Twin pregnancy needs more care

Twin or triplet pregnancy. This piece of information often brings a mixed response from the patient and attendants, surprise coupled with joy and of course some anxiety at times, explains Dr Geetu Motwani, Specialist Gynaecologist, Zulekha Hospital, Sharjah.

By Staff Reporter

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Published: Sat 28 Apr 2012, 8:43 AM

Last updated: Tue 7 Apr 2015, 1:42 PM

What are the reasons for twin and higher order gestation? “Mainly familial or as a result of medications used for assisted reproductive techniques, the incidence is seen to be rising over recent years as more and more couples are resorting to fertility treatments.”

Twins may sound very appealing but both pregnancy and delivery come with some additional problems for both for parents and medical personnel. Twin pregnancy confirmed at early weeks of gestation may not always result in twin delivery because of a condition termed as vanishing twin where the second twin fails to grow/survive and we have to be content with one baby only, she says.

Twins may be monozygotic (from single egg) which are identical twins and of same gender. Dizygotic (from two different eggs) viz non-identical twins. Conjoint twins which are inseparable from each other. Non-identical are the best amongst all three.

To begin with all pregnancy related symptoms may be more aggravated in form like morning sickness, fatigue and debility nutritional deficiencies. The condition itself at times requires bed rest and/or additional care during pregnancy. Twins are more prone to miscarriage, anomalies (malformations) or prematurity.

There are increased chances of having high blood pressure with twin pregnancy which involves intense monitoring and treatment as compared to singleton deliveries. Twin delivery is usually caesarean delivery due to unfavourable positioning of babies in the womb. This is further cause of morbidity and longer periods of convalescence.

Twin babies are likely to be premature and may require NICU treatment or special care during new born period which place an additional social and of course financial burden on parents and family.

Babies born as twins even at term are more prone to sickness and may require additional care when compared to their singleton counterparts.

Dr Geetu Motwani, Specialist Gynaecologist, Zulekha Hospital, Sharjah.

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