The rate of triplets and
higher multiple births in 2013 was 119.5 per 100,000 births, a 4 percent decline from the 2012 rate.
Not exact matches
Research suggests that the
high rate of
multiple births in the US is due to more women waiting to have children and using fertility treatments like in vitro fertilization (IVF) when they do.
Also, though fertility generally decreases as women age, the rate of
multiple births is
higher for older women.
The rate of triplets and
higher order
multiple births (like quintuplets), while rarer overall, has also increased dramatically since 1980 — it's more than quadrupled.
According to a Long Island Medical Doctor known for his research on pregnant women and
multiple births, women who consumed dairy products especially milk from hormone treated cows have a five times
higher chance of conceiving twins.
The
high rise in the number of
multiple births was also caused by the use of ART (Assisted Reproductive Technology) and fertility drugs, which help women conceive.
We specialize in: hospital
birth, home
birth, induction, hospital
birth without epidural, hospital
birth with epidural,
high risk, water
birth, cesarean
birth, breastfeeding, bottle feeding, infant care, sleep coaching, overnight care, night nurse, overnight baby nurse, night nanny,
multiples, preemies, special needs, bereavement, childbirth education
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.
But the increase in the
multiple birth rate means not just more twins, but also
higher order
multiples, such as triplets, quadruplets and the like.
If it is ALL
births, including the micro preemies and abnormalities incompatible with life,
high order
multiples and severe maternal illness etc, the results are even more horrifying.
High order
multiple births are thought to be 90 % the result of fertility enhancing drugs or IVF.
The babies were all delivered by Dr. Atef Moawad, an obstetrician who specializes in
multiple and
high - risk
births.
It is more common for
multiple births to be stillborn, while for singletons the risk is not as
high.
«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.
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.
The incidence of
multiple births (
birth of two or more infants) in
high - income countries has risen since the 1970s (Blondel 2002; Collins 2007).
Over-40 mothers are more likely to have a C - section because of their
higher rates of
multiple births and medical complications, but you shouldn't have one unless it's medically necessary.
While successfully breastfeeding twins and
higher order
multiples can be straightforward, it can also be time consuming for the mother, who is likely to need good support at home to ensure she gets sufficient rest and adequate nutrition (
Multiple Births Foundation 2011).
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).
Some mothers report that feeding EBM by bottle is a preferable method because there is certainty about the volume of milk being fed (Niela - Vilén 2014) and it is also a way of allowing others to assist with feeding, particularly with
higher order
multiples (
Multiple Births Foundation 2011).
In - hospital Attended by MD / DO / CNM Gestation 37 weeks and up (it's hard to make this correspond, as MANAStats didn't give gestation lengths, but only 2.5 % of their mothers «showed clinical signs» of preterm
birth) Singleton and twins (MANAStats didn't include any
higher order
multiples) Vaginal and c / s Death from < 1 hour to 28 days of life
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.
Including natural
births, epidurals, caesareans,
multiples, NICU stays, breastfeeding, bottle feeding,
high - risk pregnancies, hospital
births and home
births.
Parents of
multiples are often faced with additional and unique forms of distress in their
birth experiences, as many twins and
higher order
multiples are born prematurely and have extended stays in the NICU.
Multiple pregnancy babies have a much
higher risk of being born prematurely and having a low
birth weights.
First - time parents; Parents of
multiples; Cesarean section
birth / recovery; Families with little local support; Women who want to breastfeed; Families with other young children; Women at risk for or experiencing postpartum depression & anxiety; Premature
births / babies on apnea monitors; Women who have experienced difficult deliveries; Babies with colic or reflux;, Families with
high anxiety levels; Babies with special needs; New parents with limited experience with newborns; Women who have been on bed rest throughout pregnancy; New parents with no family nearby.
«IVF improving, but fertility treatments keep
multiple births high.»
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 suffocation.
