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Pregnant women with twins may have prenatal and postpartum hemorrhage during delivery, so special attention should be taken.
If you are pregnant with twins, the probability of placenta previa increases during pregnancy, which is a kind of bleeding caused by the detachment of the placenta and endometrium in the late stage of pregnancy, and the pregnant woman may bleed profusely during sleep, so she cannot be treated in time. Placenta previa usually develops gradually, with small bleeding that stops for a few days and then increases, and there is a risk of heavy bleeding. Therefore, if there is a history of small bleeding, pregnant women and their husbands should always pay attention to prevent accidents.
In addition, the gradual growth of twins will cause the uterus to expand excessively, so some pregnant women with twin pregnancies often cannot maintain the due date, that is, early delivery. Postpartum hemorrhage due to uterine atony is prone to occur during delivery. Pregnant women who have the conditions can be hospitalized in advance for delivery, and the doctor will choose the mode of delivery according to the situation to avoid accidents.
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1. Regular prenatal check-up to ensure that the fetal position is normal. Because a spontaneous birth is possible only when the fetus is proportionate to the size of the pelvis; 2. The mother should undergo a general physical examination, and the normal delivery should be carried out under the condition that the blood pressure is normal and there is no anemia; 3. Regularly observe the changes in labor during the process of waiting for labor, and detect the fetal fetal heart rate and uterine contractions; 4. Pregnant women should maintain a stable and peaceful state of mind, ensure adequate sleep and maintain physical strength before giving birth. It should be noted that when the mother is unwell, she should seek medical attention in time, and choose cesarean section if necessary.
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Answer]: A twin pregnancy is quietly delivered, after the first fetus is delivered, the umbilical cord should be cut immediately, the assistant corrects the fetal position of the second fetus, maintains the longitudinal and difficult delivery style, and waits for 15 to 20 minutes, and the second fetus is delivered naturally. If there are no contractions after waiting for 15 minutes, artificial rupture of membranes or intravenous infusion of oxytocin can be used to promote contractions.
Oxytocin should be given intramuscularly or intravenously immediately after delivery, and a sandbag should be placed on the abdomen to prevent postpartum hemorrhage.
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In most cases, human pregnancies involve only one fetus at a time, but there are cases where two or more fetuses can be carried at the same time in a single pregnancy. Twin pregnancies, in particular, are not uncommon. According to statistics, one out of every 80 pregnancies is a twin pregnancy.
Because twin pregnancies are pregnant with two babies at the same time, there are many differences between them and singleton pregnancies, so pregnant women who are pregnant with twins should be happy and pay attention to the following items.
Nutrition should be increased during pregnancy. Pregnant women with twins need more nutrients such as calories, proteins, minerals, vitamins, etc., to ensure the growth and development of both fetuses. In twin pregnancies, the blood volume of pregnant women increases more than in singletons, and the iron intake from the diet often cannot meet the needs of both fetuses, so iron deficiency anemia is easy to occur, so iron supplements should also be supplemented to prevent anemia.
The uterus enlarges more rapidly and significantly in twins than in singles, especially after 24 weeks' gestation. In the third trimester, it is easy to have compressive symptoms such as palpitation, shortness of breath, edema of the lower limbs and varicose veins. Therefore, in the third trimester, it is necessary to pay attention to avoid exertion.
Bed rest after 30 weeks of pregnancy is beneficial for reducing compression, increasing blood flow to the uterus, increasing fetal weight, and preventing preterm birth. If possible, pregnant women should be hospitalized early to avoid labor, which can ensure rest and reduce the occurrence of preterm birth.
In addition, regular antenatal visits should be emphasized. Pregnant women are prone to anemia, gestational hypertension, polyhydramnios, premature birth and other abnormalities during twin pregnancies. Regular prenatal check-ups can detect abnormalities early and give them in time**.
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