Multiple pregnancy (twins, triplets, etc)



Description

A pregnancy of two or more fetuses. Multiple fetuses can be the same (identical) or different (fraternal). The following increase the chance of multiple pregnancies: heredity (a family history of multiple pregnancy increases the chances of having twins); older age (women over 30 have a greater chance of multiple conception); high parity (having one or more previous pregnancies, especially a multiple pregnancy);  taking fertility drugs, and receiving fertility treatments to become pregnant.

Symptoms

Uterus is larger than expected for the dates in pregnancy, increased morning sickness, increased appetite, excessive weight gain, especially in early pregnancy, fetal movements felt in different parts of abdomen at same time.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. An ultrasound can detect multiple pregnancies in the first trimester.

Tests:
Pregnancy (BHCG) test, Ultrasound

Specialists:
Obstetrics and Gynecology

Treatment

Treatment depends on the number of fetuses, and other factors during the pregnancy. The pregnancy will be monitored closely and the type of delivery will be based on the fetal positions in the uterus. 
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