• Her research interests focus on fetal cardiovascular assessment as well as on cardiac dysfunction in patients with congenital heart disease and in fetuses undergoing surgical intervention, including in multiple gestation pregnancies complicated by twin-to-twin transfusion syndrome. (ucsf.edu)
  • Prospective Evaluation of High Titer Autoantibodies and Fetal Home Monitoring in the Detection of Atrioventricular Block Among Anti-SSA/Ro Pregnancies. (ucsf.edu)
  • For most multifetal pregnancies, deliver by cesarean unless the presenting twin is in vertex presentation. (msdmanuals.com)
  • The Department of O&G, SGH is delighted to announce the launch of CHiRP (Centre for High Risk Pregnancies) . (sgh.com.sg)
  • The Department of O&G, SGH has a strong reputation for looking after high risk pregnancies, in particular mothers with medical disorders and those with complications. (sgh.com.sg)
  • We also work very closely with the departments of Neonatology and Anaesthesialogy, whose facilities and expertise in highly specialised intensive and critical care for preterm babies and the unwell mothers are crucial to ensure the best possible outcomes in high risk pregnancies. (sgh.com.sg)
  • The aim of CHiRP is to provide a one-stop multidisciplinary tertiary integrated care service for high risk pregnancies and optimising pre-pregnancy care and counselling for prospective mothers with risk factors . (sgh.com.sg)
  • CHiRP also looks after the educational and training aspects eg courses, simulation training, as well as research initiatives and projects in high risk pregnancies. (sgh.com.sg)
  • Routine prenatal care should be performed in pregnancies with multiple gestations. (medscape.com)
  • [ 4 ] The incidence of spontaneous twins is thought to be approximately 1 in 80 pregnancies. (medscape.com)
  • While the prevalence of cerebral palsy among IVF singletons declined during the study period (from 8.5 to 2.8 per 1,000 births), it was stable for IVF twins, indicating that multiple pregnancies heighten risk, Spangmose presented at the European Society of Human Reproduction and Embryology (ESHRE) virtual meeting . (medpagetoday.com)
  • High rates of twin births after ART have caused criticism because of the severe complications related to twin pregnancies, including cerebral palsy," Spangmose stated in the presentation. (medpagetoday.com)
  • In other words, twin pregnancies yield more cases of children with CP than singleton pregnancies. (medpagetoday.com)
  • Penzias, who was not involved in this research, said that this research was able to distinguish risk among both singleton and twin pregnancies -- conceived either with ART or spontaneously -- in a way that previous studies have not. (medpagetoday.com)
  • Pregnancies of triplets, quadruplets, and above carry risks for the mother and babies, so some couples choose to reduce their multiple pregnancy down to twins. (creatingafamily.org)
  • What infertility treatments result in the higher order multiple pregnancies? (creatingafamily.org)
  • This study evaluated the fetal outcomes and procedure-related prognostic factors after radiofrequency ablation (RFA) in complicated monochorionic multiple pregnancies. (bvsalud.org)
  • The participants were 70 women with monochorionic multiple pregnancies who were candidates for selective fetal reduction by RFA. (bvsalud.org)
  • Some pregnancies become high risk as they progress, while some women are at increased risk for complications even before they get pregnant for a variety of reasons. (nih.gov)
  • Women with high-risk pregnancies should receive care from a special team of health care providers to ensure the best possible outcomes. (nih.gov)
  • The extraordinary rise in the incidence of multiple pregnancies is occasional decline. (cdc.gov)
  • Vincenzo Berghella (VB) has authored over 350 peer-reviewed scientific manuscripts, is the editor or co-editor of medical textbooks such as 'Obstetric Evidence Based Guidelines' (in 3rd edition), 'Maternal Fetal Evidence Based Guidelines' (in 3rd edition), 'Evidence Based Labor and Delivery', 'Obstetrics: normal and abnormal pregnancies', and 'Operative Obstetrics. (isuog.org)
  • Different factors, such as genetic or medical procedures, may induce a twin or multiple pregnancies. (momjunction.com)
  • It's worth noting that there is no guaranteed method on how to get twin pregnancies naturally. (momjunction.com)
  • Even intrauterine treatments such as LASER surgery in pathological twin pregnancies are among our specialties. (uke.de)
  • Pregnancies complicated by multiple births are associated with a higher rate of neonatal morbidity and mortality, paralleling the increased risk of preterm delivery, low birth weight, and other associated high-risk morbidities. (medscape.com)
  • [ 1 ] Maternal morbidity and mortality are also increased in pregnancies complicated by multiple gestations and multiple births. (medscape.com)
  • The incidence of multiple zygotic pregnancies varies in relation to maternal age, the use of assisted reproductive technology (ART), and ethnicity. (medscape.com)
  • Multiple-gestation pregnancies are associated with a significantly higher maternal complication rate than are singleton gestations. (medscape.com)
  • The increase in fetal and neonatal morbidity and mortality associated with multiple- gestation/birth pregnancies correlates with an increased risk of preterm delivery, low birth weight, and intrauterine growth retardation. (medscape.com)
  • Ie, the neonatal mortality rate in multiple-fetus pregnancies is similar to singleton rates, increasing with decreasing gestational age. (medscape.com)
  • The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) recommends that pregnant women have routine obstetric ultrasounds between 18 weeks' and 22 weeks' gestational age (the anatomy scan) in order to confirm pregnancy dating, to measure the fetus so that growth abnormalities can be recognized quickly later in pregnancy, and to assess for congenital malformations and multiple pregnancies (twins, etc). (wikipedia.org)
