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This statistic displays the multiple birth twins, triplets or more rate in England and Wales from to The rate of multiple births has increased over the provided time interval. In , there were You need a Single Account for unlimited access. Full access to 1m statistics Incl. Single Account. View for free. Show source. Show detailed source information? Register for free Already a member? Log in.
More information. Supplementary notes. An expectant mother needs to gain more weight in a multiple pregnancy, especially if she begins the pregnancy underweight. With multiples, weight gain of approximately lb. The pattern of weight gain is important too. Healthy birth weights are most likely achieved when the mother gains nearly one pound per week in the first 20 weeks.
The increase in fetal growth with appropriate nutrition and weight gain may greatly improve pregnancy outcome at a minimum of cost. Many physicians who manage multiple pregnancies believe that a reduction in activities and increased rest prolongs these pregnancies and improves outcomes.
However, routine hospitalization for bed rest in multiple pregnancy has not been shown to prevent preterm birth. Women with high-order multiple pregnancies usually are advised to avoid strenuous activity and employment at some time between 20 and 24 weeks. Bed rest improves uterine blood flow and may be helpful for fetal growth problems. Intercourse generally is discouraged when bed rest is recommended. Since preterm birth and growth disturbances are the major contributors to newborn death and disability in multiples, frequent obstetric visits and close monitoring of the pregnancy are needed.
Prenatal diagnosis using a variety of new techniques can be done near the end of the first trimester to screen for Down syndrome and other genetic abnormalities. Amniocentesis may be performed between 16 and 20 weeks. Amniocentesis may be complicated and difficult to perform in twins and triplets and may not be possible in high-order multiple pregnancies. However, reasonable data exist for the use of serum screening in the setting of multiple pregnancies and can be a helpful tool to assess risk of these and other conditions.
Many physicians perform cervical examinations every week or two beginning early in pregnancy to determine if the cervix is thinning or opening prematurely. If an exam or ultrasound shows that the cervix is thinning or beginning to dilate prematurely, a cerclage, or suture placed in the cervix, may prevent or delay premature dilatation.
However, preventative cerclage has not been shown to prevent preterm birth in twins or triplets. Tocolytic agents are medications that may slow or stop premature labor. It is important to attempt to delay delivery to minimize the risks of premature delivery. Ultrasound examinations in the second trimester can identify some birth defects.
Assessment of fetal growth by ultrasound every 3 to 4 weeks during the second half of pregnancy is commonly performed. Every multiple pregnancy should be considered at high risk, and obstetricians experienced with the management of multiple gestations should provide care.
A neonatal intensive care unit nursery should be available to provide immediate and comprehensive support to premature newborns. Vaginal delivery of twins may be safe in some circumstances. Many twins can be delivered vaginally if the lowest infant is in the head-first position. Most triplets will be delivered by cesarean section. Appropriate anesthesia and neonatal support are essential, whether delivery is performed vaginally or requires cesarean section.
Delivery of multiples requires planning by the entire medical team and availability of full intensive-care support following birth. Although the majority of women with a multiple pregnancy do very well, their families may experience significant stress. If prolonged hospitalization is needed, arrangements must be made for work, home, and family care.
Even when medical problems are overcome and the infants survive without disability, the effect of multiple births on family life is substantial.
The impact of a multiple birth clearly affects the parents, but also the babies, other siblings, and the extended family. Financial stresses are common, due to the additional costs of feeding, clothing, housing, and caring for multiple children.
Postpartum depression also is more common after delivery of multiple pregnancies in both the mother and the father and may be long-term. Psychological counseling and support groups may provide a lifeline for the parents of multiples, who may feel isolated or depressed.
Most physicians can provide appropriate referrals to a mental health professional or a support group. The objective of infertility treatment is the birth of a healthy child. In a small percentage of patients, treatment results in multiple pregnancy that may place the mother and the babies at increased risk for an unhealthy outcome.
Since multiple pregnancies and their complications are an inevitable risk of fertility therapies, education about these risks is crucial prior to treatment. Ultimately, prevention is the key to reducing the risk of multiple pregnancy. A professional medical organization of approximately 9, health care specialists interested in reproductive medicine.
A procedure in which a small amount of amniotic fluid is removed through a needle from the fetal sac at about 16 weeks into a pregnancy. The fluid is studied for chromosomal abnormalities that may affect fetal development. Thin membrane that expands to enclose a developing fetus. This membrane sac holds the amniotic fluid that protects the developing fetus.
Assisted reproductive technology ART. Placement of a nonabsorbable suture around an incompetent weak cervical opening in an attempt to keep it closed and thus prevent miscarriage. Also known as a cervical stitch. Cerebral palsy. A disorder causing damage to one or more specific areas of the brain usually occurring during fetal development; before, during, or shortly after birth; or in infancy. Cerebral palsy is characterized by an inability to fully control motor function, particularly muscle control and coordination.
Other problems that may arise are difficulties in feeding, bladder and bowel control, problems with breathing, skin disorders, and learning disabilities. The lower, narrow end of the uterus that connects the uterine cavity to the vagina. Clomiphene citrate. An oral anti-estrogen drug used to induce ovulation in the female. A condition due to abnormal production of insulin resulting in abnormally elevated blood glucose sugar levels. Di - two; zygote - fertilized egg.
Two separate eggs fertilized by separate sperm in a single pregnancy. Fraternal twins. The earliest stage of human development arising after the union of the sperm and egg fertilization. Follicle ovarian. A fluid-filled sac located just beneath the surface of the ovary containing an egg oocyte and cells that produce hormones.
The sac increases in size and volume during the first half of the menstrual cycle and at ovulation the follicle matures and ruptures, releasing the egg. As the follicle matures, it can be visualized by ultrasound. Referring to inherited conditions, usually due to the genes located on the chromosomes.
Gestational diabetes. Elevated blood sugar levels in the mother while she is pregnant. During pregnancy, the placenta normally produces hormones that antagonize insulin. Gestational sac amniotic sac. The fluid-filled sac surrounding an embryo that develops within the uterine cavity. Ultrasound can detect the sac in the uterus at a very early stage of pregnancy. FSH and LH may be purified or synthetically produced to be used as ovulatory drugs.
Substances secreted from organs of the body, such as the pituitary gland, adrenal gland, or ovaries, which are carried by a bodily fluid such as blood to other organs or tissues where the substances exert a specific action. Infertility is the result of a disease of the male or female reproductive tract that prevents the conception of a child or the ability to carry a pregnancy to delivery. That equals a 1. So not super common, but not ridiculously unlikely either.
Just women gave birth to triplets or above in the most recent year of data available , which equates to a 0. And thank goodness, because jeez that would be hectic. As the ONS data indicates, the frequency of multiple births is decreasing each year, with being the third consecutive year that the numbers dropped, and having the lowest multiple maternity rate since Although most multiple births occur naturally, many also occur because of fertility treatment where more than one embryo is placed inside the mother's uterus.
Interestingly, however, the number of mothers over the age of 45 who had multiple births decreased in to its lowest level since , perhaps suggesting that women are having fertility treatment earlier. So there you are, you're now armed with the stats. If you fancy it, go off and make babies, and see whether you're one of the Follow Cat on Twitter. Like this article?
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