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Delivery of twins and multiple babiesDDelivery of twins and multiple babiesDelivery of twins and multiple babiesEnglishPregnancyAdult (19+)Body;UterusReproductive systemNAPrenatal Adult (19+)NA2009-09-11T04:00:00Z<p>Nicolette Caccia, MEd, MD, FRCSC<br/>Rory Windrim, MB, MSc, FRCSC</p>11.000000000000047.0000000000000365.000000000000Flat ContentHealth A-Z<p>Learn about the delivery of twins and multiple babies. Precautions, complications, and general considerations are provided.</p><p>Twins and multiple babies are associated with a higher risk of childbirth complications, as well as premature birth. About half of all twins deliver at 36 weeks or less. Half of triplets deliver before 32 weeks. Many mothers of twins and multiple babies go into premature labour spontaneously. Others may need to have premature labour induced because of fetal growth restriction, hypertension in the mother, or placental abruption, where the placenta pulls away from the walls of the uterus. </p><h2>Key points</h2> <ul><li>With multiple babies, precautions should be taken including giving birth in a hospital, a trained obstetric should remain with the mother, and an anaesthetist should be present incase a C-section is required.</li> <li>In very rare cases where the first twin was born prematurely, contractions can stop altogether and the second twin may be born days or weeks later.</li></ul>
Accoucher de jumeaux et de bébés multiplesAAccoucher de jumeaux et de bébés multiplesDelivery of twins and multiple babiesFrenchPregnancyAdult (19+)Body;UterusReproductive systemNAPrenatal Adult (19+)NA2009-09-11T04:00:00Z<p>Nicolette Caccia, MEd, MD, FRCSC<br/>Rory Windrim, MB, MSc, FRCSC</p>11.000000000000047.0000000000000365.000000000000Flat ContentHealth A-Z<p>Apprenez-en davantage sur la naissance de jumeaux et de bébés multiples. On y indique les précautions à prendre, les complications possibles ainsi que certaines considérations générales.</p><p>Le fait d'accoucher de jumeaux et de bébés multiples comporte des risques plus élevés de complications à la naissance, comme la naissance prématurée. Environ la moitié de tous les jumeaux viennent au monde à 36 semaines ou moins. La moitié des triplets viennent au monde avant 32 semaines. Chez un grand nombre de mères de jumeaux et de bébés multiples, le travail prématuré se déclenche spontanément. Dans d'autres cas, il est possible que le travail prématuré soit provoqué par une restriction de croissance fœtale, la présence d'hypertension chez la mère ou un abruptio placenta, un problème caractérisé par le détachement prématuré du placenta des parois de l'utérus.</p><h2>À retenir</h2> <ul><li>Avec les grossesses multiples, des précautions doivent être prises : l’accouchement dans un hôpital, la présence d’un obstétricien, et la présence d’un anesthésiste si jamais une césarienne est requise.</li> <li>Dans de très rares cas où le premier jumeau est né prématurément, les contractions peuvent cesser et le deuxième jumeau peut naître plusieurs jours ou semaines plus tard. </li></ul>

 

 

Delivery of twins and multiple babies411.000000000000Delivery of twins and multiple babiesDelivery of twins and multiple babiesDEnglishPregnancyAdult (19+)Body;UterusReproductive systemNAPrenatal Adult (19+)NA2009-09-11T04:00:00Z<p>Nicolette Caccia, MEd, MD, FRCSC<br/>Rory Windrim, MB, MSc, FRCSC</p>11.000000000000047.0000000000000365.000000000000Flat ContentHealth A-Z<p>Learn about the delivery of twins and multiple babies. Precautions, complications, and general considerations are provided.</p><p>Twins and multiple babies are associated with a higher risk of childbirth complications, as well as premature birth. About half of all twins deliver at 36 weeks or less. Half of triplets deliver before 32 weeks. Many mothers of twins and multiple babies go into premature labour spontaneously. Others may need to have premature labour induced because of fetal growth restriction, hypertension in the mother, or placental abruption, where the placenta pulls away from the walls of the uterus. </p><h2>Key points</h2> <ul><li>With multiple babies, precautions should be taken including giving birth in a hospital, a trained obstetric should remain with the mother, and an anaesthetist should be present incase a C-section is required.</li> <li>In very rare cases where the first twin was born prematurely, contractions can stop altogether and the second twin may be born days or weeks later.</li></ul><p>When a woman carrying a multiple pregnancy goes into labour, a number of precautions should be taken:</p><ul><li>The labour should be carried out at a hospital under the care of an obstetrician. </li><li>A trained obstetric attendant should remain with the mother throughout labour. </li><li>The babies should be monitored throughout labour. </li><li>An anaesthetist should be immediately available in case a caesarean section is needed. </li><li>Each baby requires its own specialist who is skilled in the resuscitation and care of newborns. </li></ul><p>The first twin bears the brunt of dilating the cervix and birth canal. If the twin is in the normal head-down position, there is usually no problem with its delivery. If, on the other hand, the first twin is breech, there may be major problems with vaginal delivery, and a caesarean section may be required. </p><p>The second twin usually comes out within 15 minutes after the first. If the first twin was born vaginally and the second twin is positioned head down, it can usually be born vaginally. Sometimes the doctor may need to turn the baby within the womb, to make its position more favourable for birth. A caesarean section may be required in some cases. </p><p>In very rare cases where the first twin was born prematurely, contractions can stop altogether and the second twin may be born days or weeks later. </p><p>In the case of triplets, the first baby to be born usually comes out vaginally, without complications. The next two babies, however, may need complex obstetrical maneuvers or caesarean section to be delivered safely and many obstetricians recommend caesarean section for all triplets. When the mother is carrying four or more babies, a caesarean section is recommended. </p>https://assets.aboutkidshealth.ca/AKHAssets/delivery_of_twins_multiple_babies.jpgDelivery of twins and multiple babiesFalse

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