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Why Is Multiple Pregnancy A Concern ?

Why is multiple pregnancy a concern?

Being conceived with more than one baby is super exciting for many couples, but multiple pregnancies have an increased risk of complications.

The most common complications of multiple pregnancy include the below:

Preterm labor - About half of the twins and almost all higher-order multiples are born premature (born before 37 weeks of pregnancy). Higher the number of fetuses in pregnancy, the greater the risk of early birth. Premature babies are often born before their organs have completely developed or matured. These babies look small with low birth weights (less than 2.5 kg or 5.5 pounds) and they may require help breathing, fighting infections, eating, and staying warm.

Many premature babies born before 28 weeks may not be ready for life outside their mother's uterus and are too immature to function well. Many multiple babies will need a care in a neonatal intensive care units (NICU).

HypertensionMany women with multiple pregnancies are more than three times as likely to develop high BP during pregnancy. This condition is more severe than in pregnancy with one baby. It may also increase the risk of placental abruption (early detachment of the placenta).

Anemia - Anemia is more than twice common in multiple pregnancies as compared to a single birth.

Birth defects - Multiple babies have about twice the risk of congenital abnormalities that includes neural tube defects (spina bifida), heart abnormalities, and gastrointestinal problems.

Miscarriage - A phenomenon called vanishing twin syndrome that more than one fetus is diagnosed but vanishes (is miscarried), usually during the first trimester is more likely in multiple pregnancy. This may or may not be accompanied with bleeding. The risk of pregnancy loss increases in later trimesters as well.

Twin-to-Twin transfusion syndrome - Twin-to-twin transfusion syndrome is a condition of the placenta which develops only with identical twins who share a placenta. Blood vessels connect within the placenta and divert blood from one fetus to the other. This occurs in about 15% of twins with a shared placenta.

Abnormal amounts of amniotic fluid -
Amniotic fluid abnormalities are common in multiple pregnancies, particularly for twins that share a placenta.

Cesarean section delivery - Abnormal fetal positions increase the chances of having cesarean birth.

Postpartum hemorrhage - The large placental area and an over distended uterus keeps a mother at high risk for bleeding after delivery in multiple pregnancies.

Articles you may be interested in:

What Is Multiple Pregnancies And How This Happens ?

Reasons For Multiple Pregnancies And The Types Of Multiples