  • Moreover, cerclage is not recommended for twin pregnancies with a short cervix, as this has been associated with an increased risk for preterm birth. (medscape.com)
  • Véronique Taché, M.D. , is an assistant professor in the Department of Obstetrics and Gynecology's Division of Maternal Fetal Medicine , where she specializes in caring for women with high-risk pregnancies and collaborates daily with colleagues across multiple disciplines on maternal and fetal health issues. (ucdavis.edu)
  • Q. What sparked your interest in maternal-fetal medicine, and especially high-risk pregnancies? (ucdavis.edu)
  • For mothers, problems can include medical complications (for example underlying cardiac diseases, cancer, or autoimmune disorders such as lupus) or pregnancy-related complications (such as early-onset preeclampsia, twin and triplet pregnancies). (ucdavis.edu)
  • Maternal and fetal outcome parameters for singleton and twin pregnancies were investigated using the Wilcoxon test and the Chi-square-test. (scirp.org)
  • How are multiple pregnancies delivered? (aultcare.com)
  • NEW YORK (Reuters Health) Mar 29 - Women with multifetal pregnancies have a higher risk of pregnancy-related death than those with singleton pregnancies, according to new findings published in the March issue of Obstetrics & Gynecology. (blogspot.com)
  • To assess the relationship between pregnancy-related deaths and multiple pregnancies, and identify the risk factors associated with these deaths, the team conducted the first analysis using national data -- the CDC's Pregnancy Mortality Surveillance System. (blogspot.com)
  • The risk of pregnancy-related death among women with twins and higher-order pregnancies was 3.6 times that seen in women with singleton pregnancies. (blogspot.com)
  • We suspected this higher risk because it's already been shown in the past that risks of morbidity increase with multifetal pregnancies," said MacKay. (blogspot.com)
  • But doctors often prescribe bed rest for high-risk pregnancies because they are unsure what causes problems. (docindia.org)
  • Multiple pregnancies occur when you are pregnant with more than one child at the same time. (docindia.org)
  • Multiple pregnancies (usually twins or triplets) occur in 2-3% of all gestations. (womensimagingservices.com.au)
  • The incidence of multiple pregnancies is increasing, principally due to the increasing age of mothers and treatments to assist women conceiving (eg ovulation induction medication or IVF technologies). (womensimagingservices.com.au)
  • Only 1% of monochorionic twin pregnancies will have a single sac: it is a very high risk pregnancy with a risk of entanglement of the umbilical cords of the two fetuses. (womensimagingservices.com.au)
  • What are the major problems with multiple pregnancies? (womensimagingservices.com.au)
  • The ESPRiT Study represents the largest prospective cohort of intensively monitored twin pregnancies studied to date. (perinatalireland.ie)
  • Through intensive prenatal sonographic surveillance and collation of perinatal and neonatal data (with 100% complete follow-up of outcomes now achieved), the ESPRiT investigators aimed to establish a degree of intratwin size discordance, for both monochorionic and dichorionic twin pregnancies, that is independently associated with adverse perinatal outcome. (perinatalireland.ie)
  • Notwithstanding the comparatively low morbidity and mortality rates observed in the ESPRiT twin cohort, twins are known to be at increased risk for stillbirth in the third trimester when compared to singleton pregnancies and it is for this reason that many obstetricians internationally are now motivated to deliver such twins preterm. (perinatalireland.ie)
  • Placental cord insertion and birthweight discordance in twin pregnancies: results of the national prospective ESPRiT trial. (perinatalireland.ie)
  • In order to reduce multiple pregnancies without significantly decreasing pregnancy rates, SET might be a successful strategy. (who.int)
  • Multiple pregnancies ovulatory factor, infertility duration, excluded from the study. (who.int)
  • The percentage of pregnancies with multiple ultrasounds varied by case status and the presence of ultrasound indications. (cdc.gov)
  • Cyril C. Ezenyeaku Department of Obstetrics and Gynaecology, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Amaku, Awka, Nigeria. (ijrcog.org)
  • Professor Sean Daly qualified from Trinity College Dublin in 1988 and trained in Obstetrics and Gynaecology in Ireland. (rotunda.ie)
  • Watch the video as Dr Deepika Aggarwal, consultant obstetrics and gynaecology at the CK Birla Hospital discusses "Hypertension and Preeclampsia - Silent dangers to pregnancy" in full detail. (ckbhospital.com)
  • BJOG: An International Journal of Obstetrics & Gynaecology, 109, 505-508. (scirp.org)
  • BJOG: An International Journal of Obstetrics & Gynaecology, 109, 498-504. (scirp.org)
  • 1Department of Obstetrics & Gynaecology, Istanbul University School of Medicine, Istanbul, Turkey (Correspondence to E. Bastu: [email protected]). (who.int)
  • Multifetal (multiple) pregnancy occurs in up to 1 of 30 deliveries. (msdmanuals.com)
  • With the increasing complexity of cases seen and the growing number of joint clinics, the department of O&G obtained approval to form the Centre for High Risk Pregnancy (CHiRP). (sgh.com.sg)
  • Women who carry multiple gestations may be initially asymptomatic or may have normal signs and symptoms of pregnancy (eg, breast tenderness, fatigue, nausea, vomiting). (medscape.com)
  • Women with a prior history of preterm birth or who have other risk factors for premature delivery may also require high-risk pregnancy care to minimize complications. (brighamandwomens.org)
