[2] Multiple pregnancy: and identification and correction of reversible causes are common to both pregnant and nonpregnant patients.

In the United States, twin births accounted for 3.1% of all live births in 2002. Browse our listings to find jobs in Germany for expats, including jobs for English speakers or those in your native language. 2-breast symptoms: tenderness and fullness may be noticed . Risk factors for natural multifetal pregnancy include advanced maternal age, family history of dizygotic twins, and race. Induced multifetal pregnancies occur following infertility treatment via the use of ovulation-inducing agent or multiple gamete/zygote transfer. Todays seminar Introduction Why to know the changes during pegnancy Systems affected Anaesthetic implications Changes during labour Changes during puerperium. Multiple pregnancy complications | Discover types of multiples & risks The duration of gestation decreases with increasing fetal number producing preterm birth. Multiple gestations may be suspected in the setting of hyperemesis gravidarum or in a patient who has undergone assisted reproductive technology. It associated with higher incidence of maternal, fetal and neonatal morbidity and mortality. Gestational diabetes allows you to more likely to develop form 2 diabetes, but the item wont absolutely happen. Antepartum complications-including preterm labor, preterm premature rupture of the membranes, intrauterine growth restriction, intrauterine fetal demise, gestational diabetes, and preeclampsia-develop in over 80% of multiple pregnancies as compared with In other instances, the priming event may occur with the first vaccine inoculation, usually at birth (hepatitis B). Causes Gestational Diabetes Mellitus Slideshare During pregnancy, the placenta helps make hormones that can result in a build-up of sugar with your blood. Delivery up to 2 weeks earlier or Gestational hypertension. Introduction. It occurs in about 5 percent to 8 percent of all pregnancies. Multiple Pregnancy When more than one fetus simultaneously develops in the uterus, it is called multiple pregnancy. Deficiency occurs in 0.5 to 1.5% of pregnant women; megaloblastic macrocytic anemia is present if deficiency is moderate or severe. We would like to show you a description here but the site wont allow us. Maternal complaints of excessive weight gain, hyperemesis gravidarum, the sensation of more than one moving fetus, the use of ovulation-inducing drugs, or a family history of dizygotic twins should alert caregivers to the possibility of a multifetal pregnancy. 3. Pathophysiology: Presence of solitary, deep arteriovenous channels within the capillary beds of the villous tissue.

Pregnancy induced hypertension (PIH) is a condition wherein vasospasm occurs during pregnancy in both the small and large arteries in the body. Pregnancy Induced Hypertension is a form of high blood pressure in pregnancy. Defined as a systolic blood pressure 140 mmHg or diastolic blood pressure 90 mmHg on 2 separate measurements at least 4 hours apart. Identical multiples also may result if the fertilized egg splits after transfer. With assisted Multiple pregnancy leads to a strong increase in obstetric complications, perinatal morbidity, maternal and child mortality rate, congenital malformations, pre-term birth, and long-term social, psychological and financial difficulties. Delivery date is estimated based on the last menstrual period. Pregnancy, also known as gestation, is the period during which one or more offspring develops inside a woman. THROMBOCYTOPENIA Immune Thrombocytopenias (ITP) formerly known as immune thrombocytopenia purpura and idiopathic thrombocytopenic purpura Cirrhosis Splenomegaly Gauchers disease Familial thrombocytopenia Chemotherapy, radiotherapy Babesiosis, Dengue, Onyalai, Rocky mountain spotted fever Thrombotic Thrombocytopenic In thalassemia, patients have defects in either the or -globin chain, causing production of Chaitanya Hospital is the best Baby delivery hospital in Chandigarh with the double advantage of being a hospital that caters to all the medical needs of a woman and child. Read more about multiple births including its causes, risks and the various special precautions that mothers need to take to ensure a safe delivery. Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy. Mothers carrying two or more fetuses need more calories, protein and other nutrients, including folic acid. Pregnancy The course that the embryo and the fetus grow in the maternal body Stages of pregnancy Early pregnancy: 12 weeks Mid pregnancy: 13 weeks,27 weeks Late pregnancy:28 weeks [13] It was first reported in 1708 as an autopsy finding. multiple pregnancy: Definition Multiple pregnancy is a pregnancy where more than one fetus develops simultaneously in the womb. The main cause for this is idiopathic, but structural, viral and diabetes as causes must be investigated for. The more fetuses, the higher the complications. Also known as gestational hypertension. The vast majority (97-98%) are twin pregnancies. Childbirth usually occurs about 38 weeks after conception, or approximately 40 weeks from the start of the last normal menstrual period. Pregnancy. Folate Deficiency Anemia in Pregnancy. Your health care provider will help manage your multiple pregnancy based on your: Increased nutrition. What Is a Heterotopic Pregnancy? Salpingectomy specimen. 3-frequency of micturation : pressure on the urinary bladder by enlarging uterus. Pregnancy-induced hypertension with onset after 20 weeks' gestation without proteinuria or end-organ dysfunction. The term multifetal gestation includes twins, triplets, and higher-order multiples. It can be the most common twins or even triplets and quadruplets. Physiological changes in pregnancy Dr Megha Aggarwal University College of Medical Sciences & GTB Hospital, Delhi www.anaesthesia.co.in. Description Twins happen naturally about one in every 100 births. 25% Grade II. Definition. A pregnancy can be multiple gestations, as in the case of twins or triplets. Rupture fetal membranes when contractions are established and deliver. Learn everything an expat should know about managing finances in Germany, including bank accounts, paying taxes, and investing. www.anaesthesia.co.in Introduction

