Multiple Pregnancy

Multiple Pregnancy. The simultaneous development of two or more fruits. Frequency - 1% of all pregnancies. Causes of multiple pregnancy are not well understood. There is some genetic predisposition. There are single and fraternal twins (in the first case, one egg was fertilized in the second -two). Identical twins are always unisexual, and have the same blood group; fraternal twins may be either same-sex or opposite-sex and have both the same and different blood groups.

Symptoms within. Women in late pregnancy complain of breathlessness, heaviness in the abdomen, often observed late toxicosis. In early pregnancy diagnosis is difficult. In the later stages of twins are diagnosed on the basis of a large abdominal circumference, palpation of 3 major parts of the fruit, listening to two heartbeats from the attenuation zone and the difference in the frequency of more than 10 beats per minute 1.

Clarify diagnosis by ultrasound, ECG fruit and plain film. One- and fraternal twins are diagnosed after delivery and inspection of placenta.

Possible complications: the weakness of labor, premature birth, prenatal rupture of membranes, premature detachment of the placenta of the fetus of the second (after the birth of the first), a belated break the shells of the second fetal anomalies situation or presentation of the fetus, hypotonic bleeding.

Deliveries are expectantly. After the birth of the first fetus and umbilical cord ligation after 10 minutes usually reveal fetal bladder second fetus. In the 3rd stage of labor on HIV prevention hypotonic bleeding.