  • Our team of maternal-fetal medicine specialists (high risk obstetricians), radiologists, surgeons, nurses, and other medical specialists provide supportive and compassionate care before, during, and after pregnancy for women who have or are at risk of having pregnancy complications. (brighamandwomens.org)
  • Our team, which includes maternal-fetal medicine (high-risk pregnancy) specialists, reproductive endocrinologists, geneticists, genetic counselors social workers, and nurses, provides care at our main campus and other locations throughout Greater Boston. (brighamandwomens.org)
  • Our Preterm Birth Clinic features a multidisciplinary team of experts including maternal-fetal medicine (high-risk pregnancy) specialists, gynecologic surgeons, and radiologists who also work closely with neonatologists (experts in the medical care of critically ill newborns) to optimize the long-term health of both mothers and babies impacted by preterm birth. (brighamandwomens.org)
  • Our Prior Stillbirth Clinic features a multidisciplinary team of experts, including maternal-fetal medicine (high-risk pregnancy) specialists, genetic specialists, pathologists, social workers and psychiatrists to optimize care for women and families who have experienced a prior stillbirth. (brighamandwomens.org)
  • A twin, triplet or higher-order multiple s pregnancy carries specific risks and complications for both the babies and mother. (brighamandwomens.org)
  • Hypertensive disease of pregnancy, also known as maternal hypertensive disorder, is a group of high blood pressure disorders that include preeclampsia, preeclampsia superimposed on chronic hypertension, gestational hypertension, and chronic hypertension. (wikipedia.org)
  • Women with pre-existing, or chronic, high blood pressure are more likely to have certain complications during pregnancy than those with normal blood pressure. (wikipedia.org)
  • Chronic poorly-controlled high blood pressure before and during pregnancy puts a pregnant woman and her baby at risk for problems. (wikipedia.org)
  • Women who developed high blood pressure or preeclampsia during a previous pregnancy, especially if these conditions occurred early in the pregnancy. (wikipedia.org)
  • Chronic hypertension is a type of high blood pressure in a pregnant woman that is pre-existing before conception, diagnosed early in pregnancy, or persists significantly after the end of pregnancy. (wikipedia.org)
  • The underlying attributable risk of CP is tied to plurality of pregnancy," said Alan Penzias, MD, a reproductive endocrinologist at Boston IVF and associate professor of obstetrics, gynecology, and reproductive biology at Harvard Medical School. (medpagetoday.com)
  • When should you consider reducing a multiple pregnancy? (creatingafamily.org)
  • Should you ever consider reducing a twin pregnancy? (creatingafamily.org)
  • OBJECTIVE: The purpose of this study was to analyze the influence of early vanishing twin syndrome (VTS) and selective fetal reduction (SEFR) on surviving singleton births in in-vitro fertilization (IVF) pregnancy. (bvsalud.org)
  • What is a high-risk pregnancy? (nih.gov)
  • A high-risk pregnancy is one that threatens the health or life of the mother or her fetus. (nih.gov)
  • Pregnancy in teens and women age 35 or older increases the risk for preeclampsia and gestational high blood pressure. (nih.gov)
  • For more information, visit the High-Risk Pregnancy topic. (nih.gov)
  • My husband and I knew this pregnancy was high risk and that they had the best knowledge and ability to take care of us and our children," says Alisha, now 35, who lives in Wexford and works as a registered nurse at UPMC. (upmc.com)
  • She started out with one high-risk condition, then developed three more during her pregnancy," says Dr. Badway. (upmc.com)
  • Alisha was understandably nervous about the multiple complications she faced during her pregnancy. (upmc.com)
  • Multiple pregnancy rate and embryo number transferred during in vitro fertilization. (ijrcog.org)
  • Savona-Ventura C, Gatt M, Vella K, Grima S. Higher order multiple pregnancy outcomes in the Maltese Islands. (ijrcog.org)
  • Savona-Ventura C, Vella A, Zammit K. Temporal trends in multiple pregnancy rates in the Maltese Islands. (ijrcog.org)
  • Reducing multiples pregnancy from assisted reproduction treatment: educating patients and medical staff. (ijrcog.org)
  • we always place the individual needs and concerns of patients and their families at the focus of what we do, so that parents feel safe and secure, during pregnancy, labor and delivery and after, in case of an uncomplicated as well as a high-risk pregnancy. (uke.de)
  • Our focus is on high-risk pregnancy care and individual risk assessments. (uke.de)
  • Multiple births occur when multiple fetuses are carried during a pregnancy with the subsequent delivery of multiple neonates. (medscape.com)
  • Performing an ultrasound at this early stage of pregnancy can more accurately confirm the timing of the pregnancy, and can also assess for multiple fetuses and major congenital abnormalities at an earlier stage. (wikipedia.org)
  • Research shows that routine obstetric ultrasound before 24 weeks' gestational age can significantly reduce the risk of failing to recognize multiple gestations and can improve pregnancy dating to reduce the risk of labor induction for post-dates pregnancy. (wikipedia.org)
  • For example we have focused specialty clinics, like those specifically dedicated to endocrine issues and diabetes in pregnancy, as well as general high-risk clinics. (ucdavis.edu)
  • The UC Davis Fetal Care and Treatment Center , which includes our team of fetal surgeons, is now equipped to better treat a wide range of birth defects and pregnancy complications, such as neural tube defects and twin-to-twin transfusion syndrome. (ucdavis.edu)
