.21 0.19
Multiple birth rate /1000 mats 15.3 15.6 15.0 15.3

Will I carry my babies to full term or will they be born premature?
Average pregnancy duration
• Single baby 40 weeks
• Twins 37 weeks
• Triplets 34 weeks
• Quadruplets 32 weeks.
Types of multiples include
• Identical multiples (mono-zygotic) are the result of a single fertilized egg splitting into two, three, four, or more babies and will almost always result in the same-gender multiples who share nearly identical DNA An even smaller percentage of mono-zygotic multiples are conjoined twins.
• Fraternal multiples (not identical) are the most prevalent zygosity in higher-order multiples and make-up around 80% of triplets or more. Di-zygotic (fraternal twins), tri-zygotic (fraternal triplets), tetra-zygotic (fraternal quadruplets), or penta-zygotic (fraternal quintuplets) multiples occur when two or more embryos implant from separate fertilized eggs and can result in the same or different genders.
• higher-order multiples, zygosity types can occur in a wide variety of combinations. For example, triplets can consist of two identical (mono-zygotic) boys and a fraternal (di-zygotic) girl, or quadruplets could consist of a set of identical triplet (mono-zygotic) girls with a fraternal (di-zygotic) sister.
What Problems do parents face when carrying multiple babies.
Over 9,000 multiple births happen each year in the UK. The number is increasing with medical advances, particularly in the areas of infertility and care of pre-term births.
Most people have little idea just how demanding multiple birth babies can be. The reality is that often parents' ability to cope is dramatically reduced by the problems that accompany having twins, triplets or more.
• Financial strain. For parents who cannot have children through the natural way and have to resort to IVF puts a lot of strain on the finances as repeat trials and failures can occur. When a family have a pregnancy which results in more than one baby being in the womb the cost can then double triple or quadruple even for buying clothes, prams,equipment for the nursery and even an extra person to help take care of the other babies.
• Mothers need extra pre-natal care and monitoring.
• Babies are often born earlier, or smaller than single babies, and are therefore more vulnerable.
• Coping with two or more newborn babies can seem an overwhelming task, and parents may need support with caring for the babies.
• Multiples may experience language delay, behavioural disorders, excessive rivalry or dependency.
• Having more than one baby puts you at a greater risk for developing problems during the pregnancy, as compared with a single-birth pregnancy (one baby). All multiple pregnancies are considered high risk ("special care") and will be treated as any other high-risk pregnancy.
• Follow these links to find out more information from other useful sites
• High blood pressure
• Pre-eclampsia and eclampsia
• Anemia
• Gestational diabetes
• Hyperemesis gravidarum (excessive vomiting)
• Digestive problems
• Placenta previa
• Preterm labor
• Premature rupture of membranes
• Postpartum hemorrhage (bleeding more than expected after delivery)
• pregnancies are considered high risk ("special care") and will be treated as any other high-risk pregnancy.
• Follow these links to find out more information from other useful sites
• High blood pressure
• Pre-eclampsia and eclampsia
• Anemia
• Gestational diabetes
• Hyperemesis gravidarum (excessive vomiting)
• Digestive problems
• Placenta previa
• Preterm labor
• Premature rupture of membranes
• Postpartum hemorrhage (bleeding more than expected after delivery)
for more information free on babies visit www.cheekychumsonline.co.uk

 

 

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