Perinatal outcomes
for twin gestations in which the first twin is in cephalic presentation are not improved by cesarean delivery.
Here's what our expert, Dr. Warshak has to say on the subject: «In general, hcg levels are higher
for twin gestations, though definitely not doubled as one might expect.
In general, HCG levels are higher
for twin gestation, though definitely not doubled as one might expect.
Not exact matches
If I run the CDC numbers
for a similar population (
gestation 37 weeks and above, singleton or
twins) and exclude congenital anomalies that resulted in death, I get 0.40
for the same period (2005 - 2009)
for hospitals.
Attempting a home birth also is not advised
for women who are post-term (greater than 42 weeks
gestation), carrying
twins, or have a breech presentation because all carry a greater risk of perinatal death.
External cephalic version
for breech presentation and a trial of labor
for women with
twin gestations when the first
twin is in cephalic presentation also can contribute to the safe lowering of the primary cesarean delivery rate.
External cephalic version
for breech presentation and a trial of labor
for women with
twin gestations when the first
twin is in cephalic presentation are other of several examples of interventions that can contribute to the safe lowering of the primary cesarean delivery rate.
Cobedding of
twins and other infants of multiple gestation is a frequent practice, both in the hospital setting and at home.174 However, the benefits of cobedding twins and higher - order multiples have not been established.175, — , 177 Twins and higher - order multiples are often born prematurely and with low birth weight, so they are at increased risk of SIDS.101, 102 Furthermore, there is increased potential for overheating and rebreathing while cobedding, and size discordance might increase the risk of accidental suffocation.176 Most cobedded twins are placed on their sides rather than supine.174 Finally, cobedding of twins and higher - order multiples in the hospital setting might encourage parents to continue this practice at home.176 Because the evidence for the benefits of cobedding twins and higher - order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas for these infants to decrease the risk of SIDS and accidental suffoca
twins and other infants of multiple
gestation is a frequent practice, both in the hospital setting and at home.174 However, the benefits of cobedding
twins and higher - order multiples have not been established.175, — , 177 Twins and higher - order multiples are often born prematurely and with low birth weight, so they are at increased risk of SIDS.101, 102 Furthermore, there is increased potential for overheating and rebreathing while cobedding, and size discordance might increase the risk of accidental suffocation.176 Most cobedded twins are placed on their sides rather than supine.174 Finally, cobedding of twins and higher - order multiples in the hospital setting might encourage parents to continue this practice at home.176 Because the evidence for the benefits of cobedding twins and higher - order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas for these infants to decrease the risk of SIDS and accidental suffoca
twins and higher - order multiples have not been established.175, — , 177
Twins and higher - order multiples are often born prematurely and with low birth weight, so they are at increased risk of SIDS.101, 102 Furthermore, there is increased potential for overheating and rebreathing while cobedding, and size discordance might increase the risk of accidental suffocation.176 Most cobedded twins are placed on their sides rather than supine.174 Finally, cobedding of twins and higher - order multiples in the hospital setting might encourage parents to continue this practice at home.176 Because the evidence for the benefits of cobedding twins and higher - order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas for these infants to decrease the risk of SIDS and accidental suffoca
Twins and higher - order multiples are often born prematurely and with low birth weight, so they are at increased risk of SIDS.101, 102 Furthermore, there is increased potential
for overheating and rebreathing while cobedding, and size discordance might increase the risk of accidental suffocation.176 Most cobedded
twins are placed on their sides rather than supine.174 Finally, cobedding of twins and higher - order multiples in the hospital setting might encourage parents to continue this practice at home.176 Because the evidence for the benefits of cobedding twins and higher - order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas for these infants to decrease the risk of SIDS and accidental suffoca
twins are placed on their sides rather than supine.174 Finally, cobedding of
twins and higher - order multiples in the hospital setting might encourage parents to continue this practice at home.176 Because the evidence for the benefits of cobedding twins and higher - order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas for these infants to decrease the risk of SIDS and accidental suffoca
twins and higher - order multiples in the hospital setting might encourage parents to continue this practice at home.176 Because the evidence
for the benefits of cobedding
twins and higher - order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas for these infants to decrease the risk of SIDS and accidental suffoca
twins and higher - order multiples is not compelling and because of the increased risk of SIDS and suffocation, the AAP believes that it is prudent to provide separate sleep areas
for these infants to decrease the risk of SIDS and accidental suffocation.
During any pregnancy, there can be multiple
gestations (
for instance, in the case of
twins, or... Continue Reading →
For this reason it is recommended that women pregnant with
twins seek care with a provider well - trained in managing
twin gestations, if not a Perinatologist or high - risk pregnancy specialist.
The lowest perinatal mortality in
twins occurs in infants born between 37 and 38 wk of
gestation (24, 25), and therefore, this gestational age can be considered as an optimal start
for postnatal growth.
«
Twin pregnancies are at substantially higher risk of early preterm birth than singleton pregnancies and this risk is inversely related to sonographically measured cervical length at 20 - 24 weeks»
gestation,» explained lead investigator Kypros H Nicolaides, MD, Harris Birthright Research Centre
for Fetal Medicine, King's College Hospital, London.
«This is a major international study examining an important clinical question — namely, whether a cervical pessary can reduce the rate of preterm delivery in
twin gestations,» commented Roberto Romero, MD, DMedSci, Editor - in - Chief
for Obstetrics of the American Journal of Obstetrics and Gynecology, and Chief of the Perinatology Research Branch of NICHD / NIH.
The rate
for preterm (babies born before 37 weeks
gestation) singletons and
twins fell from 27.9 % in 1988 - 1992 to 12.8 % in 2003 - 2007 in Sweden, and it decreased from a similar figure in Denmark, Finland and Norway to 21.1 %, 17.8 % and 21 % respectively in 2003 - 2007.
For Kim, the easy option has never been the realistic option for Alec or his twin brother who were born at just 26 weeks gestati
For Kim, the easy option has never been the realistic option
for Alec or his twin brother who were born at just 26 weeks gestati
for Alec or his
twin brother who were born at just 26 weeks
gestation.