  • Certain high-risk complications during pregnancy can be associated with higher risks of cardiovascular disease down the road. (ucdavis.edu)
  • Certain conditions, such as diabetes or high blood pressure, can affect the health of the fetus if you don't have them under control before you get pregnant or in the early stages of your pregnancy. (healthywomen.org)
  • Here we present a case of conjoined twins in a triplet pregnancy diagnosed at 13 of weeks gestation. (hindawi.com)
  • This case represents to our knowledge the only MRI images of conjoined twins in a triplet pregnancy and demonstrates how 3D imaging can be used to better counsel patients about management options. (hindawi.com)
  • Conjoined twins within a triplet pregnancy are very rare and a recent review suggested the incidence is less than one in a million deliveries [ 3 ]. (hindawi.com)
  • The purpose of this report is to describe the presentation and management of a dichorionic triplet pregnancy complicated by conjoined twins. (hindawi.com)
  • MRI images of conjoined twins in a triplet pregnancy. (hindawi.com)
  • The parents were counseled and options discussed included (1) continue the pregnancy understanding that the shared heart meant the conjoined twins could not be separated should they survive to delivery, (2) terminate the entire pregnancy or, (3) selective feticide of the conjoined twins. (hindawi.com)
  • A review published in 2003 reported thirteen cases of conjoined twins within a triplet pregnancy [ 2 ]. (hindawi.com)
  • The pregnancy went well until the surrogate experienced high blood pressure and other symptoms of preeclampsia , which could have harmed her and the babies. (ksfr.org)
  • He started and ran several important high risk pregnancy services, notably the multiple births service and a national service for the diagnosis and management of fetal congenital heart disease. (rotunda.ie)
  • Gestational hypertension is a pregnancy condition characterised by high blood pressure in pregnancy. (ckbhospital.com)
  • Don't be alarmed if your doctor observes high blood pressure during your pregnancy, many women with high blood pressure deliver healthy babies. (ckbhospital.com)
  • It is important to carefully monitor and manage signs of high blood pressure during pregnancy as it can result in severe blood pressure conditions such as preeclampsia. (ckbhospital.com)
  • Regular exercise can go a long way in managing high blood pressure in pregnancy. (ckbhospital.com)
  • In women with high pre-gestational BMI and twin pregnancy, our aims were to explore the biochemical and hematological parameters and to study the rate of obstetric adverse outcomes. (mdpi.com)
  • Whether you're pregnant or planning to be, our obstetrics team will help you through every step of your pregnancy journey. (cherokeewomenshealth.com)
  • HIGH-RISK PREGNANCY - Our physicians and advanced practice providers offer compassionate care and monitoring to ensure everything goes smoothly for both mother and baby throughout the pregnancy. (cherokeewomenshealth.com)
  • We have delivered thousands of babies, and can accommodate a range of birthing plans for expectant mothers, whether your pregnancy is normal or high risk. (cherokeewomenshealth.com)
  • The nurses and the doctors were all so nice and patiently answered all my questions about my high-risk pregnancy. (cherokeewomenshealth.com)
  • How is a multiple pregnancy managed? (aultcare.com)
  • Twin pregnancy with two placentas. (aultcare.com)
  • Multiple pregnancy raises the risk for complications. (aultcare.com)
  • Some of the services provided by the doctor are: Prenatal Checkup, High-Risk Pregnancy Care Pregnancy with PCOD, Obstetrics/Antenatal Care etc. (docindia.org)
  • Twins Pregnancy: How to Stay Healthy? (docindia.org)
  • It usually carries higher hazards than a singleton pregnancy (carrying only one kid). (docindia.org)
  • The most common multi-fetal pregnancy is twins, but mothers have given birth to up to eight children (octuplets) from a single pregnancy. (asu.edu)
  • Exclusion criteria are known monochorionic twins or clinical evidence of twin-twin transfusion syndrome, triplet or higher order multiple pregnancy, and known major congenital malformation. (biomedcentral.com)
  • Dizygotic twin pregnancy - where two eggs are fertilised in the same cycle (65% of all twins). (womensimagingservices.com.au)
  • Monozygotic twin pregnancy - where a single egg is fertilised but later divides to form two fetuses (35% of all twins). (womensimagingservices.com.au)
  • During pregnancy we often cannot determine the zygosity of twins (unless one is a boy and the other a girl). (womensimagingservices.com.au)
  • Chorionicity refers to the type of placentation in a twin pregnancy and is used to stratify obstetric risk level. (womensimagingservices.com.au)
  • A monochorionic twin pregnancy means that there is one single placental disc with each baby sharing the placental mass with the co-twin. (womensimagingservices.com.au)
  • Conjoined twins: If the egg divides very late, after two weeks following initial fertilisation, the fetuses are fused within a single pregnancy sac. (womensimagingservices.com.au)
  • The chorionicity of a twin or higher order multiple pregnancy can be accurately determined at the time of First Trimester Screening or earlier if an ultrasound scan has been performed in the early first trimester. (womensimagingservices.com.au)
  • The Preterm Birth Clinic offers highly specialized care for preterm birth, including prevention in women at high risk for preterm birth or recurrent preterm birth and strategies to minimize complications in a babies born prematurely. (brighamandwomens.org)
  • The risk of complications is higher in women carrying more than one fetus (twins and higher-order multiples). (nih.gov)
  • Those were just the beginning of multiple complications Alisha and her team of UPMC doctors would deal with over the next nine months. (upmc.com)
