PPT-Multiple pregnancy: antenatal care for twin and triplet pregnancies

    professor Dr Esraa AL Maini Introduction   The incidence of twinning ranges from 4 per 1000 births in Japan to as frequent as 54 per 1000 in some regions of Nigeriais   1 more prevalent in pregnancies with advancing maternal age strongest at 3039 years presumed to be secondary to the rise in folliclestimulating hormone concentrations spontaneous . Brooke Bracy, JB Kagabo, Danielle Loomis, Kristen Osip, & Jillian Queen. Etiology . What is multiple pregnancy?. Causes . Frequency . Associated risk factors . Types of Multiple Gestation . Twins. Assessment. First Antenatal . Assessment. Once pregnancy suspected, the women should seek prenatal care to promote a healthy outcome.. The assessment process begins at the initial prenatal visit and continues throughout the pregnancy.. OF . TWIN PREGNANCY. Prof. . Gomathy. Narayanan. Relevance. 1. Increasing . Incidence:. Following Induction of ovulation – 5-10%. Following ART – 32%. Advanced maternal age at pregnancy. 1. First Antenatal . Assessment. Once pregnancy suspected, the women should seek prenatal care to promote a healthy outcome.. The assessment process begins at the initial prenatal visit and continues throughout the pregnancy.. 1. First Antenatal . Assessment. Once pregnancy suspected, the women should seek prenatal care to promote a healthy outcome.. The assessment process begins at the initial prenatal visit and continues throughout the pregnancy.. Ass.Prof. . Andrii . Tkachenko. Kyiv, Ukraine. HISTORICAL VIEW. 38:28. And it came to pass in the time of her travail, that (the one) put out (his) hand; and the midwife took and bound upon this hand a scarlet thread, saying, This came out first.. David H. Barad, MD MS. Director of Assisted Reproductive Technology. Center for Human Reproduction. New York, NY. CHR Grand Rounds . May 14. th. , . 2013. Conflict of Interest. Dr. Barad and Dr. Gleicher are listed as co-inventors on a number of patents and pending patent applications claiming therapeutic benefits from DHEA and other androgens in treatment of infertility and claiming diagnostic and therapeutic benefits from determination of CGG repeat numbers and ovarian . Maternal complications . (During pregnancy) . ↑↑ physiological changes of pregnancy . ↑ cardiac output. ↑ volume expansion. ↑ . haemodilution. ↑ diaphragmatic splinting. ↑ weight gain . Prof. . Gomathy. Narayanan. Relevance. 1. Increasing . Incidence:. Following Induction of ovulation – 5-10%. Following ART – 32%. Advanced maternal age at pregnancy. 2. Increased . Morbidity & Mortality:. . Prof. Dr. . Esraa. AL-. Maini. 4. th. year . 2019-2020. Rate:. Rates continue to increase and now 3% of live births..  . The incidence of multiple pregnancy varies worldwide, In the UK the rates of multiple pregnancy are approximately 16 per 1,000 births. . epidemiology . Verities. Diagnosis. Antenatal management . Management during labor . Complications . Definition . Any pregnancy in which two or more embryos or fetuses occupy the uterus simultaneously . Birth-weight discordance and neonatal morbidity in twin pregnancy: analysis of STORK multiple pregnancy cohort . F. . D’Antonio . , B. . Thilaganathan, . A. . Laoreti. . and A. . Khalil, . on . behalf of the Southwest Thames Obstetric Research Collaborative (STORK) . Latifa. . Mari’e. Components of Preconception Care. RISE. R . isk. Factors. I . mmunizations. S . creening. . . E . ducation. - Counseling. Risk assessment . cont. :. Nutritional assessment. Substance abuse. Outlines Goals of antenatal care. . Signs of pregnancy.. Physical changes during pregnancy. H. istory.. Assessment and physical examination.. . Laboratory data. .Ultrasound.. Managing the minor disorders of pregnancy..