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Multiple pregnancy = High Risk Pregnancy
When multiple pregnancy it qualifies as a pregnant high-risk obstetrics due to higher chance of complications either during pregnancy as the moment of birth itself.
even be why, in multiple pregnancies, unlike of the singleton pregnancies, most often needing a cesarean mainly by the position they have babies at the time that triggers labor.
Typically, babies are placed with the head down, so is called cephalic or vertex position. However, in cases of twin pregnancy, babies who are this position fail to exceed 50%, and one or both babies are in transverse position, lying on the maternal abdomen, or in breech position, sitting.
The question is, if possible be a vaginal delivery in such pregnancies. Indeed, in cases where the two babies are vertex, headache, may be a vaginal delivery as long as no complications with the umbilical cord so as to placental location. Read the rest of this entry »
Ultrasonography of the third quarter
Observe the growth of the fetus
Measurements. As always, the sonographer begins by walking the sensor on the entire surface of your abdomen. The fetus is already too big for him to see in its entirety, but stopping on the skull, femurs, the doctor is able to take action. These data are essential to ensure the baby continues to grow normally. At this stage of pregnancy, weighing between 1, 4 and 2 kg and measuring about 40 centimeters, all organs are working and will soon be ready to go.
Morphological examination. The sonographer continues his review focusing on organs have developed a disease from ultrasound in the second quarter, including the brain, heart and kidneys. It checks for example that communications are established between the heart and the atria are normal or that the kidneys are working properly.
The fetal well-being. Another important aspect of ultrasound in the third quarter: make sure the baby is moving well, he made hand movements that his animated face and swallows it normally, which means for the specialist as it breathes well. A Doppler examination to verify the quality of exchanges between mother and child and then feeding the fetus via the placenta.
The presentation of the baby. It has already upside down in the lower segment of the uterus? Perfect. Ready for the big trip, it is likely to remain in that position until delivery. A breech deliveries or it appears in transverse position? Do not worry, he can still turn around and another ultrasound at 37 weeks of pregnancy will make sure. If this is not the case, your gynecologist will prescribe a scanner to measure your pool. If it is large enough, you can give birth vaginally. Otherwise, a cesarean will be scheduled.
Placenta Previa
Commonly called Placenta Previa to the implementation thereof in the lower portion of the uterus and expresses an anatomical relationship between where the placenta is located and the lower portion of the uterus. Their frequency is relatively low and often requires more care during pregnancy, mainly rest.
True placenta previa is rare, it is more common placenta that is low, a fact that is often reversed in the course of gestation.
The major problem with the placenta previa is the possibility of occurrence of genital bleeding. This is unpredictable, although it is related to the severity of placenta previa.
The orthodox and accepted is to ban sex for their risk of unleashing a major genital bleeding that endangers the baby and mother.
However, in advising the above takes into account the severity of placenta previa and whether the patient had symptomatic episodes or not.