  • According to a study led by Alan T.N. Tita, assistant professor in the UAB Department of Obstetrics and Gynecology, "Women who choose to have their babies delivered via repeat caesarean at 37 or 38 weeks without a medical or obstetric indication, risk serious complications for their child. (gynob.com)
  • Generally, in twins, if both babies are in the head-down (vertex) position and there are no other complications, a vaginal delivery is possible. (aultcare.com)
  • For example, bed rest might be suggested for serious complications like high blood pressure, preterm labor, and certain kinds of vaginal bleeding. (docindia.org)
  • This research has revealed that a difference of 18% or more in twin birth weights is associated with an increased risk of fetal or neonatal death, bowel complications, breathing difficulties, infection and admission to the neonatal intensive care unit. (perinatalireland.ie)
  • Multiple births are increasing in the United States and account for a large proportion of neonatal morbidity and mortality. (medscape.com)
  • In Nigeria, the rate of twinning has been reported as high as 49 per 1000 births. (medscape.com)
  • The present study by Spangmose and colleagues indicates that while the risk of cerebral palsy with IVF has decreased with a rise in rates of single embryo transfer, that of twin births is not changed. (medpagetoday.com)
  • Multiple births. (nih.gov)
  • This report presents data from U.S. birth certificates on the The number and rate of twin and triplet and other higher order numbers and rates of twin and triplet and other higher order multiple multiple births have climbed at an unprecedented pace over the last births for 1980-97. (cdc.gov)
  • Over the study period, the number of twin births two decades. (cdc.gov)
  • Between 1980 and 1997, the number of live births in rose 52 percent (from 68,339 to 104,137) and triplet and other higher twin deliveries rose 52 percent and the number of live births in triplet order multiple births (heretofore referred to as ``triplet/+'') climbed and other higher order multiple deliveries soared 404 percent. (cdc.gov)
  • The extraordinary rise in multiple births resulted in a shift in age-specific patterns, and the highest twin and triplet/+ birth rates now are for women 45-49 years of age. (cdc.gov)
  • Rates of low birthweight, very low birthweight, and infant mortality were 4 to 33 times higher for twins and triplet/+ compared with singleton births. (cdc.gov)
  • infants born in multiple deliveries are born earlier and smaller the 1990's and the number of these births has doubled since 1989 than singletons, are less likely to survive the first year of life, and are (from 269 to 589 births). (cdc.gov)
  • Ethical issues of high-order multiple births. (ijrcog.org)
  • However, between 2014 and 2018 there has been a remarkable decrease in the number of twin births in the 40+ women, while it slightly increased for the mothers under 20 years age. (momjunction.com)
  • The term "multiple births" refers to the delivery of twins and higher-order multiples (ie, triplets, quadruplets, etc). (medscape.com)
  • The incidence of monozygotic twins is constant worldwide, approximately four per 1000 births. (medscape.com)
  • The incidence of multiple births increased significantly in the late 20th century in the United States and worldwide. (medscape.com)
  • As previously stated, the incidence of monozygotic twins is constant worldwide (approximately 4 per 1000 births). (medscape.com)
  • Birthrates of dizygotic twins vary by race (10-40 per 1000 births in blacks, 7-10 per 1000 births in whites, and approximately 3 per 1000 births in Asians) and maternal age (ie, the frequency has risen with increasing maternal age ≤40 years). (medscape.com)
  • In the United States, a plateau in the prevalence of multiple births has been observed since 2004. (medscape.com)
  • Statistics from 2004-2010 showed that the prevalence of twin deliveries in the United States remained stable at approximately 32 per 1000 live births, compared with a decreasing prevalence of higher-order multiple deliveries (see the graphs below). (medscape.com)
  • The Yorubas of southwestern Nigeria have a birthrate of 45 twins per 1000 live births, with approximately 90% being dizygotic. (medscape.com)
  • Because it is common for multiple eggs to be transferred back into the uterus, there is a higher chance of having multiple births. (health.am)
  • Some doctors recommend transferring only one egg in order to eliminate the chances of multiple births. (health.am)
  • Most of the and ratio of live births in triplet and other higher order increase was among births to white mothers, particularly multiple deliveries from 1971 to 1994 by maternal race, age, among married and more educated mothers. (cdc.gov)
  • Most analyses are based on triplet and other higher- average triplet weighed 1,698 grams at birth, one-half that of order multiple births (quadruplet and quintuplet and greater the average singleton (3,358 grams). (cdc.gov)
  • Triplet births comprise about 92 per- times more likely to die during the first year of life as cent of all higher order multiple births. (cdc.gov)
  • In 2000, for example, only 18% of triplets and other higher-order births resulted from spontaneous conception, the rest resulted from either ART or ovulation-inducting drugs. (blogspot.com)
  • The increase in multiple births and its consequences on perinatal health]. (uni-muenchen.de)
  • 90% of multiple births. (womensimagingservices.com.au)
  • A dichorionic twin placenta means that there are two separate placental discs - they may be widely separated in the uterus or in close proximity depending upon where the two embryos implanted in the uterus. (womensimagingservices.com.au)
