Clomiphene citrate is a common medication used for women with PCOS and has a high success rate, although it does come with side effects such as mood changes, vomiting, hot flashes, and
high multiple pregnancy rates.
Not exact matches
Many moms of
multiples will encounter hypertension (
high blood pressure) issues during her
pregnancy, one of the most common complications of
pregnancy.
Perhaps you have a
high - risk
pregnancy or carrying
multiple babies.
Risks of a
multiple pregnancy include premature labor and delivery, maternal hemorrhage, C - section delivery,
pregnancy induced
high blood pressure, and gestational diabetes.
While the great majority of
multiple pregnancies result in healthy babies, any
pregnancy with twins or more is considered
high risk.
I now know this is pretty common in
high risk
multiple pregnancies but it still did not sit well with me.
Unfortunately, with a
multiples pregnancy you have a
higher risk of the babies arriving early, so the NICU is something you'll want to learn about to prepare for delivery day.
If you are a
high risk
pregnancy, expecting
multiples etc. you can get a doctor's note and then I believe you are allowed to start maternity leave 4 weeks prior to your EDD.
You may not need a
high - risk doctor, but it's still best to choose someone who is experienced with
multiple pregnancies.
For example, did you know that you have a
higher risk of needing a c - section for delivery when carrying a
multiple pregnancy than you do if you are carrying a single
pregnancy?
If the levels are
high or accelerated, it may indicate a
multiple pregnancy.
* Infant Mortality — Infants resulting from
multiple pregnancies have a
higher risk for infant mortality or the mental and physical issues associated with premature delivery.
Hospitals that provide
high - risk
pregnancy care and delivery often have support groups available for parents - to - be of
multiples.
Our low number of embryos transferred has resulted in a low number of
high - order
multiple pregnancies, so that we have not had a
high order
multiple pregnancy among more than 1000 IVF
pregnancies achieved since mid-2010.
Blastocyst transfer is a procedure allowing the transfer of fewer embryos into the uterus while maintaining
high pregnancy rates and reducing the risk of
high order
multiple pregnancy (triplets and greater).
A
high - order
multiple pregnancy is a conception consisting of 3 or more fetuses.
Single embryo transfer reduces the odds of a
high - risk
multiple pregnancy, improving safety for both the mother and her baby.
When deciding on the number of embryos to recommend for transfer, we carefully weigh all factors with the goal of offering each patient the
highest chance of
pregnancy with the lowest possible risk of a
high - order
multiple gestation (we have this discussion again at the time of embryo transfer).
Blastocyst culture and transfer has brought about a dramatic reduction in the incidence of
high - order
multiple pregnancy, and our ultimate goal is to reduce this incidence to zero.
While
multiple studies have shown that the
pregnancy rate is slightly lower when replacing a single embryo, as compared to 2, the
pregnancy rate is still very
high in a selected patient population (< 35 with extra blastocysts to freeze).
In
multiple - fetus
pregnancies, you may be asked to see a Perinatologist or
high - risk OB.
It is also important to note that excessively
high levels of hCG may indicate
multiple pregnancies or a molar
pregnancy, which results from a nonviable, fertilized egg.
Sometimes extreme
higher order
multiple pregnancies, such as quintuplets or sextuplets, are also too difficult to count accurately on an early ultrasound.
However, it's possible the
higher success rate came at the expense of
higher risk for OHSS and
multiple pregnancy.
Since many twins, and nearly all triplets and
higher order
multiples, are born early, you'll want to schedule a class earlier in your
pregnancy than if you were having a singleton baby.
Multiple pregnancy can be subject to more severe medical complications than a single
pregnancy, and you may be alarmed to find yourself categorized as
high risk.
In
high order
multiple pregnancies, gestation rarely goes over 30 weeks and the babies are all very tiny at birth, ranging in weight from one pound to three or four pounds, maximum.
Nearly all
pregnancies of
high order
multiples results in a cesarean delivery.
Having
higher or lower levels than are normally expected will not cause any changes in your
pregnancy, but may (or may not) be a symptom of something unusual, such as
multiple pregnancies (twins or triplets — more than this would be extremely uncommon unless you are on fertility medication).
Genetic meaning that maybe she has a personal history of mental illness or a family history of mental illness, she might be at
higher biological risk because she might be an older mother, maybe has gone through infertility,
pregnancy loss maybe she has
multiples.
Selective reduction is one of the most unpleasant facts of fertility medicine, which has helped hundreds of thousands of couples have children but has also produced a sharp rise in
high - risk
multiple pregnancies.
The
pregnancy hormone levels, responsible for most of the signs, are even
higher in a
multiple pregnancy while the elevation of blood volume is also greater to provide oxygen and nutrients to
multiple fetuses.
Researchers report more cases of vanishing twin syndrome in women older than 30, though that may be due to the fact that older mothers in general have
higher rates of
multiple pregnancies, especially with the use of fertility treatments.
