Among the many obstetric-gynecological pathologies, multiple pregnancy is one of the most common conditions. Such a pregnancy is considered pathological due to the fact that the simultaneous intrauterine development of several fetuses is very often complicated by various situations that can be dangerous for both the mother and future children. It is important to diagnose multiple pregnancies as early as possible in order to minimize the risks and determine the correct tactics for managing such pregnancies and childbirth. Read about the features of managing multiple pregnancy at estet-portal.com.

Important aspects of managing multiple pregnancies

Multiple pregnancy today is quite common, which is associated primarily with the widespread use of hormonal contraceptives and ovulation stimulants. Multiple pregnancy is associated with a high risk of complications for the mother and fetus, which can develop during pregnancy, directly in childbirth, and even in the postpartum period. When establishing a multiple pregnancy, the efforts of doctors during the medical examination of the expectant mother should be directed, first of all, to the prevention of miscarriage, the assessment of the condition and development of the fetus, as well as the choice of the safest method of childbirth.

Multiple pregnancy:

  • characteristics of management of multiple pregnancy;
  • choice of method of delivery in multiple pregnancies;
  • time interval between the birth of the first and second fetus.

Characteristics of management of multiple pregnancy

The management of multiple pregnancies takes into account the needs of the mother and fetus, and is aimed at preventing miscarriage and the development of intrauterine pathologies.

It is important to consider the following points:

  • the bed rest of a woman with multiple pregnancies should be especially carefully observed from 25 to 35 weeks, that is, from the period of great distension of the uterus until the period when premature birth is not too dangerous for the fetus;
  • a woman with multiple pregnancies is shown to be released from work and given maternity leave at an earlier date;
  • visiting a antenatal clinic for multiple pregnancies is indicated at least twice a month;
  • from the 20th week of pregnancy, regular vaginal examination and ultrasound should be performed;
  • special attention is paid to the prevention and timely diagnosis of infectious processes;
  • in case of a pronounced threat of miscarriage, it is necessary to carry out therapy to accelerate the maturation of light fetuses.

Choosing a method of delivery in multiple pregnancies

Particular attention in multiple pregnancies should be given to the delivery process. Conducting childbirth with multiple pregnancy is possible through the natural birth canal, but at present, in such cases, a caesarean section is much more often recommended in order to prevent dangerous complications in childbirth. Operative delivery is indicated for some specific complications, breech or transverse presentation of the first fetus, hypoxia of one of the fetuses, monoamniotic fetuses, prematurity, connected fetuses, and so on. If, nevertheless, a decision is made to conduct labor through the natural birth canal, the woman is shown the introduction of uterotonic drugs, which is associated with the often occurring weakness of the birth forces in such women in labor.

Time interval between the birth of the first and second fetus

Special attention should be paid to the time interval between the birth of the first and second fetuses. After the birth of the first child, in order to prevent blood loss to the second fetus, it is important to immediately perform the ligation of the umbilical cord. During the first 5-10 minutes after the birth of the first fetus, there is no need to rush to deliver the second, but after 15 minutes, in the absence of spontaneous opening of the fetal bladder, it is necessary to perform an amniotomy. This is due to the fact that when a second fetus is born more than 15 minutes after the birth of the first, the risk of developing complications in it increases. In the absence of contractions, 10-15 minutes after the birth of the first fetus, it is necessary to administer uterotonic drugs to the woman. Both fetuses should be closely monitored during labor.

Add a comment

captcha

RefreshRefresh