  • Monozygotic twins may have a dichorionic placenta if the single fertilised egg divides in the first 3 days after conception. (womensimagingservices.com.au)
  • Inextricably dependent upon each other, this form of placentation can be viewed as conjoined twinning of the placenta. (womensimagingservices.com.au)
  • Monochorionic monoamniotic twins: If the egg divides between day 8 and 13 after fertilisation, a single placenta and a common amniotic sac occurs. (womensimagingservices.com.au)
  • Twins who shared a single placenta, 'monochorionic' twins, were found to be at the highest risk and the larger twin was at equal risk of morbidity as his/her smaller co-twin. (perinatalireland.ie)
  • This study has found that the risk of stillbirth among single placenta twins after 34 weeks is 1.5% and that while planned delivery of all such twins may abolish that specific risk, such a decision incurs a cost of neonatal morbidity that translates into rate of admission to Neonatal intensive care of 88% at 34 weeks, falling to 9% at 38 weeks. (perinatalireland.ie)
  • The term multifetal gestation includes twins, triplets, and higher-order multiples. (medscape.com)
  • A dichorionic, diamniotic gestation can show evidence of a "twin peak" or "lambda" sign. (medscape.com)
  • With two embryos transferred, the risk of a multiple gestation was found to be 22.7% and 19.7% for women aged 20-29 years and 30-34 years, respectively. (medscape.com)
  • More than one-half of all twins and as many as 93% of triplets are born at less than 37 weeks' gestation. (nih.gov)
  • A thirty-two-year-old gravida 1 para 0 was referred to High Risk Obstetrics with a diagnosis of dichorionic diamniotic twin gestation. (hindawi.com)
  • An early ultrasound at six weeks gestation was reported as a dichorionic diamniotic twin gestation. (hindawi.com)
  • This scan identified a triplet gestation complicated by a set of conjoined twins. (hindawi.com)
  • A repeat scan was performed four days later again confirming a viable singleton gestation with fetal demise of conjoined twins. (hindawi.com)
  • Doctors ordered an emergency delivery at 34 weeks of gestation. (ksfr.org)
  • 32 weeks' gestation), increased attention has recently been given to better understanding the reasons for the high rate of late and moderate preterm birth, its causes, short and long term sequelae, and opportunities for prevention. (cdc.gov)
  • However, some women develop high blood pressure while they are pregnant (often called gestational hypertension). (wikipedia.org)
  • These women also face a higher risk for poor birth outcomes such as preterm delivery, having an infant small for his/her gestational age, and infant death. (wikipedia.org)
  • At 34 weeks, she was diagnosed with gestational hypertension, or high blood pressure, yet another complication that required additional monitoring. (upmc.com)
  • The gestational surrogate was admitted to obstetrics by her doctor without going through the emergency department, which prompted Cigna to initially conclude there was no emergency, said Dylan Kirksey of Resolve Medical Bills , a consultancy that eventually worked with the Bulls to resolve the claims. (ksfr.org)
  • In addition, a proper control of gestational weight gain would improve the outcomes in mothers with high pre-gestational body mass index (BMI). (mdpi.com)
  • The Center for Fetal Medicine and Prenatal Genetics offers compassionate, comprehensive assessment and treatment of inherited conditions and a wide range of fetal disease including twin-twin transfusion syndrome, fetal airway obstruction, hypoplastic left heart syndrome, and congenital diaphragmatic hernia. (brighamandwomens.org)
  • With this setting the Department for Obstetrics and Prenatal Medicine has seen an unprecedented boom since 2003: the number of deliveries annually quadrupled! (uke.de)
  • He has published widely in the areas of prenatal diagnosis, diabetes, twins, fetal growth and preterm birth. (rotunda.ie)
  • Your obstetrician might order routine blood and urine tests during your prenatal visits. (ckbhospital.com)
  • Overall, our results suggest the need for public health policy makers in Zimbabwe to focus on ensuring high-quality prenatal care especially in low-income and rural segments of the population to save Zimbabwe's children. (uni-muenchen.de)
  • Multiple gestations may be suspected in the setting of hyperemesis gravidarum or in a patient who has undergone assisted reproductive technology. (medscape.com)
  • Multiple gestations may also be suspected if the uterine size is greater than expected compared to menstrual dates. (medscape.com)
  • Ultrasound examination remains the most reliable method for diagnosis of multiple gestations. (medscape.com)
  • Given the risks that multiple gestations confer, some women elect for fetal reduction, especially in the setting of higher order multiples. (medscape.com)
  • The availability of assisted reproductive technology has contributed to the increase in multiple gestations seen over the past 20 years. (medscape.com)
  • The risk of multiple gestations during in-vitro fertilization is directly related to maternal age and number of embryos transferred. (medscape.com)
  • Conde-Agudelo A, Belzian JM, Lindmark G. Maternal morbidity and mortality associated with multiple gestations. (ijrcog.org)
  • Triplet and other singletons, but had a survival advantage over singletons at higher order birth ratios for most variables are computed by lower gestations and birthweights. (cdc.gov)
  • There are more and more obese mothers with twin gestations. (mdpi.com)
  • Most triplets and other higher-order multiples are born by C-section. (aultcare.com)
  • The most frequent RFA indications were twin-to-twin transfusion syndrome following selective intrauterine growth restriction. (bvsalud.org)
  • We were diagnosed with a fetal syndrome called Twin-to-Twin Transfusion Syndrome. (issuu.com)
