2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21
Pregnancy is a long-awaited and pleasant event for parents. However, in some cases, she prepares a surprise. When a woman visits a doctor for the first time, she may find out that instead of one baby she will have two. The most frightening and little-known issue is the birth of twins, about which there are many different stories.
Physiological signs of twin pregnancy
Experienced mothers can determine the number of developing babies at the earliest possible date, but there are not many of them now. Therefore, it is good to know certain signs that indicate multiple pregnancy:
- As a result of a pregnancy test, the second line appears very bright, indicating a high concentration of gonadotropin in the urine.
- Rapid weight gain is the first sign of twins. In a woman carrying one baby, in the first 12 weeks, the weight increases by only 2-3 kg, while with multiple pregnancy, this figure doubles at least.
- The rapid growth of the abdomen. Active growthwith a singleton pregnancy, it is noted at the 5-6th month, while a woman carrying twins has a rather large belly already at the fourth month.
- Severe toxicosis accompanies a pregnant woman with twins until late. In addition to nausea and bouts of vomiting, severe dizziness is observed, preventing the woman from getting out of bed normally and leading a normal life.
- During a blood test, a high level of gonadotropin is noted, together with a lack of iron concentration. For the first trimester, this is a common occurrence.
- When visiting a gynecologist, a doctor can feel two heads of babies or hear two heartbeats. After the 10th week, an ultrasound scan can be performed, on which the number of gestated fetuses will become known exactly. It is on ultrasound that you can confirm the upcoming birth of twins. Second births are more favorable and have fewer complications than primiparas.
All these signs indicate early pregnancy, but do not forget about the individual characteristics of the body, because of which the first signs of a twin pregnancy can be misinterpreted.
Psychological signs of twin pregnancy
In addition to physiological changes in the body, strong psychological changes can be noticed:
- Increased fatigue usually appears from the second trimester, but it can be noticed already in the first month of pregnancy. This is due to an increase in the energy costs necessary for the body to carrypregnancy.
- Pregnant twins have much more whims and frequent mood swings. This is due to severe hormonal changes, as the body bears a double burden.
- Strong experiences due to childbirth often drive a woman into depression. She constantly worries that there will be any problems, winds herself up. In the last stages, worries about the impossibility of combining the upbringing of two babies at once may appear, especially for mothers who will have no one to help.
At this time, a woman must be supported and reassured so that she is confident in her abilities and in the availability of help and support. It is not only physically, but also psychologically difficult for a woman to endure the birth of twins. Photos of happy mothers, of course, inspire optimism, but if there are even minor complications, a woman begins to worry a lot.
Twin Pregnancy Course
During pregnancy, a woman's body undergoes a strong hormonal surge, in addition, the overall load on the musculoskeletal system, cardiovascular and other systems also increases. During pregnancy with twins, this load increases several times, since the mother's body must provide sufficient nutrition and excretion of metabolic products not only of her body, but also of two growing babies.
During the course of a multiple pregnancy, there are many difficulties that must be foreseen in advance in order to save it. Due to the large pressure on the cervix during gestation, oftenthere are premature births of twins, rupture of amniotic fluid, development of preeclampsia, severe toxicosis and other complications.
In the last 3-4 weeks, the woman has been in the hospital, which allows doctors to regularly monitor her condition and the development of babies, monitor the course of pregnancy and take the necessary measures to preserve the fetus or unforeseen delivery in time.
Caesarean section for twin pregnancy
How twin births work is a concern for many women facing multiple pregnancies. Since it is impossible to predict how your body and your children will behave, I would like to at least get acquainted with the possible options for the development of childbirth, complications and subsequent care for newborns.
Pregnancy most often ends with a planned caesarean section. If indicated, cervical suturing may be required. This will extend the pregnancy by a few weeks in order to carry the babies to the required term and prevent premature opening of the cervix.
Caesarean section delivers he althy babies without the birth trauma that can occur with natural childbirth. The mother-to-be should seriously consider the issue of childbirth and consult with a doctor who can suggest the best option.
Natural birth of twins
Independent birth of twins is possible only in the case of a normal pregnancy, the absence of any pathologies andinfections in the body, as well as in the presence of qualified doctors. The most important factor when choosing a vaginal delivery or caesarean section is the position of the fetus, because after the birth of the first child, the second often unfolds incorrectly and gets stuck in the birth canal.
In some cases, during natural childbirth, it becomes necessary to perform an unscheduled caesarean section. The pregnant woman should be warned in advance about the possibility of such a development of events. The doctor should explain why this may happen and reassure the woman, as the operation is performed to minimize possible risks and complications for both babies and mother.
Features of twin births
The term of pregnancy with two fetuses is reduced from forty weeks to 35-37 weeks. This period is the most favorable for the course of labor. In the event that labor begins before the 35th week, they are considered premature.
Giving twins naturally can have unpredictable consequences, so it is necessary to approach this issue very responsibly. Possible loss of parts of the bodies of the fetus, or loops of the umbilical cord. Babies can become entangled in the umbilical cord or grapple with each other. Also, even with the correct position in labor, the fetuses can dramatically change their position, thereby increasing the complexity.
Duration of childbirth can greatly increase, from which both mother and children will suffer. In especially severe cases, fetuses may get stuck in the birth canal, thenthere is a great danger to their lives.
Umbilical hernia after pregnancy
Due to the large weight of babies, not only can overdistension of the uterus occur, but an umbilical hernia can also form. In this case, the muscle ring is stretched, which can only be removed surgically.
When there is no pain, doctors often leave the hernia and observe it. But mothers who are constantly without help and often carry children in their arms need to take care of their he alth, as complications and muscle pinching are possible in the future.
Also, with an umbilical hernia, it is not recommended to play sports so as not to load the already damaged muscles. It is important to remember that the birth of twins and the consequences after them largely depend on genetics and the individual characteristics of the organism, therefore it is better if the doctor in a particular case determines the capabilities of the mother and prescribes appropriate treatment if necessary.
Belly after giving birth to twins: how to get back in shape?
A common problem after childbirth is the appearance of stretch marks and flabbiness of the abdomen. Changing the figure often adversely affects the psychological state of a woman who is very tired when caring for children. About the birth of twins, reviews on the Internet can be found different. This is due to the individuality of the female body and the characteristics of genetics.
Lack of free time and the opportunity to take care of your he alth can significantly worsen the picture and lead to the development of diseases. Getting back into shape under this regime is quite difficult, and even if the extrakilograms eventually go away from fatigue and an active lifestyle, then it is much more difficult to cope with skin changes. Often only plastic surgery can correct the situation, which is not always possible.
Diastasis after childbirth
Diastasis is a separation of the vertical abdominal muscles. It is impossible to correct this problem without surgical intervention, since the muscles must be sutured. You can determine the presence of diastasis yourself. It looks like a hole above the navel, you can feel this hole in the supine position.
When you have diastasis, you need to see a doctor, because it is impossible to solve the problem with the help of exercises. This may lead to the development of complications. Natural birth of twins, like caesarean section, does not affect the appearance of diastasis. It is the result of severe muscle strain and occurs even in singleton pregnancies.
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