Available at: Type 2 diabetes is a metabolic disorder with multiple causes, characterized by chronic hyperglycemia with disturbances of carbohydrate, fat and protein metabolism. History. They are all artistically enhanced with visually stunning color, shadow and lighting effects. Slide 27 -. symptoms of pregnancy 1-Amenorrhoea: abrupt cessation of menses in a woman with regular cycle is highly suggestive. 280 days from the first day of the last menstrual period if periods occur regularly every 28 days. The use of fertility drugs to induce ovulation often causes more than one egg to be released from the ovaries and can result in twins, triplets, or more.. Physiology of Pregnancy. Management of Multiple Pregnancy. -give ergometrine at delivery of anterior shoulder. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; This condition often develops earlier and is more severe than pregnancy with one baby. Multiple Sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system (CNS) with an autoimmune role its pathogenesis. 3. TWIN PREGNANCY Twin pregnancy is the commonest variety of multiple pregnancy. It is of two types: 1. Dizygotic twins (80%),which results from fertilization of two ova leading to fraternal twin. 2. Monozygotic twins (20%),which results from fertilization of one ova leading to identical twin.

Currently, physicians may use all of these tools to diagnose pregnancy at early gestation and to help rule out other pathologies. The classification of multiple pregnancy is based on: number of fetuses:twins,triplets,quadruplets, Rarely, severe anemia and glossitis occur. Polyhydramnios is the presence of amniotic fluid >95th centile. Normally, the majority of adult hemoglobin is composed of four protein chains, two and two -globin chains arranged into a heterotetramer. Pathophysiology. Hypertension in pregnancy Dr-Rashna Sharmin Juthi MBBS Eastern Medical College and Hospital 2. On the other hand, some modifications to basic life support are recommended for pregnant victims of cardiac arrest after the 20th week of gestation [36, 38]. Physiology of Pregnancy. For sexually active women who are of reproductive age and have regular periods, a period that is 1 wk late is presumptive evidence of pregnancy. Pregnancy is considered to last 266 days from the time of conception or 280 days from the first day of the last menstrual period if periods occur regularly every 28 days. 1. multiple pregnancies consist of two or more fetuses Twins make up the vast majority (nearly 99%) of multiple gestations. Pregnancy is divided into three trimesters that roughly approximate specific developmental stages. Pre-eclampsia is a major cause of maternal mortality and morbidity, preterm birth, perinatal death, and intrauterine growth restriction. The prognosis is usually good, with only 1% of structurally normal fetuses on ultrasound having an associated congenital abnormality. There are two types of twinningidentical and fraternal. Multiple Pregnancy: Causes, Symptom and Types - Women looking for the Best Gynecologist in Chandigarh can surely visit Chaitanya Hospital. Overview. In the infant or small child, the priming event may come from a number of sources, such as vaccination of the mother during pregnancy or with intrauterine or early post birth infections [33,34]. It can also increase the chance of placental abruption (early detachment of the placenta).

. Abstract.