  • Conjoined twins are a rare complication of monozygotic twinning and are associated with high perinatal mortality. (hindawi.com)
  • Hence, advanced maternal age is associated with an increased prevalence of twin birth. (medscape.com)
  • During the 1990's twin pronounced rises were observed in twin and triplet/+ birth rates. (cdc.gov)
  • Growth in twin and triplet/+ birth rates was most marked among women aged 30 years and over. (cdc.gov)
  • Australian Multiple Birth Association (AMBA). (ijrcog.org)
  • As fascinating as it may be, the chances of giving birth to twins are often purely random. (momjunction.com)
  • According to the data released by the US National Center for Health Statistics, the twin birth rate showed an increasing trend with the increase in the age of the mother. (momjunction.com)
  • On the other hand, our patient-centered approach is meant to help all expectant mothers to be confident and relaxed about giving birth - including those expecting a multiple birth, a breech birth or women in a risk group. (uke.de)
  • highest triplet birth ratio (215.9), more than twice the U.S. (cdc.gov)
  • Other States with comparatively high ratios were cates of live birth. (cdc.gov)
  • If you have already had a child with a neural tube defect, such as spina bifida, a type of birth defect in which the baby's spine doesn't close all the way, you are at a higher risk of having another child with the defect, and therefore, you should take more folic acid, 4 to 5 milligrams, as an extra precaution. (healthywomen.org)
  • The woman who carried and gave birth to their twins lived two states away. (ksfr.org)
  • A caesarean birth is one that is performed surgically and involves cutting through the abdominal wall and the uterine wall in order to remove the baby from the mother's womb. (gynob.com)
  • It is known that babies born by caesarean delivery are more likely to develop breathing problems, asthma and allergies as they grow older and a child born by caesarean birth has a 20% higher risk of developing diabetes. (gynob.com)
  • In the past 20 years, twin birth rates have increased 55% in the United States and higher order birth rates increased 388%, according to the authors. (blogspot.com)
  • The ESPRiT study also found that 77% of twin labour trials (natural labour, performed under observation by an obstetrician in order to achieve vaginal birth) were successful and infant morbidity rates were no different from those following a planned caesarean twin delivery. (perinatalireland.ie)
  • She is an editor of the journal Ultrasound in Obstetrics and Gynecology and the Journal of the American Society of Echocardiography. (ucsf.edu)
  • The paradox of declining fertility but increasing twinning rates with advancing maternal age. (ijrcog.org)
  • Read on as we tell you about the chances of conceiving twins, including factors to increase the probability and different fertility treatments that might help you with the same. (momjunction.com)
  • Here is an overview of the most common hi-tech treatments for fertility problems. (health.am)
  • Multiple fetusus can result from the release of multiple eggs or multiple ovulations, the splitting of a single fertilized egg, and fertility treatments such as in vitro fertilization (IVF) which involves the insertion of many fertilized eggs into the mother's uterus. (asu.edu)
  • This was this was done in order to facilitate the rapid conduct of a caesarean delivery in dire emergencies such as umbilical cord prolapse. (ispub.com)
  • Twins had lower five and ten minutes Apgar levels (p = 0.040 and 0.002), but higher umbilical cord pH values than singletons (p (scirp.org)
  • Regular visits are scheduled to track blood pressure and level of protein in urine, to order and analyze blood tests that detect signs of preeclampsia, and to monitor fetal development more closely. (wikipedia.org)
  • Sugar and Greg Bull play with their twins, Redford and Scarlett, who were born prematurely in 2020. (ksfr.org)
  • Obstetrics & Gynecology135(2):274-275, February 2020. (lww.com)
  • CONCLUSIONS: DET with subsequent VTS/SEFR carried a higher rate of adverse clinical outcomes, and the VTS group had worse perinatal outcome compared with SEFR. (bvsalud.org)
  • The risk for these adverse outcomes was lowest for twins and triplet/+ born to women 35-44 years of age. (cdc.gov)
  • Although many pregnant women with high blood pressure have healthy babies without serious problems, high blood pressure can be dangerous for both the mother and baby. (wikipedia.org)
  • To these growing requirements we have continuously responded with staff increases and building measures in order to guarantee ongoing optimal care for more and more mothers and babies. (uke.de)
  • Twins are two babies carried in the same womb. (docindia.org)
  • All dichorionic twins have two separate sacs (medically termed amniotic sacs) in which the babies live. (womensimagingservices.com.au)
  • The natural childbirth industry - a group of Western, white, relatively wealthy women - has weaponized the tragedy of maternal mortality in order to attack modern obstetrics. (skepticalob.com)
  • Dizygotic twins are almost always dichorionic, diamniotic. (medscape.com)
  • Dizygotic twins are thought to result from the ovulation of multiple follicles caused by elevations in serum gonadotropin levels. (medscape.com)
  • Non-identical , also known as dizygotic twins, develop when two eggs are fertilized by two sperms. (momjunction.com)
  • Birthrates of dizygotic twins vary by race. (medscape.com)
  • The highest birthrate of dizygotic twins occurs in African nations, and the lowest occurs in Asia. (medscape.com)
  • Dizygotic twins tend to occur more frequently with increasing maternal age, couples with a family history of twins, particular racial types and from assisted reproductive technology (eg IVF, ovulation induction). (womensimagingservices.com.au)
