Complications of Multiple Pregnancy
May 19, 2008
Multiple pregnancies: complications
Pregnancy is a time filled with wonderful experiences and lots of great surprises. But you may also find that you are a little nervous throughout your pregnancy, particularly when it comes to those pregnancy complications. Though most women experience complication-free pregnancies, there is always a risk that you could develop some type of health concern throughout these nine months. In particular, women who are expecting twins or multiples are at increased risk of experiencing pregnancy complications. So, if you are expecting twins or multiples, be sure to become familiar with the signs and symptoms of these complications of multiple pregnancies .
There can be a higher risk for complications. You will be monitored for the normal complications of pregnancy like high blood pressure, and fetal growth. However, twins and other multiples can have higher incidences of things such as Intrauterine Growth Restriction (IUGR), Twin to Twin Transfusion (TTTS), and others. Remember to keep your appointments, watch your diet and do your Fetal Kick Counts.
When you’re pregnant with multiple babies, many of the usual physical problems of pregnancy can start sooner or be exaggerated. Nausea may be more bothersome because of the higher level of circulating hormones. Heartburn, indigestion and the need to urinate frequently are more likely as the enlarging uterus presses on other organs. Back pain is common because of the extra load combined with the ligament-relaxing effects of pregnancy hormones. Sleep problems, piles and varicose veins are all more likely to develop.
If you are carrying multiples, you are also at increased risk for developing preeclampsia or diabetes during your pregnancy. Preeclampsia occurs three to five times more often in twin pregnancies, and occurs in more than 50% of all triplet pregnancies. On average, gestational diabetes occurs 10% more often in multiple pregnancies than in single pregnancies. These complications can be very dangerous to both you and your baby if left untreated. Your health care provider will be sure to screen you for these illnesses at each of your prenatal appointments. With appropriate care, preeclampsia and gestational diabetes can be managed safely.
Why is multiple pregnancy a concern?
preterm labor and birth:
About half of twins and nearly all higher-order multiples are premature (born before 37 weeks). The higher the number of fetuses in the pregnancy, the greater the risk for early birth. Premature babies are born before their bodies and organ systems have completely matured. These babies are often small, with low birthweights (less than 2,500 grams or 5.5 pounds), and they may need help breathing, eating, fighting infection, and staying warm. Very premature babies, those born before 28 weeks, are especially vulnerable. Many of their organs may not be ready for life outside the mother’s uterus and may be too immature to function well. Many multiple birth babies will need care in a neonatal intensive care unit (NICU).
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