Скачать с ютуб What are the symptoms of Multiple Pregnancy?-Dr.Shoba Venkat of Cloudnine Hospitals| Doctors' Circle в хорошем качестве

What are the symptoms of Multiple Pregnancy?-Dr.Shoba Venkat of Cloudnine Hospitals| Doctors' Circle

It is very important to understand the term called chorionicity in twin pregnancy because the outcome depends on the chorionicity. Chorion is the membrane, which covers or surrounds the baby and depending on the number of the chorion membrane, we call it as dichorionic or monochorionic pregnancy. So in dizygotic twins, invariably it will be dizygotic and dichorionic pregnancies, whereas in case of monozygotic, it could be the monochorionic or it may be dichorionic, depending on the stage of division. So if it is a monochorionic twin pregnancy, the risks are more associate with monochorionic pregnancies, compared to the dichorionic pregnancies. That is where it is important to identify the chorionciity of the pregnancy, which can be done as early as 7 to 13 weeks scan so that we can diagnose the prognosis associated with that type of twin pregnancy. Gold standard for the diagnosis of multiple pregnancy would be our ultrasound scan. However some of the symptoms are little bit exaggerated in multiple pregnancies because of the two babies and because of the excess level of the hormones in the body. In the first trimester it could be the excess vomiting, which we call it as a hyperemesis gravidarum and probably in the second trimester, the patient may complain of excess baby movements and towards the end they may have many symptoms because of the overdistension of the uterus, like the breathing difficulties, sleeping difficulties, eating difficulties. These are some of the symptoms which is extraordinary for the multiple pregnancy. Upto 20 weeks of pregnancy, more or less is singleton and the multiple pregnancy remains the same. But after 20 weeks of pregnancy, because of the rapid growth of the baby, there is an over distension of the uterus and there could be a shortening of the uterus. So the multiple pregnancy patients are at risk for the early delivery, what we call as preterm delivery. Because of these risks, somehow we recommend not to avoid strenuous exercises and activity in multiple pregnancy. However there is no need for the complete bed rest. They can carry on with their normal activity. But just to avoid the strenuous activity, they don’t risk themselves for the preterm delivery.