This includes that the mother must have no significant pre-existing disease, no significant disease arising during
pregnancy, a singleton
pregnancy (no twins or
higher order
multiples), the baby must be head - down, labor must start between 37 and 41 weeks of
pregnancy, the mother must have had no more than 1 previous caesarean section, and labor must begin spontaneously.
The result is that almost half the
pregnancies are twins and a significant number of triplet and
high - order
multiple pregnancies are still occurring1.
«In our study, infants with DP who were the product of a
multiple - birth
pregnancy were disproportionately
higher than in the general population and greater than in previous studies,» Oh said.
The United States and Canada have the world's
highest rate of
multiple pregnancies following fertility treatments.
However, many moms of
multiples are classified as
high risk during their
pregnancy; their
pregnancy does not follow the normal course of events resulting in delivery after nine months.
That includes natural birth, epidurals, cesarean births,
multiples, NICU stays, breastfeeding, bottle feeding,
high - risk
pregnancies, hospital birth and home birth.
There are several factors that may put a pregnant woman at
higher risk of a preterm birth, including a previous preterm birth,
multiple pregnancies such as twins, triplets, etc, some chronic medical conditions such as
high blood pressure, diabetes and infections.
Clinical factors with the
highest adjusted odds for severe PPH during prelabor CD were general anesthesia (adjusted odds ratio [aOR] = 22.3; 95 % confidence interval [CI] = 4.9 - 99.9; reference group = spinal anesthesia),
multiple pregnancies (aOR = 8.0; 95 % CI = 4.2 - 15.0; reference group = singleton
pregnancy), and placenta previa (aOR = 6.3; 95 % CI = 3.4 - 11.8).
More recently, rates of
higher order births (three or more infants) have declined as changes in assisted reproductive techniques (ART) to reduce
multiple pregnancies have been implemented (Smith 2014; Umstad 2013).
The title was changed from «Breastfeeding education and support for women with
multiple pregnancies» to «Breastfeeding education and support for women with twins or
higher order
multiples».
Breech Twins and
higher order
multiples Previous CS Pre-Eclampsia Placenta praevia Cervical incompetence Previous late stillbirth Previous premature birth Grand multiparty Age under 18 Age over 35 Smoking Drug use Severe mental health issue Epilepsy Type 1 diabetes Type 2 diabetes Gestational diabetes Asthma GBS positive Abnormal antibodies Transplant recipient Congenital heart disease Known foetal abnormality Immunosuppressive medication MS Physical disability Intellectual disability Hypothyroidism Hyperthyroidism Previous shoulder dystocia Previous 3rd or 4th degree tear Sickle Cell anaemia BMI under 18 or over 35 at conception Previous massive PPH APH in current
pregnancy HIV / AIDS Hepatitis B or C Active TB IUGR Oligohydramnios Polyhydramnios Child previously removed from custody because of abuse Uterine abnormalities such as uterine septum or double uterus Previous uterine surgery for fibroids Chronic renal problems Hypertension Auto immune condition Previous stroke or blod clot Cancer Domestic violence or abusive home Prisoners Homeless women
(borrowed from Dr Kitty) Breech Twins and
higher order
multiples Previous CS Pre-Eclampsia Placenta praevia Cervical incompetence Previous late stillbirth Previous premature birth Grand multiparty Age under 18 Age over 35 Smoking Drug use Severe mental health issue Epilepsy Type 1 diabetes Type 2 diabetes Gestational diabetes Asthma GBS positive Abnormal antibodies Transplant recipient Congenital heart disease Known foetal abnormality Immunosuppressive medication MS Physical disability Intellectual disability Hypothyroidism Hyperthyroidism Previous shoulder dystocia Previous 3rd or 4th degree tear Sickle Cell anaemia BMI under 18 or over 35 at conception Previous massive PPH APH in current
pregnancy HIV / AIDS Hepatitis B or C Active TB IUGR Oligohydramnios Polyhydramnios Child previously removed from custody because of abuse Uterine abnormalities such as uterine septum or double uterus Previous uterine surgery for fibroids Chronic renal problems Hypertension Auto immune condition Previous stroke or blod clot Cancer Domestic violence or abusive home Prisoners Homeless women
The risk is
higher with
multiple births or many
pregnancies.
In another study in which expectant fathers were sampled for T
multiple times during their partners»
pregnancies and after the women gave birth, those men with
high T during the
pregnancy showed a significant decline in the first week after birth (40).
Women are more susceptible to develop diastasis recti when over the age of 35,
high birth weight of child,
multiple birth
pregnancy, and
multiple pregnancies.
Your chances of developing
pregnancy complications like pre-eclampsia and gestational diabetes are
higher with
multiple pregnancies.
Including natural births, epidurals, caesareans,
multiples, NICU stays, breastfeeding, bottle feeding,
high - risk
pregnancies, hospital births and home births.