Different Risk of Complications in Twin Pregnancy

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Different Risk of Complications in Twin Pregnancy

 

Jakarta, Pregnancy twins can be a happy thing for prospective parents. Although, there are various risks that must be anticipated by Father and Mother. Disclosed Dr. Khanisyah Erza Gumilar SpOG from RSUD Dr Soetomo Surabaya, the risk of multiple pregnancies one of which is preeclampsia. In twin pregnancies, the uterus is filled by more than one baby in which the baby shares the space in the uterus. Moreover during pregnancy the uterus enlarges. In people who are pregnant with one baby, that's all she already has the risk of preeclampsia. Especially if you have two children, the risk will increase, said Dr. Erza when talking with detikHealth. Then, there is a risk when the baby grows larger, two babies in the womb can cause labor signs. Thus, there may be a risk of prematurity. Thus, said Dr. Erza the number of prematurities in twins is relatively more common. Dr. Erza added, twin pregnancies also increase the risk of Intrauterine growth restriction (IUGR) or fetal growth is inhibited. Why? Yes for example, the membrane is only 1 for two babies, then the placenta also become one, it could be the risk of fetal growth is hampered greater than when pregnant one baby, he has one membrane and placenta itself, said Dr. Erza.Read also: Determine the Sister and the younger brother to the twins Meanwhile, Dr. Eric Kasmara SpOG from Pondok Indah Hospital Puri Indah said, in mothers with twin pregnancy for example in the first trimester, nausea experienced experienced usually more severe. Thus, the risk of mother being dehydrated when excessive vomiting is also greater. In the second trimester upwards, the risk of anemia (lower than normal), gestatitonal diabetes (gestatitonal diabetes), and pre-eclampsia (pregnancy poisoning) is also greater in multiple pregnancies. Then in the process childbirth, because the fetus is two, the water membranes are also more, the placenta is larger, the uterus will be distended once, said dr. Eric. In these circumstances, after both fetuses are born, sometimes the uterus is not immediately able to contract properly. In fact, after delivery, the uterus should contract well so that bleeding is reduced (blood vessels lie between the muscles of the uterus, so when the uterus contracts properly, the blood vessels will be squeezed between the muscles of the uterus so that the blood that comes out will decrease) explained dr Eric.Akibatnya, the risk of postpartum hemorrhage will be greater and the mother was at risk of shock due to loss of sufficient amount of blood. Plus if the mother has anemia while still pregnant, then the uterine contractions are also less good, because the uterine muscle lack of oxygen (oxygen delivered by hemoglobin contained in red blood cells). The problem of anemia is also greater experienced by mothers with twin pregnancies, because during pregnancy the requirement of maternal iron also increased. So, what are the risks to the fetus? According to dr Eric, the twin fetus there is the risk of twisting each other twisted, namely the twins monoamnion - monokorion. When the fetal cord is twisted, nutritional intake and oxygen will be reduced for each fetus. The danger is that the growth of the fetus may be inhibited, and may even lead to fetal death in the womb. Then, there is also Twin to Twin Transfusion Syndrome (TTTS), the condition when the blood flow distribution in the placenta for the two fetuses are not the same. One fetus gets more blood while the other fetus lacks blood supply. Proverbial, said dr. Eric, like a blood transfusion guy, one baby becomes a blood donor and one more baby becomes a recipient. One gets more blood, one less. One baby is swollen, fat, but fat is not normal because of excessive fluid. This is not good, because if the blood volume increases, the heart burden increases, heart failure can occur, said dr. Eric. Meanwhile, the twin brother actually lack of blood to experience a severe anemia. Dr. Eric says usually in the case of TTTS, twin baby weight difference more than 20 percent. For example one baby weighs 2.5 kg while its twin brother is only 1.5 kg. In cases of untreated TTTS, one baby may die in the uterus or even both. Usually before the TTTS gets worse, both babies must be removed. Read also: Rare! The Newlyweds Wait for the Birth of the Twins Identical Fourth The other risk of multiple pregnancies for infants is the birth of pre-term (less months), so the baby's condition will be premature. Because, in a twin pregnancy, may occur early uterine contractions or rupture of membranes can occur first, given the pressure on the mother's womb is greater. To avoid complications, dr. Eric reminds pregnant women to have regular pregnancy checkups. Antenatal care also needs to be done more regularly. Do not forget, pregnant women also need to be extra careful in the move. If there is a complaint, check with your doctor immediately. Then, how about the intake of food? The important calories fulfilled. Later the fetus gets nutrients through the placenta, if the placenta function well, nutrients for the fetus is good. If eating a lot for example but it turns out the umbilical cord small or there is a pillinan, it could not nutrients to the baby, said Dr. Eric.Ia asserted, pregnant women twins are not necessarily eating food for three people. The principle is wrong. Therefore, the important consumption of healthy foods 4 perfect 5 with enough calories. Later, the growth of the fetus will be monitored through antenatal care. The principle goes back to ANC (antenatal care) and back to case by case. Later doctors see is pretty good yet growth of the fetus. But, the nutritional needs of single pregnant women and twins must make no difference. But not also the mother must eat for three people yes, said Dr. Eric. (Rdn / up)

  

 

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