Multiple Pregnancy Summary

Summary A pregnancy two or more fetuses called Multiple Pregnancy, with the most common twin pregnancy, the incidence of 1 / 66. In recent years due to the application of ovulation induction drugs, the incidence has increased. Parity more generally, the greater the age, the occurrence of multiple pregnancy may increase the chance, how fetal maternal family history, the incidence of multiple births has also increased. Multiple Pregnancy for high-risk pregnancy, the high rate of maternal and child perinatal morbidity, therefore, more attention should be health care during pregnancy and delivery address. Clinical manifestations 1. Reaction pregnancy weight, the uterus increased significantly, more than the corresponding month of stopping the excessive uterine weight gain, frequent movements 2. Late pregnancy will have difficulty in breathing, lower extremity edema, varicose veins and other symptoms of oppression, accompanied anemia 3. abdomen and can be a number of small limbs and two fetal head, I heard two different rate of fetal heart tone, a difference of 10 times per minute over two intervals whether fetal heart tone areas. Diagnosis 1. Uterine pregnancy than in the corresponding 2. Abdomen and can be two or more fetal head, the two different frequencies of fetal heart rate, and whether the sound interval District 3. Ultrasound showed two or more images of the fetus and the fetal heart rate. Treatment principles 1. Pregnancy: regular prenatal screening, timely diagnosis of multiple pregnancy, increase nutrition, add iron, calcium, vitamin and avoid fatigue late pregnancy, more than bed rest and timely prevention and treatment of complications. 2. Childbirth: births choice of mode of delivery, do infusion by blood and rescue preparations for newborns, and anti-post-partum hemorrhage. 3. Puerperium: increase nutrition, prevention of infection, and promote uterine involution, and correct anemia. Use principles 1. Twins with IUGR (intrauterine growth retardation) cases with intravenous heparin mixture, compound amino acids, glucose, vitamin treatment, supplemented by aspirin and dipyridamole 2. Cases to premature twins with oral and intravenous magnesium sulfate salbutamol better efficacy Ling 3. twin cases of postpartum hemorrhage, with the exception of using contractions, but also choose to support Xintelue of treatment. Supplementary examination 1. Multiple births, pregnancy-induced hypertension with the ad hoc inspections could include restrictions check box "A", "B", 2. Multiple births with polyhydramnios suspected fetal malformation ad hoc inspections to check the box can be limited "A" and "C." Evaluation Cure: the end of maternity leave, maternity without complications.