The risks of multiple pregnancy: how to handle pregnancy differently?

Twin and multiple pregnancies may be a source of apprehension for parents. A physical and psychological preparation is necessary. The number of multiple pregnancies has exploded at the end of the last century (mainly due to treatment against infertility of the couple). Since the announcement of a twin pregnancy or multiple and the surprise of the new rose, then one must prepare for a potentially risky pregnancy and childbirth that offers fewer opportunities for choice. The arrival of several babies is associated with many challenges.

Pregnancy under close watch

The medical profession considers a multiple pregnancy as a risk pregnancy. Indeed, the pregnant woman more likely to develop anemia, as demand for the body of the mother of iron increases with the number of babies she is carrying. The mother can probably develop diabetes or hypertension geostationary. Finally, it is likely that childbirth is held earlier (often around 38 weeks gestation).


Calories and weight gain

Twin and multiple pregnancies requires a daily intake of calories, higher, compared with a singleton pregnancy. It is not uncommon for weight gain is higher than normal when you’re waiting several babies. Typically, a woman carrying twins, take between 15 and 16 kg and between 22 and 25 kg for triplets. It is important to monitor medically weight gain. In terms of calories, this represents an extra 500 calories for a twin pregnancy (that is to say approximately 2,700 calories per day) compared with a singleton pregnancy.

Medical monitoring

In early pregnancy, the number of visits remains almost identical to a twin pregnancy, as for a singleton pregnancy. However, in the second quarter, the medical approach and are usually every two weeks (instead of once a month for a singleton pregnancy). During the last quarter, the visits can be weekly, which requires an organization of family schedules.

Cesarean delivery

A twin pregnancy or multiple increases considerably the risk of cesarean delivery, surgery. It is not uncommon that a baby is not positioned upside down (position “vertices”) and present position of said seat. This often leads medical professionals to plan a cesarean birth. It is important to learn about the practice and the recommendations of her doctor for childbirth in case of multiple pregnancy.

Postnatal depression

Multiple pregnancies increase the risk of postnatal depression. Many factors are critical in the onset of postnatal depression after the birth of a baby. On the birth of several children, the risks are even greater. We must therefore recognize the symptoms as they arise and seek medical help. A 2001 study by the University of Public Health Johns Hopkins Bloomberg School in Baltimore in the United States, found that the birth of twins increased the risk of postnatal depression by 43% compared to a single birth. The reasons are mainly related to hormonal changes, sleep deprivation and family social anxiety, among others.

What are the chances of having twins?

1. If you are over 35 years
2. If you have a history of African
3. If you have used an infertility treatment
4. If you just stop taking oral contraceptives
5. A family member (maternal side) has twins
6. Your height and weight is above average

A great adventure that is preparing, but also increases the family joys.