Presentation
The hospital of lower socioeconomic level presented multiple birth rates of approximately 8 per thousand during the decade, which may be considered as the natural one. [ncbi.nlm.nih.gov]
Entire Body System
- Hypothermia
SGA babies are at a higher risk for complications like asphyxia, meconium aspiration, and hypothermia during and after delivery. That can lead to long-term medical conditions, including cerebral palsy. [safebirthproject.com]
Musculoskeletal
- Torticollis
Four risk factors were identified as having occurred at high frequency in this population: in utero constraint, supine sleeping position, torticollis, and prematurity. [ncbi.nlm.nih.gov]
Psychiatrical
- Depersonalization
Feelings of detachment and unreality were common in the immediate postpartum period, possibly due to transient depersonalization. [ncbi.nlm.nih.gov]
Urogenital
- Vaginal Bleeding
There can be more vaginal bleeding and for a longer time than with a singleton birth. Establishing breastfeeding can take longer. This is especially the case if the babies cannot breastfeed and the mother needs to express her breast milk. [huggies.com.au]
Most trials excluded those women with chorioamnionitis, pregnancy‐induced hypertension, vaginal bleeding, intrauterine compromise or fetal death, and contraindications to betamimetics. (3) Interventions Nine trials compared ritodrine with placebo ( Barden [doi.org]
- Female Sterility
The use of drugs that treat female sterility, or fertility drugs, may increase the chances of giving birth to multiple children. [schoolworkhelper.net]
Neurologic
- Language Delays
Multiples may experience language delay, behavioural disorders, excessive rivalry or dependency. The Multiple Births Foundation is a charity and relies for its income on grants, donations and fundraising activities. [multiplebirths.org.uk]
Treatment
Medically assisted conceptions were defined as those that resulted from IVF or other fertility treatments, whereas natural conceptions were defined as those that were not assisted by fertility treatment. [doi.org]
The latter is more likely if a couple is having some form of infertility treatment. [fertility.treatmentabroad.com]
OBJECTIVE: This study was undertaken to determine proportions of very-low-birth-weight (VLBW) multiple birth infants receiving neonatal intensive care whose mothers received various types of infertility treatment and to evaluate infertility treatment-associated [ncbi.nlm.nih.gov]
Prognosis
Prognosis The U.S. maternal mortality rate for multiple pregnancy is only slightly higher than for singleton. A history of previous dizygotic twins increases the likelihood of subsequent multiple pregnancy 10-fold. [health.am]
The probability of specific adverse outcomes should be discussed, and it is the counseling physician’s ethical obligation to provide adequate information regarding diagnosis, prognosis, and alternative choices, including the option of no intervention. [acog.org]
Etiology
Under these circumstances it is important to make a rapid etiologic diagnosis to provide appropriate therapeutic intervention. [ncbi.nlm.nih.gov]
Epidemiology
Population-based genetic analyses, such as the Genome-Wide Association Study (GWAS), have proven powerful for describing the genetic complexities of common disease in epidemiologic research. [ncbi.nlm.nih.gov]
Epidemiology Currently in America, approximately 1 in every 250 births is a multiple: twins, triplets, or higher-order multiples. [pedsinreview.aappublications.org]
Manisha is a Senior Epidemiologist and Research Fellow and has established a UK-India collaborative platform for maternal and perinatal health research called MaatHRI and is currently using this platform to conduct large epidemiological studies to improve [npeu.ox.ac.uk]
Pathophysiology
Neonatal Encephalopathy and Cerebral Palsy: Defining the Pathogenesis and Pathophysiology. Task Force of American College of Obstetricians and Gynecologists. Washington, ACOG, 2003. [doi.org]
Prevention
(Funded by the Centers for Disease Control and Prevention.) [doi.org]
For multiple gestations, there is no evidence that cerclage is an effective intervention for preventing preterm births and reducing perinatal deaths or neonatal morbidity. [ncbi.nlm.nih.gov]
Women who are taking fertility drugs should always ask their doctor what they can do to prevent having a multi-fetal pregnancy,” Dr. Fleischman said. Dr. [marchofdimes.org]