«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 results can be used to focus research on other therapeutic interventions that may be more effective in preventing preterm delivery
in twin gestations.»
Premature labor, premature rupture of membranes, diabetes, and blood pressure disorders are far more likely
in twin gestations than singletons.
Not exact matches
Instead of excluding the high risk births from both groups, they include the homebirth outcomes of premature births at 34 - 37 weeks
gestation (13 - 17) breech and
twins (13,14) lethal anomalies incompatible with life (13,14) unattended homebirths (15,16) unplanned homebirths (15,16) or women who became risked out of homebirth by becoming high risk at the end of pregnancy, had hospital births, but are included
in the homebirth group.
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.
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.
The rate of cesarean deliveries among women with
twin gestations increased from 53 %
in 1995 to 75 %
in 2008 (105).
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.
Perinatal outcomes for
twin gestations in which the first
twin is
in cephalic presentation are not improved by cesarean delivery.
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 day
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 day
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
In - hospital (no unknown) Attended by MD / DO / CNM (no other midwife or unknown)
Gestation 37 weeks and up Singleton and
Twins 2005 - 2009 (since MANAStats includes November 05 - Dec 09) Death from < 1 hour to 28 days of life
Few studies regarding
twins have been completed, but
in two small studies with only 45 women, the rates of successful VBAC and uterine rupture did not differ significantly between study subjects and women with singleton
gestations also attempting VBAC (ACOG, 2004).
Our next daughter, Olivia, born
in a traumatic birth at 29 weeks of
gestation, endured many losses including the loss of her
twin sister at their birth, the loss of her birth mother, the loss of gestational time (early eviction on a 9 month lease!)
In general, HCG levels are higher for
twin gestation, though definitely not doubled as one might expect.
In the past, multiple gestations such as twins, triplets, and even quadruplets were commonplace with in vitro fertilization (IVF
In the past, multiple
gestations such as
twins, triplets, and even quadruplets were commonplace with
in vitro fertilization (IVF
in vitro fertilization (IVF).
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.
In addition to exchange between mother and fetus, there may be exchange of cells between twins in utero, and there is also the possibility that cells from an older sibling residing in the mother may find their way back across the placenta to a younger sibling during the latter's gestatio
In addition to exchange between mother and fetus, there may be exchange of cells between
twins in utero, and there is also the possibility that cells from an older sibling residing in the mother may find their way back across the placenta to a younger sibling during the latter's gestatio
in utero, and there is also the possibility that cells from an older sibling residing
in the mother may find their way back across the placenta to a younger sibling during the latter's gestatio
in the mother may find their way back across the placenta to a younger sibling during the latter's
gestation.
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.
Twinning occurred
in two of nine SCNT
gestations at d 18.
A mom of
twins might see more severe morning sickness symptoms with
twins, and earlier
in the
gestation period.
This success saw them enjoy a production run of 12 years, almost unheard of
in the modern motoring world, however the
gestation period of these
twins was longer than their production run and, bizarrely, that story begins with an Audi.