  • Dizygotic twins always have this form of placentation. (womensimagingservices.com.au)
  • Based on a value from zero to 10, where 10 denotes the highest quality with the highest potential, embryos are analysed in real-time with results generated in less than a minute. (rafflesmedicalgroup.com)
  • Multiple embryo transfer is still standard care in many countries," she said in a press release. (medpagetoday.com)
  • The good quality embryo rate was higher in VT group (72.7% vs. 63.3%, p = 0.001) compared with the singleton group. (bvsalud.org)
  • The age, demographic features and cy, for many years multiple embryo in the future. (who.int)
  • Dichorionic, diamniotic twins result if the fertilized egg splits 0-3 days after fertilization. (medscape.com)
  • Thus this sort of twinning is described as dichorionic and diamniotic (two placentas and two fluid-filled sacs, each containing one baby). (womensimagingservices.com.au)
  • For cases the perinatal mortality among singletons was 5.7% and 17.14% for twins (control group 1.41% and 2.63%, respectively). (scirp.org)
  • Especially the perinatal mortality is high in emergency cesarean section, particular for twins. (scirp.org)
  • She covers obstetrics-gynecology and other clinical news, and writes features about the U.S. healthcare system. (medpagetoday.com)
  • She also serves as a collaborator and mentor on a variety of obstetrics studies, including clinical trials, prospective and retrospective observational studies, and qualitative studies. (stanford.edu)
  • Our guest will be Dr. Mark I. Evans, one of the leading authorities on fetal reduction in the US, and professor of Obstetrics and Gynecology at Mt. Sinai School of Medicine. (creatingafamily.org)
  • Monochoronic diamniotic twins: When the egg divides 3-8 days after fertilisation two separate amnions are present. (womensimagingservices.com.au)
  • Dizygotic twinning can occur more frequently in some families. (medscape.com)
  • These are: Women with chronic hypertension (high blood pressure before becoming pregnant). (wikipedia.org)
  • Caesareans are now preferred in cases of a breech presentation, if there are multiples (twins or triplets), if the mother is overweight, if she's older, or if there is a fear of pelvic prolapse. (gynob.com)
  • Besides providing analgesia in labor, regional analgesia may facilitate atraumatic vaginal delivery of twins, preterm neonates, and neonates with breech presentation. (medscape.com)
  • Morbidity amongst children born very preterm is also high compared to those born at term. (biomedcentral.com)
  • Eighteen dy- ads participated in this study, divided into three groups: primiparous mothers with twin newborns (PMT), primiparous mothers (PM), and multiparous mothers (MM). (bvsalud.org)
  • Twins can be classified as monozygotic, originating from the fertilization and subsequent division of one egg, or dizygotic, originating from the fertilization and development of two eggs. (medscape.com)
  • During ovulation induction treatment, the ovaries are stimulated to produce several follicles, thus increasing the risk of multiple eggs being released and subsequently fertilized. (medscape.com)
  • You may have higher chances of hyperovulation (releasing two eggs during ovulation i X A phase during the menstrual cycle where a mature egg releases from the ovary process). (momjunction.com)
  • If you decide to try IVF, you will first receive hormones (like a gonadotropin) to stimulate your ovaries in order to produce enough eggs for retrieval. (health.am)
  • Others argue against this because IVF has a low success rate with multiple eggs (only about 65% of couples successfully conceive through IVF) and will only have a lower success rate if there is just one egg transferred. (health.am)
  • Cesarean delivery is recommended for twins unless the presenting twin is in vertex presentation. (msdmanuals.com)
  • Higher-order multiples are typically delivered by cesarean regardless of presentation. (msdmanuals.com)
  • Since 2008, the Program for Surgical Obstetrics and Placental Abnormalities has offered specialized, compassionate care for women who face a complicated delivery due to a cesarean section identified as being complex, risk for heavy bleeding, or need for an additional surgery or hysterectomy. (brighamandwomens.org)
  • Objectives: Emergency cesarean is performed, when a situation requires immediate action in order to reduce the risk to mother and/or child, while urgent cesarean is done if a non-life threatening but compromising situation occurs. (scirp.org)
  • You can also carry three or more infants at once (high-order multiples). (docindia.org)
  • Between 1980-82 and 1995-97, the twin rate rose 63 percent for women aged 40-44 years, and soared nearly 1,000 percent for women 45-49 years. (cdc.gov)
  • As one result, there were more twins born to women 45-49 years of age in 1997, than during the entire decade of the 1980's. (cdc.gov)
  • More twins born to women 45-49 years of age in 1997 rates (4,5,6). (cdc.gov)
  • RESULT(S): Compared with the control women, the patients with endometriosis had higher MMP-2 levels in their sera and peritoneal fluids. (endometriosi.it)
  • Women die from lack of high tech care, not too much of it. (skepticalob.com)
  • The Institute of Medicine advises that women carrying twins who have a normal body mass index should gain between 37 and 54 pounds. (aultcare.com)
  • When she found out she was pregnant again (this time with twins), Alisha turned to obstetrician-gynecologist David Badway, MD , the same doctor who delivered her son. (upmc.com)
  • The question of how to get pregnant with twins has no definite answer. (momjunction.com)
  • The ESPRiT investigators also aimed to clarify a level of twin size discordance that merits heightened fetal surveillance and consideration for iatrogenic preterm delivery in such cases. (perinatalireland.ie)