Usually, your pancreas will make enough insulin to manage that. Introduction Hypertension is one of the most common complication during pregnancy Increased maternal and perinatal morbidity and mortality It is a sign of an underlying pathology that may be pre- existing or appears for the first time during pregnancy that is why it When a woman carries more than one foetus in a pregnancy, it is called multiple pregnancy. Coitus and conception are the initial stages that occur in humans that allow for the establishment of pregnancy. Gestational Diabetes. Most multifetal pregnancies are prenatally diagnosed. -early cord clamping and controlled cord traction.

It typically lasts 9 months. It is important to differentiate between normal physiological changes and disease pathology. Gestational hypertension. Women carrying multiple gestations may be initially asymptomatic or may have normal signs and symptoms of pregnancy (eg, breast tenderness, fatigue, nausea, vomiting). Physiological changes occur in pregnancy to nurture the developing foetus and prepare the mother for labour and delivery. Pregnancy is considered to last. Multiple pregnancies are becoming increasingly common in the United States due to the expanded use of fertility treatments and older maternal age at childbirth.1, 2, 3 The vast majority (97-98%) are twin pregnancies. 266 days from the time of conception. Many of them are also animated. Women with multiple fetuses are more than twice as likely to develop high blood pressure of pregnancy. 1. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. History. We will guide you on how to place your essay help, proofreading and editing your draft fixing the grammar, spelling, or formatting of your paper easily and cheaply. The incidence of pre-eclampsia ranges from 3% to 7% for nulliparas and 1% to 3% for multiparas.

Delivery before term is a major reason for increased neonatal morbidity and mortality rates in multiple pregnancy. 4 The increased incidence in multifetal gestations is true also of higher-order The diagnosis of pregnancy requires a multifaceted approach using 3 main diagnostic tools. [2] Gestational diabetes generally results in few symptoms; [2] however, it does increase the risk of pre-eclampsia, depression, and requiring a Caesarean section. Liu Wei Department of Ob & Gy Renji hospital. Some of these changes influence normal biochemical values while others may mimic symptoms of medical disease. Slide 28 -. Normal Pregnancy. In addition, these pregnancies often present a challenge in management for the obstetrician. Multiple pregnancies constitute significant risk to both mother and fetuses. Heterotopic pregnancy is defined as the presence of multiple gestations, with one being present in the uterine cavity and the other outside the uterus, commonly in the fallopian tube and uncommonly in the cervix or ovary. The pregnancy A multiple pregnancy tends to be shorter than a single pregnancy. The average gestation for twins is 37 weeks, for triplets 34 weeks and for quadruplets, 33 weeks . Effects of pregnancy Exacerbation of common disorders - Sickness, nausea and heartburn may be more persistent and more trouble. Active management of 3rd stage of labour to prevent PPH. Folate deficiency increases risk of neural tube defects and possibly fetal alcohol syndrome . [57] It occurs in about 0.08% of all pregnancies. -maintain oxytocin infusion for about 2 hours post partum. Velamentous umbilical cord insertion may contribute to the development of unequal fetal blood volumes because the membranously inserted [slideshare.net] Prevention On average, a womans caloric requirements will increase at least 40 percent for a multiple pregnancy. Unfortunately, the pathophysiology of this multisystem disorder, characterized by abnormal vascular response to placentation, is still unclear. The occurrence of this side effect of ART is a test case for the moral quality of the field. Multiple pregnancy..ppt - MULTIPLE PREGNANCY BY DR .S.MACHA MMED(OB The SlideShare family just got bigger. In vitro fertilization (IVF) can lead to a multiple pregnancy if more than one embryo is transferred to the uterus. Get 247 customer support help when you place a homework help service order with us. 20 weeks' gestation. These are history and physical examination, laboratory evaluation, and ultrasonography. Practice Essentials. It involves degeneration of the myelin sheath, scarring and/or plaque formation and the eventual loss of axons in both the white and gray matter (McCance & Huether, 2014). In the circumstance that a pregnancy has multiple foetuses, there can be a situation where one of these foetuses is outside the uterus and inside a fallopian tube.This is known as a non-viable Ectopic Pregnancy.The foetus that forms within the uterus is considered an intrauterine pregnancy. Multiple births are increasing in the United States and account for a large proportion of neonatal morbidity and mortality.