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While clomiphene is a first - line treatment used to induce ovulation in women with PCOS, it has downsides — namely that in a significant number of women it does not lead to improved ovulation or live
births, and if it does induce ovulation, it frequently results in pregnancies with
multiples who face much
higher negative outcomes including death.
Multiple births were excluded because even naturally conceived
multiples have a
high risk of complications, Romundstad says.
New estimates of
multiple births suggest that while guidelines have reduced IVF's contribution to the percentage of medically - assisted triplet (or
higher order)
births, non-IVF means are increasing their share.
Although artificially conceived babies have a
higher risk of being born prematurely or as a
multiple birth, we have found they also have parents who are older, better educated and from a
higher income bracket.
Individuals from all 50 states and the District of Columbia were surveyed about insurance coverage for
multiple health services, including mammograms, colonoscopies, dental care, mental health services, screening tests for diabetes and
high cholesterol, vaccines, and
birth control medications.
«These results indicate that the
higher autism risk may be due mainly to the large numbers of
multiple births and complications of pregnancy and delivery among children conceived with ART,» said Christine Fountain, assistant professor of sociology at Fordham University and affiliated researcher at Columbia University.
Diastasis is common in moms who have repeated pregnancies, are older than 35, or deliver twins,
multiples, or a baby with a
high birth weight.
Factors associated with a
higher risk of autism include having parents older than 30, maternal illness during pregnancy, genetic mutations,
birth before 37 weeks» gestation and a
multiple birth.
Women older than 35 are at a
higher risk for developing diabetes and / or
high blood pressure, having a
multiple gestation, delivering prematurely, having a large or a low
birth - weight baby, requiring a cesarean section, having placenta previa, and experiencing pregnancy loss.
Selective aromatase inhibitors are promising new ovulation - inducing agents, which were developed to improve on the success of earlier drugs as well as reducing some of the drawbacks such as a
high rate of
multiple births.
Glossing over or omitting from the main body of the report gynecological problems such as
higher rates of cervical cancer, polycystic ovarian syndrome, blocked fallopian tubes, pelvic inflammatory disease, hormonal disorders and
multiple births
The risk is
higher with
multiple births or many pregnancies.
Fly over cows, fish and birds and you can harvest them for food which can either be sold back at the town, or dropped like a massive pork chop [I kid you not] in order to distract one of the
multiple monoliths stalking the landscape; there's also a massive tornado — which I've given a very wide
birth — as well as creatures on levels
high above you, plus further labyrinths to explore.
Program evaluation has supported this multifaceted approach in
multiple countries and settings.83 Analyses by Nobel Prize — winning economist James Heckman reveal that early prevention activities targeted toward disadvantaged children have
high rates of economic returns, much
higher than remediation efforts later in childhood or adult life.84 For example, the Perry Preschool Program showed an average rate of return of $ 8.74 for every dollar invested in early childhood education.85 Targeted interventions foster protective factors, including responsive, nurturing, cognitively stimulating, consistent, and stable parenting by either
birth parents or other consistent adults.
Aboriginal Australians experience
multiple social and health disadvantages from the prenatal period onwards.1 Infant2 and child3 mortality rates are
higher among Aboriginal children, as are well - established influences on poor health, cognitive and education outcomes, 4 — 6 including premature
birth and low
birth weight, 7 — 9 being born to teenage mothers7 and socioeconomic disadvantage.1, 8 Addressing Aboriginal early life disadvantage is of particular importance because of the
high birth rate among Aboriginal people10 and subsequent young age structure of the Aboriginal population.11 Recent population estimates suggest that children under 10 years of age account for almost a quarter of the Aboriginal population compared with only 12 % of the non-Aboriginal population of Australia.11
The growing trend in multipartnered fertility, along with
high rates of nonmarital
births, means that many men are fathering children from
multiple women at a distance, 45,46 a trait that is associated with greater externalizing behaviours and poorer health among children.47